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  • Review: capillary refill time, abnormal skin turgor, and abnormal respiratory pattern are useful signs for detecting dehydration in children

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Review: capillary refill time, abnormal skin turgor, and abnormal respiratory pattern are useful signs for detecting dehydration in children
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https://doi.org/10.1136/ebn.8.2.57

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    Steiner MJ, DeWalt DA, Byerley JS. Is this child dehydrated? JAMA 2004;291:2746–54.OpenUrlCrossRefPubMedWeb of Science

    Q What is the accuracy of signs, symptoms, and laboratory tests for detecting dehydration in children?

    METHODS

    Embedded ImageData sources:

    Medline (1966 to April 2003), Cochrane Library, reference lists, and experts in the field.

    Embedded ImageStudy selection and assessment:

    studies in any language that compared signs, symptoms, and laboratory values with a recognised gold standard for diagnosing dehydration (rehydration weight minus acute weight divided by rehydration weight) in children (0–18 y). Study quality was ranked from highest (level 1  =  independent, blind comparison of test with a valid gold standard) to lowest (level 5  =  non-independent comparison of test with an uncertain standard of validity, which may incorporate the test result into the gold standard).

    Embedded ImageOutcomes:

    sensitivity, specificity, and positive and negative likelihood …

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