Comparing the Diagnostic Accuracy of Clinical Dehydration Scales Among Small Children

Study Overview
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Brief Summary
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The assessment of clinical dehydration scales diagnostic accuracy (CDS scale, WHO scale, Gorelick scale) among small children.

Detailed Description
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The eligible patient admitted to the hospital with acute diarrhea, after given written consent for participation in the study by the child's parents, will be clinically assessed. Dehydration syndromes noted by physician will be recorded in special form (in attachment). Than, the child will be weighted on a standard scale. The next body mass evaluation will take place, when patient's clinical condition will by classified as good by the attending physician and the child will be at least 24 hours after finishing intravenous or probe rehydration therapy.

Official Title
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Comparing the Diagnostic Accuracy of Clinical Dehydration Scales Among Small Children

Conditions
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Dehydration

Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: age: 1 - 36 months for CDS scale; 1 month - 5 years old for WHO scale and Gorelick scale hospitalisation caused by acute diarrhea (acute diarrhea -increase in the frequency of evacuations ≥ 3 in 24 hours; with or without fever or vomiting) duration of symptoms under 5 days parents' written consent for child's participation in the study Exclusion Criteria: Dehydration caused by other mechanisms than acute diarrhea, for example dehydration caused by: acidosis kidney failure heart failure chronic liver disease respiratory failure condition after surgery

Ages Eligible for Study
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Minimum Age: 1 Month
Maximum Age: 5 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| dehydration scales<br>children aged 1 - 36 months for CDS scale; 1 month - 5 years old for WHO scale and Gorelick scale | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| CDS scale evaluation | sensitivity, specificity, positive and negative likelihood ratios for CDS scale for dehydration <3%, 3-6%, >6% | all necessary data will be collected till patient's discharge day (ca. 5 days after admition to the hospital) | 
| WHO scale evaluation | sensitivity, specificity, positive and negative likelihood ratios for WHO scale for dehydration <5%, 5-10%, >10% | all necessary data will be collected till patient's discharge day (ca. 5 days after admition to the hospital) | 
| Gorelick scale evaluation | sensitivity, specificity, positive and negative likelihood ratios for Gorelick scale for dehydration ≥5%, ≥10% | when all data will be collectedall necessary data will be collected till patient's discharge day (ca. 5 days after admition to the hospital) | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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dehydration, children, gastroenteritis