{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T09:46:45Z","timestamp":1783676805194,"version":"3.55.0"},"reference-count":13,"publisher":"American Academy of Pediatrics (AAP)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2008,9,1]]},"abstract":"<jats:p>OBJECTIVE. We previously created a clinical dehydration scale. Our objective was to validate the clinical dehydration scale with a new cohort of patients with acute gastroenteritis who were assessed in a tertiary emergency department in a developed country.<\/jats:p><jats:p>METHODS. A prospective observational study was performed in an emergency department at a large pediatric tertiary center in Canada. Children 1 month to 5 years of age with symptoms of acute gastroenteritis who were assessed in the emergency department were enrolled consecutively during a 4-month period. The main outcome measures were length of stay, proportion of children receiving intravenous fluid rehydration, and proportions of children with abnormal serum pH values or bicarbonate levels.<\/jats:p><jats:p>RESULTS. A total of 205 children were enrolled, with a mean age of 22.4 \u00b1 14.9 months; 103 (50%) were male. The distribution of severity categories was as follows: no dehydration (score of 0), n = 117 (57%); some dehydration (score of 1\u20134), n = 83 (41%); moderate\/severe dehydration (score of 5\u20138), n = 5 (2%). The 3 dehydration categories were significantly different with respect to the validation hypotheses (length of stay, mean \u00b1 SD: none, 245 \u00b1 181 minutes; some, 397 \u00b1 302 minutes; moderate\/severe, 501 \u00b1 389 minutes; treatment with intravenous fluids: none, n =17, 15%; some, n = 41, 49%; moderate\/severe, n = 4, 80%; number of vomiting episodes in the 7 days before the emergency department visit: none, 8.4 \u00b1 7.7 episodes; some, 13 \u00b1 10.7 episodes; moderate\/severe, 30.2 \u00b1 14.8 episodes).<\/jats:p><jats:p>CONCLUSION. The clinical dehydration scale and the 3 severity categories were valid for a prospectively enrolled cohort of patients who were assessed in our tertiary emergency department. The scoring system was valuable in predicting a longer length of stay and the need for intravenous fluid rehydration for children with symptoms of acute gastroenteritis.<\/jats:p>","DOI":"10.1542\/peds.2007-3141","type":"journal-article","created":{"date-parts":[[2008,9,1]],"date-time":"2008-09-01T13:27:57Z","timestamp":1220275677000},"page":"545-549","source":"Crossref","is-referenced-by-count":69,"title":["Validation of the Clinical Dehydration Scale for Children With Acute Gastroenteritis"],"prefix":"10.1542","volume":"122","author":[{"given":"Ran D.","family":"Goldman","sequence":"first","affiliation":[{"name":"Pediatric Research in Emergency Therapeutics Program, Division of Pediatric Emergency Medicine, BC Children's Hospital, Vancouver, Canada"},{"name":"Department of Pediatrics, Child and Family Research Institute, University of British Columbia, Vancouver, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeremy N.","family":"Friedman","sequence":"additional","affiliation":[{"name":"Pediatric Outcomes Research Team, Division of Pediatric Medicine, Hospital for Sick Children, Toronto, Canada"},{"name":"Department of Pediatrics, Faculty of Medicine, University of Toronto, Toronto, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patricia C.","family":"Parkin","sequence":"additional","affiliation":[{"name":"Pediatric Outcomes Research Team, Division of Pediatric Medicine, Hospital for Sick Children, Toronto, Canada"},{"name":"Department of Pediatrics, Faculty of Medicine, University of Toronto, Toronto, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"417","published-online":{"date-parts":[[2008,9,1]]},"reference":[{"key":"2021120905243395500_R1","unstructured":"Cicerello HG, Glass RI. Current concepts of the epidemiology of diarrheal diseases. Semin Pediatr Infect Dis.\u20081994;5(3):163\u2013167"},{"key":"2021120905243395500_R2","doi-asserted-by":"crossref","unstructured":"American Academy of Pediatrics, Provisional Committee on Quality Improvement, Subcommittee on Acute Gastroenteritis. Practice parameter: the management of acute gastroenteritis in young children. Pediatrics.\u20081996;97(3):424\u2013435","DOI":"10.1542\/peds.97.3.424"},{"key":"2021120905243395500_R3","doi-asserted-by":"crossref","unstructured":"Vega RM, Avner JR. A prospective study of the usefulness of clinical and laboratory parameters for predicting percentage of dehydration in children. Pediatr Emerg Care.\u20081997;13(3):179\u2013182","DOI":"10.1097\/00006565-199706000-00001"},{"key":"2021120905243395500_R4","doi-asserted-by":"crossref","unstructured":"Gorelick MH, Shaw KN, Murphy KO. Validity and reliability of clinical signs in the diagnosis of dehydration. Pediatrics.\u20081997;99(5). 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Managing acute gastroenteritis among children: oral rehydration, maintenance, and nutritional therapy. MMWR Recomm Rep.\u20082003;52(RR-16):1\u201316"},{"key":"2021120905243395500_R13","doi-asserted-by":"crossref","unstructured":"Liebelt EL. Clinical and laboratory evaluation and management of children with vomiting, diarrhea and dehydration. 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