Title

Risk factors and outcomes associated with hospital admission for dehydration

Document Type

Article

Peer Reviewed

1

Publication Date

1-1-2008

Journal, Book or Conference Title

Rehabilitation Nursing

NLM Title Abbreviation

Rehabil Nurs

PubMed ID

19024237

Abstract

The hospital admission rate for dehydration is one of the Agency for Healthcare Research and Quality Prevention's Quality Indicators, which are considered screening tools for potential quality issues. Thus, admission for dehydration may reflect the quality of care provided in community settings. Using a case-control design, this study estimated the incidence, risk factors, and outcomes of dehydration in adults admitted to the hospital. The overall prevalence rate for three International Classification of Diseases codes for dehydration at admission was 0.55%. Cases and controls differed significantly on a number of clinical variables at admission, including weight, body mass index, pulse, blood pressure, use of bulk forming laxatives, serum sodium and chloride, and presence of generalized weakness or hemiplegia, edema, diarrhea, vomiting, and having nothing by mouth before admission. Mortality rates at 30 and 180 days after discharge were not significantly different between the two groups. Dehydration in community-dwelling adults may delay rehabilitation or result in hospital admission. Prevention, monitoring, and management are critical to preventing dehydration-associated problems.

Keywords

Dehydration -- Epidemiology -- Iowa, Dehydration -- Risk Factors, Dehydration -- Symptoms, Patient Admission -- Statistics and Numerical Data, Aged, Case Control Studies, Chi Square Test, Community Living, Conceptual Framework, Data Analysis Software, Dehydration -- Complications, Dehydration -- Diagnosis, Education, Continuing (Credit), Funding Source, Hospitals, Veterans, Hyponatremia -- Risk Factors, International Classification of Diseases, Interrater Reliability, Iowa, Male, Prevalence, Record Review, Rehabilitation Nursing, T-Tests, Treatment Outcomes, Human

Published Article/Book Citation

The definitive version was published in Rehabilitation Nursing, 33:6 (2008) pp.233-241.

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URL

http://ir.uiowa.edu/nursing_pubs/236