Validation of a Screening Tool to Assess Dehydration in Hospitalized Older Population

NCT ID: NCT03596580

Last Updated: 2019-02-22

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Total Enrollment

222 participants

Study Classification

OBSERVATIONAL

Study Start Date

2018-07-23

Study Completion Date

2019-06-30

Brief Summary

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The study aims to verify the sensitivity and specificity of a tool to assess the state of hydration of the older person to identify those at risk of dehydration.

Detailed Description

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Dehydration is the result of insufficient fluid intake and can be consequent to an alteration of thirst mechanisms or fluid loss from the intestinal and respiratory tracts. The use of diuretics can lead to dehydration too. The risk of dehydration induced by acute or chronical diseases is increased in older people because of the reduced capacity to maintain a proper fluid balance. Lower muscle mass, reduced kidney function, physical and cognitive disabilities, blunted thirst, and polytherapy are recognized as main factors for dehydration risk in older people.For these reasons, coordinated efforts are necessary to develop comprehensive assessment tool to monitor hydration in hospitalised older adults. We need to develop a pathway of screening to detect early stage dehydration in older patients in order to correct it precociously. Presently, no standardized clinical dehydration assessment method exists and there are relatively few papers investigating hydration status. A new tool was created: the Geriatric Dehydration Screening Tool - Modified doesn't require laboratory parameters, and thus its use is feasible outside hospital settings. The aim of this study is to evaluate the diagnostic accuracy of the Geriatric Dehydration Screening Tool - Modified in the assessment of the hydration status of hospitalized older population.

Conditions

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Dehydration Hypertonic Aged

Study Design

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Observational Model Type

OTHER

Study Time Perspective

CROSS_SECTIONAL

Study Groups

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Dehydrated participants

125 participants ≥ 65 years of age at the moment of the interviews; hospitalized in General Medicine; osmolarity ≥ 296 mOsm/L

No interventions assigned to this group

Hydrated participants

97 participants ≥ 65 years of age at the moment of the interviews; hospitalized in General Medicine; osmolarity \< 296 mOsm/L

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* Complete blood tests: Urea, Glucose, Sodium, Potassium reported not more than 24 hours before the observation;
* Absence of known cognitive impairments (Mini-Mental State Examination \> 24).

Exclusion Criteria

* Age \< 65;
* Mini-Mental State Examination \< 24.
Minimum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Fondazione IRCCS Ca' Granda, Ospedale Maggiore Policlinico

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Fondazione Ca' Granda Ospedale Maggiore Policlinico

Milan, , Italy

Site Status RECRUITING

Countries

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Italy

Facility Contacts

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Ivana Maria Rosi, Dr

Role: primary

+390255035457

Roberto Milos, Dr

Role: backup

+390255032704

References

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Vivanti A, Harvey K, Ash S. Developing a quick and practical screen to improve the identification of poor hydration in geriatric and rehabilitative care. Arch Gerontol Geriatr. 2010 Mar-Apr;50(2):156-64. doi: 10.1016/j.archger.2009.03.003. Epub 2009 Apr 23.

Reference Type BACKGROUND
PMID: 19395070 (View on PubMed)

Rodrigues S, Silva J, Severo M, Inacio C, Padrao P, Lopes C, Carvalho J, do Carmo I, Moreira P. Validation analysis of a geriatric dehydration screening tool in community-dwelling and institutionalized elderly people. Int J Environ Res Public Health. 2015 Mar 2;12(3):2700-17. doi: 10.3390/ijerph120302700.

Reference Type BACKGROUND
PMID: 25739005 (View on PubMed)

Hooper L, Abdelhamid A, Attreed NJ, Campbell WW, Channell AM, Chassagne P, Culp KR, Fletcher SJ, Fortes MB, Fuller N, Gaspar PM, Gilbert DJ, Heathcote AC, Kafri MW, Kajii F, Lindner G, Mack GW, Mentes JC, Merlani P, Needham RA, Olde Rikkert MG, Perren A, Powers J, Ranson SC, Ritz P, Rowat AM, Sjostrand F, Smith AC, Stookey JJ, Stotts NA, Thomas DR, Vivanti A, Wakefield BJ, Waldreus N, Walsh NP, Ward S, Potter JF, Hunter P. Clinical symptoms, signs and tests for identification of impending and current water-loss dehydration in older people. Cochrane Database Syst Rev. 2015 Apr 30;2015(4):CD009647. doi: 10.1002/14651858.CD009647.pub2.

Reference Type BACKGROUND
PMID: 25924806 (View on PubMed)

Other Identifiers

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GDST-M

Identifier Type: -

Identifier Source: org_study_id

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