Children at risk of developing dehydration from diarrhoea: a case-control study. 2002

Farid Uddin Ahmed, and Enamul Karim
Comilla Medical College/Hospital, Bangladesh.

To identify the factors related to dehydration from diarrhoea, a hospital-based case-control study was carried out among under-2-year-old Bangladeshi children. The study compared 80 cases who had 'some' or severe dehydration with 160 age-matched controls who had 'no signs' of dehydration. All the cases and controls were examined and the mothers were interviewed in the hospital and followed at home on the 14th day of illness. Thirty-eight factors were studied for their probable influence on the development of dehydration. In bivariate analysis, 17 factors were found to be associated significantly with the development of dehydration and were treated with stepwise logistic regression analysis. A combination of vomiting, oral rehydration therapy at home, mother's dirty finger nails, and residing more than 3 km away from the hospital provided the maximum sensitivity (77.5 per cent) and specificity (91.2 per cent) for predicting development of dehydration. These prognostic factors would be helpful for community health workers to identify children at risk of developing diarrhoea-associated dehydration, and preventive strategies could be designed to alter the prognostic factors.

UI MeSH Term Description Entries
D007223 Infant A child between 1 and 23 months of age. Infants
D007231 Infant, Newborn An infant during the first 28 days after birth. Neonate,Newborns,Infants, Newborn,Neonates,Newborn,Newborn Infant,Newborn Infants
D008297 Male Males
D011237 Predictive Value of Tests In screening and diagnostic tests, the probability that a person with a positive test is a true positive (i.e., has the disease), is referred to as the predictive value of a positive test; whereas, the predictive value of a negative test is the probability that the person with a negative test does not have the disease. Predictive value is related to the sensitivity and specificity of the test. Negative Predictive Value,Positive Predictive Value,Predictive Value Of Test,Predictive Values Of Tests,Negative Predictive Values,Positive Predictive Values,Predictive Value, Negative,Predictive Value, Positive
D011446 Prospective Studies Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group. Prospective Study,Studies, Prospective,Study, Prospective
D003681 Dehydration The condition that results from excessive loss of water from a living organism. Water Stress,Stress, Water
D003967 Diarrhea An increased liquidity or decreased consistency of FECES, such as running stool. Fecal consistency is related to the ratio of water-holding capacity of insoluble solids to total water, rather than the amount of water present. Diarrhea is not hyperdefecation or increased fecal weight. Diarrheas
D005260 Female Females
D006760 Hospitalization The confinement of a patient in a hospital. Hospitalizations
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man

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