What determines how much patients drink?

Gaspar, Phyllis

doi:10.1016/s0197-4572(88)80145-9

Cited by 33 publications

(39 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Evidence suggests that independent elderly individuals often drink what is offered to them and then communicate their requests for further replenishment, unlike semidependent individuals, who often go unnoticed. 24 In this study, we have demonstrated that the present method of hydration with fluids may be inappropriate. Although patients are being hydrated intravenously, clinicians must be mindful that insufficient fluid replacement may be taking place.…”

Section: Discussionmentioning

confidence: 82%

Influence of Raised Plasma Osmolality on Clinical Outcome After Acute Stroke

Bhalla

Sankaralingam

Dundas

et al. 2000

Stroke

189

135

View full text Add to dashboard Cite

Background and Purpose-Abnormal physiological parameters after acute stroke may induce early neurological deterioration. Studies of the effect of dehydration on stroke outcome are limited. We examined the association of raised plasma osmolality on stroke outcome at 3 months and the change of plasma osmolality with hydration during the first week after stroke. Methods-Acute stroke patients had their plasma osmolality measured at admission and at days 1, 3, and 7. Maximum plasma osmolality and the area under curve (AUC) were also calculated during the first week. Patients were stratified according to how they were hydrated: orally, intravenously, or both. Outcome included survival at 3 months after stroke. Logistic regression was performed to examine the association between raised plasma osmolality (Ͼ296 mOsm/kg) and survival, adjusting for stroke severity. Linear regression was performed to examine the pattern of plasma osmolality across hydration groups. Results-One hundred sixty-seven patients were included. Mean admission (300 mOsm/kg, SD 11.4), maximum (308.1 mOsm/kg, SD 17.1), and AUC (298.3 mOsm/kg, SD 11.7) plasma osmolality were significantly higher in those who died compared with survivors (293.1 mOsm/kg [SD 8.2], 297.7 mOsm/kg [SD 8.7], and 291.7 mOsm/kg [SD 8.1], respectively; PϽ0.0001). Admission plasma osmolality Ͼ296 mOsm/kg was significantly associated with mortality (OR 2.4, 95% CI 1.0 to 5.9). In patients hydrated intravenously, there was no significant fall in plasma osmolality compared with patients hydrated orally (Pϭ0.68). Conclusions-Raised plasma osmolality on admission is associated with stroke mortality, after correcting for case mix.Correction of dehydration after stroke requires a more systematic approach. Trials are required to determine whether correcting dehydration after stroke improves outcome.

show abstract

Section: Discussionmentioning

confidence: 82%

Influence of Raised Plasma Osmolality on Clinical Outcome After Acute Stroke

Bhalla

Sankaralingam

Dundas

et al. 2000

Stroke

189

135

View full text Add to dashboard Cite

show abstract

“…Female nursing home residents have been suggested to be dehydrated more often than males; however, the evidence does not support this claim 20 . Female nursing home patients were more likely to have a lower percentage of water intake than males 16 . In contrast, elderly male patients (68–90 years), in both a Long‐Term Care Unit and a Geriatric Admission Unit, received less fluid intake than elderly female patients while males in a psychogeriatric unit appeared to receive more 13 .…”

Section: Resultsmentioning

confidence: 97%

“…Age as a risk factor for decreased fluid intake was contradictory, with one group of nursing home residents showing an inverse relationship with fluid intake 16,17 while another group was found to have similar fluid intakes in under‐and over‐85 years age groups 14 …”

Section: Resultsmentioning

confidence: 99%

“…Bedridden nursing home residents were determined to be significantly more likely to be dehydrated than more mobile residents 20 . However, in reality, subjects that were dependent for assistance with eating had similar fluid intake levels as independent residents and had significantly higher water intake when compared to subjects requiring only some assistance 16,17 . Visual impairment also had a positive correlation with adequate fluid intake because staff anticipated the needs of subjects with this deficit.…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Maintaining oral hydration in older adults: A systematic review

Hodgkinson

Evans

Wood

2003

Int J of Nursing Practice

101

View full text Add to dashboard Cite

Dehydration is the most common fluid and electrolyte imbalance in older adults. The objectives were to identify the factors that increase the risk of dehydration in older adults, how best to assess the risk and manage oral fluid intake. Data sources included Medline, CINAHL, Cochrane Library, Embase and Current Contents, which were searched until February 2002. Randomized controlled trials for management of adequate fluid intake were undertaken. Cohort and case control studies were used for the identification of risk factors for dehydration. Studies of assessment tools for the identification of dehydration were also considered. Results show that there is no clear determination of the risk factors for dehydration and decreased fluid intake. The recommended daily intake of fluids should be not less than 1600 mL/24 h in order to ensure adequate hydration. A fluid intake sheet and urine specific gravity might be the best methods of monitoring daily fluid intake. Regular presentation of fluids to bedridden older adults can maintain adequate hydration status. In conclusion, more research is required to determine the optimum method of maintaining adequate oral hydration in older adults.

show abstract

“…The mean water intake from food and beverages (including metabolic water oxidation) was 33 mlakg body weight per day; the recommended dailȳ uid intake for elderly adults is 30 mlakg body weight per day (Chernoff, 1995;Massler, 1985). Studies have shown that a large number of free-living and institutionalized elderly individuals do not get enough¯uid, and this is associated with an increased mortality (Adams, 1988;Gaspar, 1988;Haveman-Nies et al, 1997). Risk factors for elderly patients developing dehydration include insuf®-cient food and water intake, poor mobility, infection, fever, diarrhoea, vomiting, hospitalization, multiple diseases, and medications (Lavizzo-Mourey et al, 1988;Naitoh & Burrell, 1998;Weinberg et al, 1994a, b).…”

Section: Discussionmentioning

confidence: 99%

Validation of a dietary record routine in geriatric patients using doubly labelled water

2000

View full text Add to dashboard Cite

Objective: To validate a 7-day estimated dietary record routine with standardized portion sizes and household measuring in a clinical setting with the doubly labelled water (DLW) method as the reference method. Design: Energy expenditure was measured with deuterium ( 2 H) and oxygen-18 ( 18 O), and water loss was estimated by 2 H dilution as part of the DLW measurements. Energy and water intake was measured with a 7 day dietary record. Setting: Five nursing home wards in Sweden. Subjects: Thirty-one geriatric patients with a mean age of 86 y. Inclusion criteria were stable body weight, de®ned as a maximum change of + 4% during the last 4 months of + 2% during the last 2 months and without any acute illness. Results: The mean daily energy intake was 7.2 MJ (1727 kcal) and the mean daily energy expenditure was 6.7 MJ (1595 kcal). The mean daily water intake was 1787 ml and mean daily water loss assessed by labelled water was 1774 ml. Using the dietary record routine, the staff overestimated the patients' energy intake by 8% and water intake from food and beverages by`1% compared to DLW. Conclusion: The 7 day dietary record routine based on standardized portion sizes and household measuring seems to be a valid method for assessing the intake of energy and¯uids by geriatric patients.

show abstract

What determines how much patients drink?

Cited by 33 publications

References 3 publications

Influence of Raised Plasma Osmolality on Clinical Outcome After Acute Stroke

Influence of Raised Plasma Osmolality on Clinical Outcome After Acute Stroke

Maintaining oral hydration in older adults: A systematic review

Validation of a dietary record routine in geriatric patients using doubly labelled water

Contact Info

Product

Resources

About