Factors associated with low-intake dehydration among older inpatients: A pilot study.
Australas J Ageing
; 40(2): e163-e172, 2021 Jun.
Article
em En
| MEDLINE
| ID: mdl-33295084
ABSTRACT
OBJECTIVES:
To assess fluid intake among older inpatients and factors associated with low-intake dehydration.METHODS:
Daily fluid intake and access were assessed within the 24-hour period, and blood was drawn to measure serum osmolality.RESULTS:
Of 89 patients, 16% and 27% had serum osmolality ≥ 300 (dehydrated) and 295-299 mOsm/kg (impending dehydration), respectively. Median (IQR) total fluid intake was 1.7 (1.6, 1.9) L/day. Fluid intake from beverages (P = .06) and water (P = .02) was higher in hydrated than impending/dehydrated patients. Of all fluid sources, only water intake was associated with hydration status (P = .02). The adjusted odds of serum osmolality ≥ 295 were increased for patients in the first (<0.3 L, P = .007) and second (0.3-0.8 L, P = .04) tertiles of water intake than those in the third tertile (≥0.8 L). Bladder control difficulty was associated with lower water intake (P = .03).CONCLUSION:
Monitoring water intake and assisting patients with bladder control difficulty may be key strategies to maintain hydration.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Desidratação
/
Pacientes Internados
Tipo de estudo:
Diagnostic_studies
/
Risk_factors_studies
Limite:
Humans
Idioma:
En
Revista:
Australas J Ageing
Ano de publicação:
2021
Tipo de documento:
Article
País de afiliação:
Nova Zelândia