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Dehydration in hospital admitted stroke patients: detection, frequency and association.

Rowat, Anne M, Graham, Catriona and Dennis, Martin S (2012) Dehydration in hospital admitted stroke patients: detection, frequency and association. Stroke, 43 (3). pp. 857-859. ISSN 0039-2499

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Abstract/Description

Background and Purpose—We aimed to determine the frequency of dehydration, risk factors, and associations with outcomes at hospital discharge after stroke.

Methods—We linked clinical data from stroke patients in 2 prospective hospital registers with routine blood urea and creatinine results. Dehydration was defined by a blood urea-to-creatinine ratio >80.

Results—Of 2591 patients registered, 1606 (62%) were dehydrated at some point during their admission. Independent risk factors for dehydration included older age, female gender, total anterior circulation syndrome, and prescribed diuretics (all P<0.001). Patients with dehydration were significantly more likely be dead or dependent at hospital discharge than those without (χ2=170.5; degrees of freedom=2; P<0.0001).

Conclusions—Dehydration is common and associated with poor outcomes. Further work is required to establish if these associations are causal and if preventing or treating dehydration improves outcomes

Item Type: Article
Print ISSN: 0039-2499
Electronic ISSN: 1524-4628
Uncontrolled Keywords: acute stroke; blood urea; creatinine; dehydration;
University Divisions/Research Centres: Faculty of Health, Life & Social Sciences > School of Nursing, Midwifery and Social Care
Dewey Decimal Subjects: 600 Technology > 610 Medicine & health > 616 Diseases > 616.8 Nervous & mental disorders > 616.81 Stroke
Library of Congress Subjects: R Medicine > RC Internal medicine > RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry
Item ID: 5084
Depositing User: Mrs Lyn Gibson
Date Deposited: 12 Mar 2012 16:41
Last Modified: 22 Nov 2012 15:23
URI: http://researchrepository.napier.ac.uk/id/eprint/5084

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