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  • In children with moderate dehydration, oral rehydration reduced ED stay and staff time compared with intravenous rehydration

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Therapeutics
In children with moderate dehydration, oral rehydration reduced ED stay and staff time compared with intravenous rehydration

https://doi.org/10.1136/ebm.8.4.116

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    (2002) Arch Pediatr Adolesc Med 156, 1240. Atherly-John YC, Cunningham SJ, Crain EF.. A randomized trial of oral vs intravenous rehydration in a pediatric emergency department.. ;. :. –3.
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 QUESTION: Is oral rehydration therapy (ORT) as effective as intravenous therapy (IVT) for moderate dehydration in children with acute gastroenteritis?

    Design

    Randomised (unclear allocation concealment*), blinded (data collectors),* controlled trial with follow up 2–4 days after discharge.

    Setting

    A paediatric emergency department (ED) in an urban public hospital in Bronx, New York, USA.

    Patients

    34 previously healthy children aged 3 months to 17 years (mean age 5 y, 55% girls) who had signs and symptoms of acute gastroenteritis for <1 week and met ≥4 standard criteria for moderate dehydration. Exclusion criteria were chronic illness, severe dehydration or shock, protracted vomiting, absent bowel sounds, no accompanying guardian or contact telephone number, and requirement of intravenous access for reasons other than hydration. All patients were included in the analysis.

    Intervention

    18 children allocated to ORT were given a commercial oral electrolyte solution by their parent …

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    Footnotes

    • Source of funding: not stated.

    • For correspondence: Dr S J Cunningham, Jacobi Hospital, Bronx, NY, USA. sjcny{at}gis.ne

    • ↵* See glossary.