TY - JOUR T1 - Review: capillary refill time, abnormal skin turgor, and abnormal respiratory pattern help to detect dehydration in children JF - Evidence Based Medicine JO - Evid Based Med SP - 24 LP - 24 DO - 10.1136/ebm.10.1.24 VL - 10 IS - 1 A2 - , Y1 - 2005/02/01 UR - http://ebm.bmj.com/content/10/1/24.abstract N2 - Steiner MJ, DeWalt DA, Byerley JS. Is this child dehydrated? JAMA 2004;291:2746–54.OpenUrlCrossRefPubMedWeb of Science 
 
 Q In children, what is the accuracy of signs, symptoms, and laboratory tests for detecting dehydration? Clinical impact ratings GP/FP/Primary care ★★★★★★☆ GP/FP/Emergency Medicine ★★★★★★☆ Emergency Medicine (Specialist) ★★★★★★☆ Paediatrics ★★★★★★☆ Data sources: Medline (January 1966 to April 2003), the Cochrane Library, reference lists, and experts in the field. Study selection and assessment: studies in any language that compared signs, symptoms, and laboratory values with a recognised gold standard for diagnosing dehydration in children (age 0–18 y). Study quality was ranked from highest quality (level 1  =  independent, blind comparisons of test with a valid gold standard) to lowest quality (level 5  =  non-independent comparison of test with an uncertain standard of validity, which may incorporate the test result into the gold standard). Outcomes: sensitivity, specificity, and positive and negative likelihood ratios (LRs). 13 studies (n = 1246) met the selection criteria (4 intermediate quality and 9 low quality). Clinically useful signs for detecting 5% dehydration were capillary refill time, abnormal skin turgor, and … ER -