External validation of the DHAKA score and comparison with the current IMCI algorithm for the assessment of dehydration in children with diarrhoea: a.

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Presentation transcript:

External validation of the DHAKA score and comparison with the current IMCI algorithm for the assessment of dehydration in children with diarrhoea: a prospective cohort study Adam C Levine, MD, Justin Glavis-Bloom, MD, Payal Modi, MD, Sabiha Nasrin, MBBS, Bita Atika, MBBS, Soham Rege, BS, Sarah Robertson, MS, Christopher H Schmid, PhD, Nur H Alam, MD The Lancet Global Health Volume 4, Issue 10, Pages e744-e751 (October 2016) DOI: 10.1016/S2214-109X(16)30150-4 Copyright © 2016 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY license Terms and Conditions

Figure 1 IMCI algorithm IMCI=Integrated Management of Childhood Illness. The Lancet Global Health 2016 4, e744-e751DOI: (10.1016/S2214-109X(16)30150-4) Copyright © 2016 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY license Terms and Conditions

Figure 2 DHAKA score A score of 4 or more was deemed severe dehydration, a score of 2–3 as some dehydration, and a score of 0–1 as no dehydration. DHAKA=Dehydration: Assessing Kids Accurately. The Lancet Global Health 2016 4, e744-e751DOI: (10.1016/S2214-109X(16)30150-4) Copyright © 2016 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY license Terms and Conditions

Figure 3 Flowchart for DHAKA validation study DHAKA=Dehydration: Assessing Kids Accurately. The Lancet Global Health 2016 4, e744-e751DOI: (10.1016/S2214-109X(16)30150-4) Copyright © 2016 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY license Terms and Conditions

Figure 4 Median percentage dehydration by DHAKA score Error bars show interquartile range. DHAKA=Dehydration: Assessing Kids Accurately. The Lancet Global Health 2016 4, e744-e751DOI: (10.1016/S2214-109X(16)30150-4) Copyright © 2016 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY license Terms and Conditions

Figure 5 Predicted probability of each dehydration category by DHAKA score DHAKA=Dehydration: Assessing Kids Accurately. The Lancet Global Health 2016 4, e744-e751DOI: (10.1016/S2214-109X(16)30150-4) Copyright © 2016 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY license Terms and Conditions