Subcutaneous and intravenous infusions were similarly well accepted, safe, and feasible in older patients with dehydration
Year: 2003
Type: article
Abstract: (2003) J Am Geriatr Soc 51, 155. Slesak G, Schnürle JW, Kinzel E, et al. . Comparison of subcutaneous and intravenous rehydration in geriatric patients: a randomized trial. . ; . : . –60 . [OpenUrl][1][CrossRef][2][PubMed][3][Web of Science][4] QUESTION: In older patients with mild to moderate dehydration, how do subcutaneous (SC) and intravenous (IV) infusions compare for acceptance, feasibility, and adverse effects? Randomised {allocation concealed}†,* unblinded*, trial with median 6 days duration of fluid use. Geriatric wards of a hospital in Tübingen, Germany. 96 patients who were ≥ 60 years of age (mean age 85 y, 70% women), had mild to moderate dehydration, and needed parenteral fluids. Exclusion criteria included infectious and allergic skin diseases, generalised oedema, acute myocardial infarction, manifest or imminent shock, IV drug requirement, and total parenteral nutrition. Follow up was 92%. Patients were allocated to receive SC (n=48) or IV (n=48) infusions of half normal saline glucose solutions (containing glucose 5% and half isotonic electrolytes). The amount and duration of fluid therapy depended on … [1]: {openurl}?query=rft.jtitle%253DJournal%2Bof%2Bthe%2BAmerican%2BGeriatrics%2BSociety%26rft.stitle%253DJ%2BAm%2BGeriatr%2BSoc%26rft.aulast%253DSlesak%26rft.auinit1%253DG.%26rft.volume%253D51%26rft.issue%253D2%26rft.spage%253D155%26rft.epage%253D160%26rft.atitle%253DComparison%2Bof%2Bsubcutaneous%2Band%2Bintravenous%2Brehydration%2Bin%2Bgeriatric%2Bpatients%253A%2Ba%2Brandomized%2Btrial.%26rft_id%253Dinfo%253Adoi%252F10.1046%252Fj.1532-5415.2003.51052.x%26rft_id%253Dinfo%253Apmid%252F12558710%26rft.genre%253Darticle%26rft_val_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Ajournal%26ctx_ver%253DZ39.88-2004%26url_ver%253DZ39.88-2004%26url_ctx_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Actx [2]: /lookup/external-ref?access_num=10.1046/j.1532-5415.2003.51052.x&link_type=DOI [3]: /lookup/external-ref?access_num=12558710&link_type=MED&atom=%2Febmed%2F8%2F5%2F151.atom [4]: /lookup/external-ref?access_num=000180605400002&link_type=ISI
Source: BMJ Evidence-Based Medicine
DOI: 10.1136/ebm.8.5.151
Author: S. Gill
Language: English
Subfield: Nutrition and Dietetics
Field: Nursing
Domain: Health Sciences
Open Access status: bronze
OpenAlex ID: W2157748347