Prevention of dehydration in hospital patients

Shells, Rebecca; Morrell-Scott, Nicola

doi:10.12968/bjon.2018.27.10.565

Cited by 9 publications

(3 citation statements)

References 19 publications

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“…Additionally, dehydration was a risk factor for in-hospital mortality while anatomical and functional disorders were protective factors. Some studies have shown that dehydration is closely linked to an increased risk of mortality [54], while anatomical and functional disorders include specifications such as amputations, deformities and joint stiffness which are associated with admission profiles with low risk of severity and mortality (APR-GRD 1-2).…”

Section: Plos Onementioning

confidence: 99%

Care complexity individual factors associated with adverse events and in-hospital mortality

et al. 2020

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Introduction Measuring the impact of care complexity on health outcomes, based on psychosocial, biological and environmental circumstances, is important in order to detect predictors of early deterioration of inpatients. We aimed to identify care complexity individual factors associated with selected adverse events and in-hospital mortality. Methods A multicenter, case-control study was carried out at eight public hospitals in Catalonia, Spain, from January 1, 2016 to December 31, 2017. All adult patients admitted to a ward or a step-down unit were evaluated. Patients were divided into the following groups based on the presence or absence of three adverse events (pressure ulcers, falls or aspiration pneumonia) and in-hospital mortality. The 28 care complexity individual factors were classified in five domains (developmental, mental-cognitive, psycho-emotional, sociocultural and comorbidity/complications). Adverse events and complexity factors were retrospectively reviewed by consulting patients' electronic health records. Multivariate logistic analysis was performed to identify factors associated with an adverse event and in-hospital mortality. Results A total of 183,677 adult admissions were studied. Of these, 3,973 (2.2%) patients experienced an adverse event during hospitalization (1,673 [0.9%] pressure ulcers; 1,217 [0.7%] falls and 1,236 [0.7%] aspiration pneumonia). In-hospital mortality was recorded in 3,996 patients (2.2%). After adjustment for potential confounders, the risk factors independently associated with both adverse events and in-hospital mortality were: mental status impairments, impaired adaptation, lack of caregiver support, old age, major chronic disease, hemodynamic instability, communication disorders, urinary or fecal incontinence, vascular

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Section: Plos Onementioning

confidence: 99%

Care complexity individual factors associated with adverse events and in-hospital mortality

et al. 2020

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“…Studies have found that the prevalence of malnutrition in hospitalized patients is between 20 and 50%, and this variation depends upon geographic location and the populations studied (33). A study from the UK showed that 45% of patients over the age of 65 were dehydrated within 48 hours of hospital admission (1,34). Malnutrition is often present upon hospital admission; however, it is common for well-nourished and malnourished inpatients to develop malnutrition or suffer further deterioration of nutritional status during hospitalization (35)(36)(37).…”

Section: Discussionmentioning

confidence: 99%

Dietary and water restriction leads to increased susceptibility to antimicrobial resistant pathogens

Lacey,

Pickrum,

Gonzalez

et al. 2024

Sci. Adv.

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Dehydration and malnutrition are common and often underdiagnosed in hospital settings. Multidrug-resistant bacterial infections result in more than 35,000 deaths a year in nosocomial patients. The effect of temporal dietary and water restriction (DWR) on susceptibility to multidrug-resistant pathogens is unknown. We report that DWR markedly increased susceptibility to systemic infection by ESKAPE pathogens. Using a murine bloodstream model of methicillin-resistant Staphylococcus aureus infection, we show that DWR leads to significantly increased mortality and morbidity. DWR causes increased bacterial burden, severe pathology, and increased numbers of phagocytes in the kidney. DWR appears to alter the functionality of these phagocytes and is therefore unable to control infection. Mechanistically, we show that DWR impairs the ability of macrophages to phagocytose multiple bacterial pathogens and efferocytose apoptotic neutrophils. Together, this work highlights the crucial impact that diet and hydration play in protecting against infection.

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“…Especially elder neurological patients often show decreased thirst, which leads to dehydration and exsiccosis (Lauster and Mertl-Rötzer 2014). Therefore, it is important to monitor the drinking habits of persons with enhanced risk of dehydration (Shells and Morrell-Scott 2018).…”

Section: Selection Of Activities Of Special Interestmentioning

confidence: 99%

Advanced Sensing and Human Activity Recognition in Early Intervention and Rehabilitation of Elderly People

et al. 2020

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Ageing is associated with a decline in physical activity and a decrease in the ability to perform activities of daily living, affecting physical and mental health. Elderly people or patients could be supported by a human activity recognition (HAR) system that monitors their activity patterns and intervenes in case of change in behavior or a critical event has occurred. A HAR system could enable these people to have a more independent life. In our approach, we apply machine learning methods from the field of human activity recognition (HAR) to detect human activities. These algorithmic methods need a large database with structured datasets that contain human activities. Compared to existing data recording procedures for creating HAR datasets, we present a novel approach, since our target group comprises of elderly and diseased people, who do not possess the same physical condition as young and healthy persons. Since our targeted HAR system aims at supporting elderly and diseased people, we focus on daily activities, especially those to which clinical relevance in attributed, like hygiene activities, nutritional activities or lying positions. Therefore, we propose a methodology for capturing data with elderly and diseased people within a hospital under realistic conditions using wearable and ambient sensors. We describe how this approach is first tested with healthy people in a laboratory environment and then transferred to elderly people and patients in a hospital environment. We also describe the implementation of an activity recognition chain (ARC) that is commonly used to analyse human activity data by means of machine learning methods and aims to detect activity patterns. Finally, the results obtained so far are presented and discussed as well as remaining problems that should be addressed in future research.

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Prevention of dehydration in hospital patients

Cited by 9 publications

References 19 publications

Care complexity individual factors associated with adverse events and in-hospital mortality

Care complexity individual factors associated with adverse events and in-hospital mortality

Dietary and water restriction leads to increased susceptibility to antimicrobial resistant pathogens

Advanced Sensing and Human Activity Recognition in Early Intervention and Rehabilitation of Elderly People

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