The effects of dehydration on rehabilitation outcomes of elderly orthopedic patients

Association between dehydration on admission and postoperative complications in older persons undergoing orthopaedic surgery

“…Meanwhile, blood chemistry results have also been used to determine hydration status. Serum osmolality and the ratio of blood urea nitrogen (BUN) to creatinine (Cr) have been used in previous studies to define and estimate the prevalence of dehydration (Hooper, Abdelhamid, Ali et al, 2015a;Mukand, Cai, Zielinski, Danish, & Berman, 2003;Wakefield et al, 2008;Wu, Wang, Yeh, Wang, & Yang, 2011). Patients are classified as dehydrated if their BUN/Cr ratio reached 20 (Fortes et al, 2015) or 25 (Hooper, Bunn, Jimoh, & Fairweather-Tait, 2014;Mentes, 2013;Wu et al, 2011).…”

An exploration of the hydration care of older people: A qualitative study

“…Suboptimal hydration is associated with increased susceptibility to urinary tract infections, pneumonia, pressure ulcers, confusion and disorientation (Chidester andSpangler, 1997, Mentes, 2006) whilst adequate hydration is associated with fewer falls, lower rates of constipation, better rehabilitation outcomes in orthopaedic patients and reduced risk of bladder cancer in men (Michaud et al, 1999, Mukand et al, 2003, Robinson and Rosher, 2002. Although the health benefits of proper hydration are well established, dehydration is prevalent in both older hospitalised adults and residents of care homes throughout the developed world (Haveman-Nies et al, 1997, Joanna Briggs Institute, 2001, Mentes, 2006.…”

Economic Burden Associated With Hospital Postadmission Dehydration

“…Dehydration may contribute to increased LOS, resulting in increased costs to the providers. In a review of elderly orthopedic patients, Mukand et al 14 observed significantly longer LOS in patients with dehydration markers. Average length of stay for patients without dehydration was 9.4 days, and those with dehydration markers had an average LOS of 12.9 days.…”