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

by Adam C Levine, Justin Glavis-Bloom, Payal Modi et al.
The Lancet Global Health, Vol. 4, No. 10, e744–e751, October 2016

6 pp. 663 kB
http://www.thelancet.com/pdfs/journals/langlo/PIIS2214-109X(16)30150-4.pdfcov200h

The Dehydration: Assessing Kids Accurately (DHAKA) score was derived for assessing dehydration in children with diarrhoea in a low-income country setting. In this study, the authors aimed to externally validate the DHAKA score in a new population of children and compare its accuracy and reliability to the current Integrated Management of Childhood Illness (IMCI) algorithm. They conclude that the DHAKA score is the first clinical tool for assessing dehydration in children with acute diarrhoea to be externally validated in a low-income country. Further validation studies in a diverse range of settings and paediatric populations are warranted.

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