Validation Analysis of a Geriatric Dehydration Screening Tool in Community-Dwelling and Institutionalized Elderly People

Dados Bibliográficos

ID15501792
AutoresSusana Rodrigues (0000-0001-6546-340X, University of Lisbon), Joana Silva (0000-0001-5816-2035, Universidade do Porto), Mílton Severo (0000-0002-5787-4871, Universidade do Porto), Cátia Inácio (Instituto Politécnico de Santarém), Patrícia Padrão (0000-0001-6310-4956, Universidade do Porto), Carla Lopes (0000-0003-1524-852X, Universidade do Porto), Joana Carvalho (0000-0003-2362-0010, Universidade do Porto), Isabel do Carmo (0000-0003-3463-1655, University of Lisbon), Isabel Carmo (University of Lisbon), Pedro Moreira (0000-0002-7035-7799, Universidade do Porto, autor correspondente)
Ano2015
Volume12
Fascículo3
Páginas2700-2717
Data de publicação2015-03-02
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoInternational Journal of Environmental Research and Public Health (JOURNAL)
Identificadores do periódicoISSN: 1661-7827 • E-ISSN: 1660-4601
EditoraMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph120302700
PMID25739005
PMCIDPMC4377927
OpenAlexW2148748302
IdiomaEN
Citações recebidas1
Referências citadas44

Dehydration is common among elderly people. The aim of this study was to perform validation analysis of a geriatric dehydration-screening tool (DST) in the assessment of hydration status in elderly people. This tool was based on the DST proposed by Vivanti et al., which is composed by 11 items (four physical signs of dehydration and seven questions about thirst sensation, pain and mobility), with four questions extra about drinking habits. The resulting questionnaire was evaluated in a convenience sample comprising institutionalized (n=29) and community-dwelling (n=74) elderly people. Urinary parameters were assessed (24-h urine osmolality and volume) and free water reserve (FWR) was calculated. Exploratory factor analysis was used to evaluate the scale's dimensionality and Cronbach's alpha was used to measure the reliability of each subscale. Construct's validity was tested using linear regression to estimate the association between scores in each dimension and urinary parameters. Two factors emerged from factor analysis, which were named "Hydration Score" and "Pain Score", and both subscales showed acceptable reliabilities. The "Hydration Score" was negatively associated with 24-h urine osmolality in community-dwelling; and the "Pain Score" was negatively associated with 24-h urine osmolality, and positively associated with 24-h urine volume and FWR in institutionalized elderly people

Construct validity · Cronbach's alpha · Dehydration · Exploratory factor analysis · Physical therapy · Psychometrics · Urine · Urine osmolality · Chemistry · Climate Change and Health Impacts · Clinical Psychology · Medicine · Nutrition and Health in Aging · Psychology · Thermoregulation and physiological responses · Internal Medicine