Physician misdiagnosis of dehydration in older adults
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Clinical judgment is highly fallible in older adults.
“Clinical judgment is also highly fallible in older adults (227).”
From ESPEN practical guideline: Clinical nutrition and hydration in geriatrics (2022) · cites this paper as [227]
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ESPEN guideline on clinical nutrition and hydration in geriatrics
Volkert, D., Beck, A. M., Cederholm, T., Cruz-Jentoft, A., Goisser, S., Hooper, L., Kiesswetter, E., Maggio, M., Raynaud-Simon, A., Sieber, C. C., et al. (2019) · Clinical Nutrition · doi:10.1016/j.clnu.2018.05.024 · Cited by 1,505 · see citing works
ESPEN practical guideline: Clinical nutrition and hydration in geriatrics
Volkert, D., Beck, A. M., Cederholm, T., Cruz-Jentoft, A., Hooper, L., Kiesswetter, E., Maggio, M., Raynaud-Simon, A., Sieber, C., Sobotka, L., et al. (2022) · Clinical Nutrition · doi:10.1016/j.clnu.2022.01.024 · Cited by 516 · see citing works
Thavendiranathan, P., Bagai, A., Ebidia, A., Detsky, A. S., & Choudhry, N. K. (2005) · Journal of General Internal Medicine · doi:10.1111/j.1525-1497.2005.0094.x · Cited by 260 · see citing works
Fortes, M. B., Owen, J. A., Raymond‐Barker, P., Bishop, C., Elghenzai, S., Oliver, S. J., & Walsh, N. P. (2014) · Journal of the American Medical Directors Association · doi:10.1016/j.jamda.2014.09.012 · Cited by 162 · see citing works
The sensitivity of the human thirst response to changes in plasma osmolality: a systematic review
Hughes, F., Mythen, M. G., & Montgomery, H. (2018) · Perioperative Medicine · doi:10.1186/s13741-017-0081-4 · Cited by 63 · see citing works
Dehydration, Hypernatremia, and Hyponatremia
Morley, J. E. (2015) · Clinics in Geriatric Medicine · doi:10.1016/j.cger.2015.04.007 · Cited by 48 · see citing works
Elder Abuse and Neglect in Long-Term Care
Joshi, S., & Flaherty, J. H. (2005) · Clinics in Geriatric Medicine · doi:10.1016/j.cger.2004.10.009 · Cited by 46 · see citing works
Hooper, L. (2013) · Medical Science Monitor · doi:10.12659/msm.883972 · Cited by 37 · see citing works
Yoo, J., Choi, H., Song, S.-Y., Park, K., Lee, D., & Ha, Y. (2018) · Nutrition · doi:10.1016/j.nut.2018.01.010 · Cited by 30 · see citing works
Nwosu, A. C., Mayland, C. R., Mason, S. R., Khodabukus, A. F., Varró, A., & Ellershaw, J. (2012) · Journal of Pain and Symptom Management · doi:10.1016/j.jpainsymman.2012.08.018 · Cited by 26 · see citing works
The Myocardial Infarction Data Acquisition System (MIDAS 27) Study Group, Swerdel, J. N., Janevic, T. M., Kostis, W. J., Faiz, A. S., Cosgrove, N. M., & Kostis, J. B. (2016) · Translational Stroke Research · doi:10.1007/s12975-016-0471-9 · Cited by 26 · see citing works
Impaired hydration status in acutely admitted older patients: prevalence and impact on mortality
Sanson, G., Marzinotto, I., Matteis, D. D., Boscutti, G., Barazzoni, R., & Zanetti, M. (2020) · Age and Ageing · doi:10.1093/ageing/afaa264 · Cited by 25 · see citing works
Wojszel, Z. B. (2020) · Nutrients · doi:10.3390/nu12020398 · Cited by 23 · see citing works
Patient hydration: a major source of laboratory uncertainty
Ritchie, R. F., Ledue, T. B., & Craig, W. Y. (2007) · Clinical Chemistry and Laboratory Medicine (CCLM) · doi:10.1515/cclm.2007.052 · Cited by 21 · see citing works
NUTRITIONAL ISSUES IN THE PATIENT WITH DIABETES AND FOOT ULCERS
Litchford, M. D. (2008) · Elsevier eBooks · doi:10.1016/b978-0-323-04145-4.50015-6 · Cited by 18 · see citing works
What Serum Sodium Concentration Is Suggestive for Underhydration in Geriatric Patients?
Wojszel, Z. B. (2020) · Nutrients · doi:10.3390/nu12020496 · Cited by 12 · see citing works
Sipers, W. M. W. H., Dorge, J., Schols, J. M. G. A., Verdijk, L. B., & van Loon, L. J. C. (2019) · European Geriatric Medicine · doi:10.1007/s41999-019-00253-6 · Cited by 11 · see citing works
Taniguchi, H., Akiyama, M., Gomi, I., & Kimura, M. (2015) · Nippon Ronen Igakkai Zasshi Japanese Journal of Geriatrics · doi:10.3143/geriatrics.52.359 · Cited by 6 · see citing works
Kim, M. T., Tsouris, N., Lung, B. E., Miskiewicz, M., Wang, K. E., Komatsu, D. E., & Wang, E. D. (2024) · JSES International · doi:10.1016/j.jseint.2023.12.007 · Cited by 4 · see citing works
Fortes, M. B., Owen, J. A., Oliver, S. J., & Walsh, N. P. (2015) · Journal of the American Medical Directors Association · doi:10.1016/j.jamda.2015.05.004
Viñas, P., & Murray, J. (2024) · Elsevier eBooks · doi:10.1016/b978-0-323-91686-8.00009-4
Volkert, D., Beck, A. M., Cederholm, T., Cruz-Jentoft, A. J., Hooper, L., Kiesswetter, E., Maggio, M. G., Raynaud-Simon, A., Sieber, C., Sobotka, L., et al. (2026) · Revista Española de Geriatría y Gerontología · doi:10.1016/j.regg.2026.101762
- Authors
- Thomas, D. R.
- Corresponding author
- Thomas, D.R.
- ORCID
- Thomas, D.R.
- Venue
- Journal of the American Medical Directors Association
- Publisher
- Elsevier BV
- Published
- 2004-03
- Volume
- 5
- Issue
- 2
- Pages
- S30
- ISSN
- 1525-8610 (ISSN-L)
- OpenAlex
- W2912783140
- Cited by
- 22
- References
- 0
- Citations by year
- 2026: 1 · 2024: 2 · 2022: 1 · 2020: 3 · 2019: 1 · 2018: 3 · 2016: 1 · 2015: 3 · 2014: 1 · 2013: 1 · 2012: 1
- FWCI
- 0.92
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of the American Medical Directors Association (publishedVersion)
- Topics
- Health Sciences › Medicine › Family Practice › Clinical Reasoning and Diagnostic Skills
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Electrolyte and hormonal disorders
- Health Sciences › Health Professions › General Health Professions › Geriatric Care and Nursing Homes
- Keywords
- dehydration, older adults, misdiagnosis, diagnosis, physical examination findings, quality of care, elderly care
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