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In this study, we measured the axillary moisture and assessed it as possible marker for dehydration.\nMethods\n\nTwenty-nine older patients admitted with acute medical conditions participated in this study. Dehydration was diagnosed by the calculated serum osmolality of greater than 295 mOsm/L. The moisture of axilla was measured by a skin moisture impedance meter which was applied at the center of axilla of patients.\nResults\n\n11 patients (7 males and 4 females) were diagnosed as dehydrated and 18 patients (10 males and 8 females) were diagnosed as non-dehydrated. The mean axillary moisture (33%) in the dehydrated group was significantly lower than that (42%) in the non-dehydrated group (p \u003c 0.05). The axillary moisture ≥ 50% showed the sensitivity of 88%. The axillary moisture \u003c 30% showed the specificity of 91%. Use of a single cutoff value of 40% moisture produced the sensitivity of 59% and the specificity of 9%. As for the physical signs, dry axilla had also moderate sensitivity and excellent specificity to detect dehydration.\nConclusions\n\nThe measurement of the axillary moisture could help assess dehydration. 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Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. 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The measurement of axillary moisture for the assessment of dehydration among older patients: A pilot study
http://hdl.handle.net/2241/118674
http://hdl.handle.net/2241/118674261a9837-32be-44d7-86cc-09d3fbe66c9d
名前 / ファイル | ライセンス | アクション |
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EG_48-2.pdf (159.6 kB)
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Item type | Journal Article(1) | |||||
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公開日 | 2013-03-15 | |||||
タイトル | ||||||
タイトル | The measurement of axillary moisture for the assessment of dehydration among older patients: A pilot study | |||||
言語 | ||||||
言語 | eng | |||||
資源タイプ | ||||||
資源 | http://purl.org/coar/resource_type/c_6501 | |||||
タイプ | journal article | |||||
著者 |
Kinoshita, Kensuke
× Kinoshita, Kensuke× Hattori, Kazuya× Ota, Yoshio× Kanai, Takao× Shimizu, Miyuki× Kobayashi, Hiroyuki× Tokuda, Yasuharu |
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著者別名 |
小林, 裕幸
× 小林, 裕幸× 徳田, 安春 |
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抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | Purpose Dry axilla can sometimes be found among dehydrated older patients. In this study, we measured the axillary moisture and assessed it as possible marker for dehydration. Methods Twenty-nine older patients admitted with acute medical conditions participated in this study. Dehydration was diagnosed by the calculated serum osmolality of greater than 295 mOsm/L. The moisture of axilla was measured by a skin moisture impedance meter which was applied at the center of axilla of patients. Results 11 patients (7 males and 4 females) were diagnosed as dehydrated and 18 patients (10 males and 8 females) were diagnosed as non-dehydrated. The mean axillary moisture (33%) in the dehydrated group was significantly lower than that (42%) in the non-dehydrated group (p < 0.05). The axillary moisture ≥ 50% showed the sensitivity of 88%. The axillary moisture < 30% showed the specificity of 91%. Use of a single cutoff value of 40% moisture produced the sensitivity of 59% and the specificity of 9%. As for the physical signs, dry axilla had also moderate sensitivity and excellent specificity to detect dehydration. Conclusions The measurement of the axillary moisture could help assess dehydration. Dehydration could be ruled out when the axillary moisture ≥ 50%, while it could be ruled-in when the axillary moisture is < 30%. |
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書誌情報 |
Experimental gerontology 巻 48, 号 2, p. 255-258, 発行日 2013-02 |
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ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 0531-5565 | |||||
書誌レコードID | ||||||
収録物識別子タイプ | NCID | |||||
収録物識別子 | AA00641077 | |||||
PubMed番号 | ||||||
識別子タイプ | PMID | |||||
関連識別子 | 23063989 | |||||
DOI | ||||||
識別子タイプ | DOI | |||||
関連識別子 | 10.1016/j.exger.2012.10.002 | |||||
権利 | ||||||
権利情報 | © 2012 Elsevier Inc. NOTICE: this is the author's version of a work that was accepted for publication in Experimental Gerontology. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Experimental Gerontology, Vol.48 Issue 2, Pages: 255-258. doi:10.1016/j.exger.2012.10.002. |
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著者版フラグ | ||||||
値 | author | |||||
出版者 | ||||||
出版者 | Elsevier Inc. | |||||
URI | ||||||
識別子 | http://hdl.handle.net/2241/118674 | |||||
識別子タイプ | HDL |