Objectives: We aimed to determine whether significant variations in the use of intravenous rehydration existed among institutions, controlling for clinical variables, and to assess variations in the use of ancillary therapeutic and diagnostic modalities.
Methods: We conducted a prospective cohort study of children 3 to 48 months of age who presented to 11 emergency departments with acute gastroenteritis, using surveys, medical record reviews, and telephone follow-up evaluations.
Results: A total of 647 eligible children were enrolled and underwent chart review; 69% (446 of 647 children) participated in the survey, and 89% of survey participants (398 of 446 children) had complete follow-up data.
Objective: The objective of this study was to evaluate the internal reliability, construct validity, and ease of administration of a gastroenteritis disease severity score, the modified Vesikari score (MVS), which does not require in-person assessment.
Methods: The MVS was created by replacing 1 variable (percent dehydration) in the original score with the need for future health care visits. We used the MVS to assess the global severity of disease in a cohort of children 3 to 48 months of age with acute gastroenteritis who were evaluated in 1 of 11 participating pediatric emergency departments.