Effectiveness of factors to reduce the risk of dehydration in older people living in residential care: a systematic review

Bunn, Diane, Jimoh, Florence, Howard Wilsher, Stephanie and Hooper, Lee (2014) Effectiveness of factors to reduce the risk of dehydration in older people living in residential care: a systematic review. In: 10th International Congress of the European Union Geriatric Medicine Society -, 2014-09-17 - 2014-09-19, De dolen.

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Abstract

Background Water-loss dehydration, associated with poor health outcomes, is prevalent in older people living in care homes. Identifying effective prevention strategies will improve quality of life. Methods We systematically reviewed intervention and observational studies to identify effective interventions and modifiable factors aiming to improve fluid intake or hydration status in older (>65 years) care home residents. Thirteen electronic databases were searched until September 2013, reference lists of reviews and included studies checked. Using pre-determined criteria, two reviewers independently selected studies for inclusion, abstracted data and assessed validity (http://www.crd.york.ac.uk/Prospero/display_record.asp?ID=CRD42012003100). Results Searches identified 4328 titles/abstracts; 325 full-text papers obtained, nineteen intervention and four observational studies included. Lack of accurate assessment of fluid intake and/or dehydration, paucity of randomisation and allocation concealment meant many strategies were unproven. Observational studies investigating ownership demonstrated increased hospital admissions for dehydration from for-profit Canadian homes. In the US, dehydration prevalence was unaltered between for-profit and not-for-profit homes, but an intervention study reported reduced dehydration prevalence following implementation of the Resident Assessment Instrument. Use of red-tableware, compared to white, and multi-component German, Japanese and US interventions (including increased choice, availability, between-meals drinks rounds, staff education, drinking and toileting assistance) were associated with increased fluid intake. Small studies suggested no effect for less institutionalised settings, fewer dining-room residents, permanent seating positions, noise, sitting/standing feeding assistants, use of straws or type of thickening agent (Canada, Ireland, UK, US). Conclusions Some interventions improving fluid intake in care-home residents are promising, but high quality well-powered RCTs are needed to confirm their efficacy.

Item Type: Conference or Workshop Item (Poster)
Additional Information: © 2014 Bunn et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
Uncontrolled Keywords: dehydration ,older adults,residential care,drinking behavior,systematic review
Faculty \ School: Faculty of Medicine and Health Sciences > Norwich Medical School
Faculty of Social Sciences
Depositing User: Pure Connector
Date Deposited: 23 Sep 2014 14:08
Last Modified: 28 May 2020 23:46
URI: https://ueaeprints.uea.ac.uk/id/eprint/50233
DOI: 10.1186/1472-6963-14-S2-P11

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