Can Poor Hydration Amongst Older Hospitalized People Be Identified By Single Point Total Body Water Assessment? – A Pilot Study - Can Poor Hydration Amongst Older Hospitalized People Be Identified By Single Point Total Body Water Assessment? – A Pilot Study - Open Access Pub

Dehydration in acute care is associated with increased morbidity and mortality. However, no standard approach to hydration assessment exists in clinical settings. The pilot study aimed to explore total body water content as means for immediately assessing hydration status in clinical settings. People aged 60 years or more, voluntarily admitted to a tertiary teaching hospital’s Geriatric and Rehabilitation Unit were eligible for participation. Total body water assessment by tracer dilution was compared with standard clinical assessment of hydration status. The study participants (78.6±8.5 years, 6/14, 43% male) clinically assessed with poor hydration (3/14) had a higher percentage of body weight as water (59.0±2.3 vs 50.6±6.4%), and lower mean weight (54.1±12.9 vs 77.5±24.1 kg) and lower body mass index (20.0±3.7 vs 30.2±6.5 kg/m2) than the well-hydrated (11/14). Weight (n=14) and body mass index (n=11) explained a substantial proportion of variation in total litres of body weight as water (r=0.92, R2=0.85; r=0.80, R2= 0.64) and percentage of body weight at water (r=0.6, R2= 0.36; r=0.72, R2= 0.52) respectively. This pilot study revealed higher percentages of body weight as water amongst those clinically assessed with poorer hydration. Future regression analysis of total body water and hydration needs to adjust for the potential confounding effect of weight and body mass index. Implications for practice from this preliminary study indicate that findings did not support single point measurements of either total body water or percentage of body weight as water as potentially simple methods for clinically assessing hydration status amongst older hospitalised people. DOI10.14302/issn.2474-7785.jarh-17-1420 Poor hydration is associated with increased morbidity and mortality during acute hospital care and in long stay care units1,2,3. Simple tools such as bioelectrical impedance analysis (BIA) are an inexpensive method to assess total body water in clinical practice, but the use of total body water measures as a valid assessment of hydration status has not been established. To explore the potential value of measuring total body water as a means to assess the hydration status of older people in a clinical setting, this pilot study investigated clinical hydration assessments against total body water status as evaluated by gold standard tracer dilution. Participants were recruited as a cohort to a larger study of older people aged 60 years or more admitted to a publicly-funded tertiary referral teaching hospital. Of 82 consecutive new admissions approached, 18