Simplified_NIRUDAK_score v.0.1.0

Novel, Innovative Research for Understanding Dehydration in Adults and Kids (NIRUDAK, or “dehydrated” in Bangla) study empirically derived two new clinical diagnostic models. The Simplified NIRUDAK score is used for assessing dehydration in patients over five years of age presenting with acute diarrhea.

Aurelia Maria Ozora

aurelia.maria.ozora@cambio.se

© Cambio CDS

To calculate and interpret the total sum for the simplified NIRUDAK score.

Used in patients over five years of age presenting with acute diarrhea. The score includes the following clinical signs: eye level, skin pinch, respiration depth, radial pulse, and urine output. A total score greater than 6 would be categorized as having severe dehydration, a total score of 4-6 would categorize the patient as having some dehydration, and a total score less than 4 would categorize the patient as having no dehydration.

Not to be used for assessment of the full NIRUDAK score or the age-specific NIRUDAK score.

Levine AC, Gainey M, Qu K, Nasrin S, Sharif MB, Noor SS, Barry MA, Garbern SC, Schmid CH, Rosen RK, Nelson EJ, Alam NH. A comparison of the NIRUDAK models and WHO algorithm for dehydration assessment in older children and adults with acute diarrhoea: a prospective, observational study. Lancet Glob Health. 2023 Nov;11(11):e1725-e1733. doi: 10.1016/S2214-109X(23)00403-5. Epub 2023 Sep 27. PMID: 37776870; PMCID: PMC10593153. Levine AC, Barry MA, Gainey M, Nasrin S, Qu K, Schmid CH, Nelson EJ, Garbern SC, Monjory M, Rosen R, Alam NH. Derivation of the first clinical diagnostic models for dehydration severity in patients over five years with acute diarrhea. PLoS Negl Trop Dis. 2021 Mar 10;15(3):e0009266. doi: 10.1371/journal.pntd.0009266. Erratum in: PLoS Negl Trop Dis. 2022 Dec 30;16(12):e0011026. doi: 10.1371/journal.pntd.0011026. PMID: 33690646; PMCID: PMC7984611.

openEHR-EHR-OBSERVATION.simplified_nirudak, openEHR-EHR-OBSERVATION.basic_demographic, openEHR-EHR-EVALUATION.simplified_nirudak_score_assessment