Efectividad de la administración de sales de rehidratación oral (SRO), en el marco del programa EDA

Objective: To determine the effectiveness that have the salts of oral rehydration in the patients that with the diagnosis of acute diarrheal disease. Design. Systematic revision of randomized controlled studies. Sources of data: Medline (1966-2001), Cochrane library, (1993 to 2001) and Ovid (1982 to...

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Bibliographic Details
Main Authors: Leonardo Arévalo Mora, Jairo Echeverri Raad
Format: Article
Language:English
Published: Universidad Nacional de Colombia 2002-10-01
Series:Revista de la Facultad de Medicina
Subjects:
Online Access:https://revistas.unal.edu.co/index.php/revfacmed/article/view/19941
Description
Summary:Objective: To determine the effectiveness that have the salts of oral rehydration in the patients that with the diagnosis of acute diarrheal disease. Design. Systematic revision of randomized controlled studies. Sources of data: Medline (1966-2001), Cochrane library, (1993 to 2001) and Ovid (1982 to 2001), bibliographies of the included studies that it was revised if this was pertinent Study: 31 studies that included 4518 randomized patients. Methods: The selected studies were regrouped in subgroups by the components that were compared in the intervention. Those which besides the salts of oral rehydration (SRO) they included solutions with low osmolarity, based on rice, or with the addition of supplements like citrato, zinc, alanine, lactoalbuline, and g1utamine. Results: A high proportion of studies showed the advantage that shows the salts of oral rehydration recornmended by the World Organization of the Health and the Pan-American Organization from the Health when improving the clinical square of the patients with diagnoses of diarrhea and dehydration. It was evidences a better answer with the SRO of low osmolarity, although not in all the studies it was statistically Significant. Conclusions: This work demonstrated that the salts of oral rehydration reduce the number of depositions, its diminish the time of evolution of the diarrhea, its diminished the rate of mortality, the time of stay in the hospitals, and its cooperated to recover of the state of dehydration and to obtain a gain of weight in the firsts hours. The therapy of oral rehydration is probably one of the biggest medical advances in the XX century.
ISSN:0120-0011
2357-3848