Diagnosis and treatment of dehydration after stroke: A synthesis of existing evidence

Miller, Colette orcid iconORCID: 0000-0003-0620-6029, Mcloughlin, Alison Sarah rachel orcid iconORCID: 0000-0001-5298-9306, Benedetto, Valerio orcid iconORCID: 0000-0002-4683-0777, Christian, Danielle orcid iconORCID: 0000-0003-1117-6127, Jones, Stephanie orcid iconORCID: 0000-0001-9149-8606, Smith, Eleanor orcid iconORCID: 0000-0001-5746-0815 and Watkins, Caroline Leigh orcid iconORCID: 0000-0002-9403-3772 (2023) Diagnosis and treatment of dehydration after stroke: A synthesis of existing evidence. British Journal of Neuroscience Nursing, 19 (Sup5). ISSN 1747-0307

[thumbnail of AAM]
PDF (AAM) - Accepted Version
Available under License Creative Commons Attribution.


Official URL: https://doi.org/10.12968/bjnn.2023.19.Sup5.S24


Dehydration after stroke is associated with poor health outcomes, increased mortality, and poses a significant economic burden to health services. Yet research suggests that monitoring and assessment of hydration status is not routinely undertaken. In this commentary, we critically appraise a systematic review which aimed to synthesise the existing evidence regarding diagnosis and treatment of dehydration after stroke. The review discusses common measures of dehydration, describes studies evaluating rehydration treatments, and highlights the link between dehydration and poorer health outcomes in both human and animal studies. The reviewers suggest, future research should focus on determining a single, validated, objective measure to clinically diagnose dehydration in stroke patients. Research designs should include clearly defined patient characteristics, type and severity of stroke, and type and time point of dehydration measurement, to enable comparison between studies. Management of hydration status is a crucial element of acute stroke care which should be routinely practiced.

Repository Staff Only: item control page