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Subcutaneous fluid infusion in a long-term care setting.
M Dasgupta1, M A Binns, P A Rochon
1Rotman Research Institute, Toronto, Ontario, Canada.
Journal of the American Geriatrics Society
|July 14, 2000
Summary
Hypodermoclysis is an effective and safer alternative to intravenous (IV) fluids for chronic fluid needs and mild dehydration in long-term care. This method reduces complications and hospital transfers for rehydration.
Area of Science:
- Geriatrics
- Internal Medicine
- Palliative Care
Background:
- Long-term care facilities frequently manage residents with chronic fluid needs and dehydration.
- Intravenous (IV) fluid therapy is a common treatment but can be invasive and lead to complications.
Purpose of the Study:
- To evaluate hypodermoclysis for chronic fluid supplementation in long-term care.
- To compare hypodermoclysis with IV fluids for treating acute mild to moderate dehydration.
Main Methods:
- A prospective observational study involving 55 residents in a long-term care facility.
- Data collected through chart review, provider interviews, and observations.
- Assessed hydration efficacy and adverse effects.
Main Results:
- Hypodermoclysis effectively met maintenance fluid needs in 24 residents.
- For acute dehydration, hypodermoclysis showed clinical improvement in 57% of residents, compared to 81% with IV fluids.
- Hypodermoclysis was associated with significantly fewer fluid therapy-related complications (P = .04).
Conclusions:
- Hypodermoclysis is effective for chronic fluid needs and mild to moderate dehydration in long-term care.
- It appears safer than IV therapy, potentially avoiding hospital transfers.
- Supports hypodermoclysis as a viable alternative in geriatric care settings.