Test characteristics of examination signs to detect 5% dehydration in children (age range 2 weeks to 15 years)*

TestsNumber of studies (n)Sensitivity (95% CI)Specificity (CI)+LR−LR
*Diagnostic terms defined in glossary. LRs were calculated from data in article.
Prolonged capillary refill4 (478)60% (29 to 91)85% (72 to 98)4.00.47
Abnormal skin turgor5 (602)58% (40 to 75)76% (59 to 93)2.420.55
Abnormal respiratory pattern4 (581)43% (31 to 55)79% (72 to 86)2.050.72
Dry mucous membranes4 (533)86% (80 to 92)44% (13 to 74)1.540.32
Sunken eyes4 (533)75% (62 to 88)52% (22 to 81)1.560.48
Poor overall appearance3 (398)80% (57 to 104)45% (−10 to 102)1.450.44