Follow-up was via phone, mail, and in-person reassessments. In the experimental arm, families were instructed to provide whatever fluids they would prefer. In the control arm, families were instructed to use this solution to make up for any ongoing losses. Upon discharge, they were sent home with 2 L of their solution. Patients were challenged with small aliquots of these solutions and given ondansetron if they vomited. Inclusion criteria were age >6 months or 8 kg of weight Clinical Dehydration Scale score Synopsis: Over five years, 3,668 patients were identified. Setting: Single large tertiary-care pediatric emergency room. Study Design: Randomized single-blind non-inferiority prospective trial.

The authors sought to determine if diluted apple juice versus electrolyte oral rehydration fluid decreased the need for IV fluids, hospitalization, return visits, prolonged symptoms, or ongoing dehydration in mildly dehydrated children with acute gastroenteritis. These solutions are more expensive and less palatable than juices. Due to this, the American Academy of Pediatrics recommends an electrolyte oral rehydration solution for children with dehydration and acute gastroenteritis. Background: In the setting of acute gastroenteritis, teaching has classically been that the simple sugars in juice and sports drinks can worsen diarrhea and that they could cause hyponatremia since they are not isotonic.

Apple juice diarrhea