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Emergency Medicine · Paediatrics

NIRUDAK Dehydration Score calculator

Enter the published formula inputs below to calculate and interpret this score.

Clinical inputs

years

Allowed range: 5–100 years

Quick picks

Above 59 years is 0, 20 to 59 is 1, and below 20 years is 2.

Sex
Eyes
Radial pulse
Respiration
Skin pinch
episodes

Allowed range: 0–40 episodes

Quick picks

Fewer than 1 is 0, 1 to 10 is 1, and more than 10 is 2.

Result

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Clinical inputs

  • Age (years)Accepted range: 5 to 100
  • Sex
  • Eyes
  • Radial pulse
  • Respiration
  • Skin pinch
  • Vomiting episodes in 24 hoursAccepted range: 0 to 40

Primary source

Barry MA, Qu K, Gainey M, Schmid CH, Garbern SC, Nasrin S, Alam NH, Lee JA, Nelson EJ, Rosen R, Levine AC. Derivation and Internal Validation of a Score to Predict Dehydration Severity in Patients over 5 Years with Acute Diarrhea. Am J Trop Med Hyg. DOI: 10.4269/ajtmh.21-0143. PMID: 34398821. Table 2 is the 13-point NIRUDAK score. Age above 59 years is 0, 20 to 59 is 1, and below 20 is 2. Female is 0 and male is 1. Normal eyes are 0 and sunken eyes are 1. A strong radial pulse is 0, a decreased pulse is 1, and an absent pulse is 2. Normal respiration is 0 and deep respiration is 1. A rapid skin pinch is 0, slow is 2, and very slow is 4. Vomiting episodes in 24 hours below 1 are 0, 1 to 10 are 1, and above 10 are 2. No dehydration is 0 to 3, some dehydration is 4 to 6, and severe dehydration is 7 to 13. (2021)

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