413: Assessing Competency of the Broselow-Luten Pediatric Resuscitation Tape: A Prospective, Cross Sectional, Analytical Study of 15,000 South Indian School Children

Cattamanchi, Srihari; Banala, Srinivas R.; Trichur, R.V.

doi:10.1016/j.annemergmed.2009.06.453

Cited by 3 publications

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“…Broselow tape not actually used. Cattamanchi 2009 [ 108 ] 15,000 India P 2 months to 12 years Broselow tape < 10%* 1, 2 Low Findings: The Broselow tape performed well, especially in children < 10 kg but underestimated all others, especially in children > 18 kg. Comments: Abstract.…”

Section: Resultsmentioning

confidence: 99%

The accuracy of emergency weight estimation systems in children—a systematic review and meta-analysis

2017

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The safe and effective administration of fluids and medications during the management of medical emergencies in children depends on an appropriately determined dose, based on body weight. Weight can often not be measured in these circumstances and a convenient, quick and accurate method of weight estimation is required. Most methods in current use are not accurate enough, but the newer length-based, habitus-modified (two-dimensional) systems have shown significantly higher accuracy. This meta-analysis evaluated the accuracy of weight estimation systems in children. Articles were screened for inclusion into two study arms: to determine an appropriate accuracy target for weight estimation systems; and to evaluate the accuracy of existing systems using standard meta-analysis techniques. There was no evidence found to support any specific goal of accuracy. Based on the findings of this study, a proposed minimum accuracy of 70% of estimations within 10% of actual weight (PW10 > 70%), and 95% within 20% of actual weight (PW20 > 95%) should be demonstrated by a weight estimation system before being considered to be accurate. In the meta-analysis, the two-dimensional systems performed best. The Mercy method (PW10 70.9%, PW20 95.3%), the PAWPER tape (PW10 78.0%, PW20 96.6%) and parental estimates (PW10 69.8%, PW20 87.1%) were the most accurate systems investigated, with the Broselow tape (PW10 55.6%, PW20 81.2%) achieving a lesser accuracy. Age-based estimates achieved a very low accuracy. Age- and length-based systems had a substantial difference in over- and underestimation of weight in high-income and low- and middle-income populations. A benchmark for minimum accuracy is recommended for weight estimation studies and a PW10 > 70% with PW20 > 95% is suggested. The Mercy method, the PAWPER tape and parental estimates were the most accurate weight estimation systems followed by length-based and age-based systems. The use of age-based formulas should be abandoned because of their poor accuracy.Electronic supplementary materialThe online version of this article (10.1186/s12245-017-0156-5) contains supplementary material, which is available to authorized users.

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Section: Resultsmentioning

confidence: 99%

The accuracy of emergency weight estimation systems in children—a systematic review and meta-analysis

2017

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“…Limitations: BT version NR. Incomplete statistical analysis and data presentation Cattamanchi 2009 [41] 15,000 India P 2 mo to 12 yrs BT C, MD, LOA, MPE, PW10 <10% * Yes 3 O: L Findings : The BT performed well, especially in children <10 kg but underestimated all others, especially in children >18 kg. Comments : Abstract.…”

Section: Resultsmentioning

confidence: 99%

A systematic review and meta-analysis of the accuracy of weight estimation systems used in paediatric emergency care in developing countries

Wells

Goldstein

Bentley

2017

African Journal of Emergency Medicine

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IntroductionWhen weight cannot be measured during the management of medical emergencies in children, a convenient, quick and accurate method of weight estimation is required, as many drug doses and other interventions are based on body weight. Many weight estimation methodologies in current use have been shown to be inaccurate, especially in low- and middle-income countries with a high prevalence of underweight children. This meta-analysis evaluated the accuracy of weight estimation systems in children from studies from low- and middle-income countries.MethodsArticles from low- and middle-income countries were screened for inclusion to evaluate and compare the accuracy of existing systems and the newer dual length- and habitus-based methods, using standard meta-analysis techniques.ResultsThe 2D systems and parental estimates performed best overall. The PAWPER tape, parental estimates, the Wozniak method and the Mercy method were the most accurate systems with percentage of weight estimates within 10% of actual weight (PW10) accuracies of 86.9%, 80.4%, 72.1% and 71.4% respectively. The Broselow tape (PW10 47.1%) achieved a moderate accuracy and age-based estimates a very low accuracy (PW10 11.8–47.5%).ConclusionsThe PAWPER tape, the Wozniak method and the Mercy method achieved an acceptable level of accuracy in studies from low- and middle-income countries and should preferentially be used and further advanced for clinical emergency medicine practice. Parental estimates may be considered if the regular caregiver of the child is present and a recent measured weight is known. The Broselow tape and age-based formulas should be abandoned in low- and middle-income country populations as they are potentially dangerously inaccurate.

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The accuracy of the Broselow tape as a weight estimation tool and a drug-dosing guide – A systematic review and meta-analysis

et al. 2017

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413: Assessing Competency of the Broselow-Luten Pediatric Resuscitation Tape: A Prospective, Cross Sectional, Analytical Study of 15,000 South Indian School Children

Cited by 3 publications

References 0 publications

The accuracy of emergency weight estimation systems in children—a systematic review and meta-analysis

The accuracy of emergency weight estimation systems in children—a systematic review and meta-analysis

A systematic review and meta-analysis of the accuracy of weight estimation systems used in paediatric emergency care in developing countries

The accuracy of the Broselow tape as a weight estimation tool and a drug-dosing guide – A systematic review and meta-analysis

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