Color Coding to Reduce Errors

DeBoer, Scott; Seaver, Michael; Broselow, James

doi:10.1097/00000446-200508000-00031

Cited by 34 publications

(22 citation statements)

References 11 publications

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“…The Broselow tape [18] is the recommended method [10,11,15,17,18] to estimate a child's weight in the emergency department where a patient is critically ill and whose weight is unknown or cannot be weighed on a scale [16].…”

Section: Discussionmentioning

confidence: 99%

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Brief communication (Original). The accuracy of the Broselow tape in the weight estimation of Thai children

2014

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Background:The effectiveness of medical treatment depends on proper drug dosing. The most accurate measurement of a child's weight is by weighing the child on a scale, and can be done for stable children. However, an emergency, or other conditions may preclude normal weighing. The child's weight must then be estimated quickly for treatment including drug dosages, equipment sizes, ventilator volume settings, and cardioversiondefibrillation. Objectives: To assess the accuracy of the Broselow tape in the weight estimation of Thai children. Methods: Retrospective analysis reviewing the hospital-based data of 4746 Thai children aged less than 15 years. Demographic data, measured weight (MW), and height were collected. The subjects were divided into nine color-coded groups according to the Broselow tape color range and the actual weight plotted according to their groups. Comparison between Broselow tape-predicted weight (TW), height and MW was explored. Results: A total of 3869 children met the inclusion criteria, of whom 2121 (54.8%) were male. The overall agreement between actual weight and predicted weight was 62.1% (range 36.4-90.5 depending on color-code). The mean difference between TW and MW was -3.56% (95% CI -3.964 to -3.150) with SD 12.91%, P < 0.001. TW was within a 10% error for 58% of children. Conclusions:The accuracy of the Broselow tape in the weight estimation of Thai children decreases with increasing height. The Broselow tape underestimates Thai children's weight.

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Section: Discussionmentioning

confidence: 99%

“…Although many studies have confirmed the usefulness of the Broselow tape [10,11,15,18], other studies have found that the accuracy of the Broselow tape varies in different populations. To our knowledge, there has been just one study assessing the accuracy of the Broselow tape in Thai children [19].…”

Section: Brief Communication (Original)mentioning

confidence: 99%

Brief communication (Original). The accuracy of the Broselow tape in the weight estimation of Thai children

2014

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“…Comparison of the Argall formula with other weight estimation techniques and formulae, such as the Broselow tape 2 or APLS formula, 1 would be useful future research.…”

Section: Discussionmentioning

confidence: 99%

“…They include the Advanced Pediatric Life Support (APLS) formula 1 and the Broselow tape technique. 2 These methods have been shown to be inaccurate in several recent studies. [3][4][5][6] Recently, a new weight estimation technique, the Argall formula, has been developed in the United Kingdom.…”

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confidence: 99%

Failed Validation of the Argall Weight Formula for Estimating Children's Weight in an Australian Emergency Department

Nguyen

Krieser

Kerr

et al. 2007

Academic Emergency Medicine

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“…It has color coded zones that provide doses of drugs, intravenous fluid volumes and size of equipment calculated for the estimated weight 2,6 . Ease of use and relatively high accuracy of estimation made Broselow Luten tape widely used and even supported by AHA guidelines 1,7,8 .…”

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confidence: 99%

Comparison of weight estimation methods and evaluation of usability of Broselow Luten tape in Turkish children

Gültekingil-Keser

Tekşam

2017

Turk J Pediatr

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It is controversial which method is more reliable for weight estimation of a child in an emergent situation. The aim of this study is to compare different methods and to review the applicability of Broselow Luten tape for Turkish children. This study was performed prospectively in patients presenting to pediatric emergency department. Weight estimation of patients were performed by parent, physician, nurse and Broselow Luten tape. Finally actual weight and height of the patient were measured. A total of 438 patients were eligible for the study. All estimates have a reliable correlation with actual weight. However, parent estimation is better followed by Broselow Luten tape. Correlation decreases as the weight of the child increases. When emergent care of an acutely ill child is necessary, parental estimation of the weight can be used. If it is unattainable, Broselow Luten tape can be reliably used instead of other methods especially in patients with lower weight.

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Color Coding to Reduce Errors

Cited by 34 publications

References 11 publications

Brief communication (Original). The accuracy of the Broselow tape in the weight estimation of Thai children

Brief communication (Original). The accuracy of the Broselow tape in the weight estimation of Thai children

Failed Validation of the Argall Weight Formula for Estimating Children's Weight in an Australian Emergency Department

Comparison of weight estimation methods and evaluation of usability of Broselow Luten tape in Turkish children

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