Parental weight estimation of their child's weight is more accurate than other weight estimation methods for determining children's weight in an emergency department?

Krieser, David; Nguyen, Kevin; Kerr, Debra; Jolley, Damien; Clooney, Megan; Kelly, Anne‐Maree

doi:10.1136/emj.2007.047993

Cited by 90 publications

(77 citation statements)

References 13 publications

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“…When it was compared with other estimations, parental estimation performed better than Broselow Luten tape in all weight categories. Krieser et al 25 also previosuly reported that parental estimation of the weight was more accurate than Broselow Luten tape. However, Broselow Luten tape performed better than physician and nurse estimates in all weight categories, consistent with the study of Rosenberg et al 8 in which physician estimations was worse than Broselow Luten tape except in obese patients, yet obese patients were not included in our study group.…”

Section: Discussionmentioning

confidence: 97%

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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Section: Discussionmentioning

confidence: 97%

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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“…This finding most likely reflects the lower priority accorded to anthropometric (93) 7 (5) 1 (1) 91 (65) 18 (13) 1 (1) 17 (12) 12 (9) 34 (24) 5 (4) 101 (73) 13 (9) 6 (4) 7 (5) 99 ( (89) 6 (5) 1 (1) 79 (66) 13 (11) 4 (3) 17 (14) 6 (5) 22 (18) 7 (6) 83 (70) 0 (0) 1 (1) 15 (13) 110 ( www.ajcconline.org measurements compared with other time-sensitive and effort-intensive critical interventions necessary to stabilize a child upon admission to the PICU. Reports 4,[11][12][13] indicate that estimates of anthropometric measurements by a patient's parent or caregiver or by PICU staff are erroneous, often by wide margins. Although records from referring hospitals or outpatient clinic visits are an additional source of information, the weight, stature, and head circumference listed in those records may also have been estimates made by a patient's parent or caregiver or by health care providers.…”

Section: Discussionmentioning

confidence: 99%

“…Weight that is not measured is often determined, with various degrees of accuracy, on the basis of estimates made by the clinical care team or a patient's parents. 4,[11][12][13] Stature and head circumference are often not measured, perhaps because of a perceived lack of importance in the list of priorities during care of a critically ill infant or child. The lack of accurate and consistent anthropometric data can thus pose marked risks to the safe management and recovery of a critically ill child and, in some instances, result in harm.…”

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confidence: 99%

Perceived Barriers To Anthropometric Measurements In Critically Ill Children

Irving¹,

Seiple²,

Nagle³

et al. 2015

American Journal of Critical Care

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Background Anthropometric measurements are vital for safe care in pediatric intensive care units. Objective To identify barriers to anthropometric measurements and determine if perceptions of barriers differ between ordering providers and nurses. Methods A 21-item survey to elicit perceptions of barriers to obtaining anthropometric measurements was distributed via e-mail to societies with members who provide care in pediatric intensive care units. Results Most of the 258 eligible respondents (46% ordering providers) were from North America (90%). Although 84% agreed that anthropometric measurements are important, only 3% knew if these measurements were obtained upon admission to their unit. Estimates of patients' measurements by parents or caregivers were commonly used (72%) when actual measurements were not obtained. Leading barriers were presence of medical devices (57%), use of extracorporeal life support (54%), and unstable hemodynamic status (52%). More ordering providers than nurses considered osteopenia/fragile bones as a barrier to weight measurement (46% vs 29%; P = .007) and traumatic brain injury a barrier to measurement of head circumference (42% vs 24%; P = .002). More nurses than ordering providers perceived dialysis (21% vs 9%; P = .01) and obesity (26% vs 15%; P = .04) as barriers to measurement of stature. Ordering providers more than nurses perceived nurses' workload (51% vs 33%; P < .001) and lack of importance (43% vs 20%; P < .001) as barriers. Conclusions Barriers to obtaining anthropometric measurements exist in pediatric intensive care units; ordering providers and nurses have different perceptions of what constitutes a barrier. (American Journal of Critical Care. 2015;24:e99-e107)

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“…The patient's weight must then be estimated to calculate medication dosages or other needs. There are a number of methods currently used to estimate a child's weight such as visual assessment, parental estimation [3,4], an age formula [5,6], and lengthbased estimations such as that using the Broselow tape [7][8][9][10][11][12][13][14][15][16].…”

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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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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Parental weight estimation of their child's weight is more accurate than other weight estimation methods for determining children's weight in an emergency department?

Cited by 90 publications

References 13 publications

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

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

Perceived Barriers To Anthropometric Measurements In Critically Ill Children

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

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