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

Wells, Mike; Goldstein, Lara Nicole; Bentley, Alison; Basnett, Sian; Monteith, Iain

doi:10.1016/j.resuscitation.2017.09.026

Cited by 52 publications

(68 citation statements)

References 101 publications

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“…Using newer edition of the tape presumably creates a greater error in estimating the weight of our populations compared to prior edition as it has been modified to minimize weight underestimation in obese children in the USA. There are studies done in various parts of the world providing the adaptability and efficiency of the Broselow tape in measuring the weight of children [10,11,25] while other studies had contradictory conclusions [13][14][15][16][17]22]. Studies from Kenya [10] and South Africa [10,25] showed that the Broselow tape estimated weights varied only minimally from the actual weight.…”

Section: Discussionmentioning

confidence: 99%

“…In a simulated pediatric emergency, color coding significantly reduced the deviation from recommended doses [8]. The studies done in various parts of the world have shown that the Broselow tape accurately measured the weight of children [10][11][12] while some studies showed it to be inaccurate [13][14][15][16][17]. The scenario is quite different in low-income countries like Nepal [15,18,19].…”

Section: Introductionmentioning

confidence: 99%

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Accuracy of Broselow tape in estimating the weight of the child for management of pediatric emergencies in Nepalese population

et al. 2020

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Background: Children with emergency conditions require immediate life-saving intervention and resuscitation. Unlike adults, the pediatric emergency drug dose, equipment sizes, and defibrillation energy doses are calculated based on the weight of the individual child. Broselow tape is a color-coded length-based tape that utilizes height/ weight correlations for children. However, in low-income countries like Nepal, due to factors like undernutrition, the Broselow tape may not accurately estimate weight in all ranges of pediatric age group. Methods: This study was conducted in the Department of Pediatrics of Dhulikhel Hospital, Kathmandu University Teaching Hospital, in children less than 15 years of age. Our study aims to prospectively compare the actual weights of urban and rural Nepalese children with the estimated weights using the Broselow tape (2017 edition) and the updated APLS formula. The errors in the selection of endotracheal tube size and adrenaline dose using the Broselow tape were also explored. Results: This study included 315 children with male to female ratio of 0.63:1. They were divided into 3 groups according to their estimated weight by the Broselow tape into < 10 kg, 10-18, and > 18 kg. There was a total agreement of the estimated color zone according to the Broselow tape with the actual weight in the gray zone (p = 0.01). There was a positive relationship between the actual body weight and the estimated body weight (correlation (r = 0.970, p = 0.01) and accuracy (r 2 = 0.941)). Our analysis showed that the accuracy of estimated weight with the Broselow tape decreases with increasing weight of children. The precision of the tape was relatively high in the lower length zones as compared to the higher length zones. The estimated size of the endotracheal tube (p = 0.01) and adrenaline dose (p = 0.08) by the Broselow tape was in agreement with that estimated using PALS formula in weight group of less than 18 kg, but decreases as the estimated weight increases further. Conclusions: The accuracy of the Broselow tape in estimating the weight of a child, endotracheal tube size, and dose of adrenaline is higher in weight group of less than 18 kg, and accuracy decreases as the weight of child increases. The Broselow tape should be avoided in children weighing more than 18 kg. Hence, PALS age-based formula for ET tube size estimation and weight-based formula for adrenaline dose calculation are recommended for children weighing more than 18 kg.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Accuracy of Broselow tape in estimating the weight of the child for management of pediatric emergencies in Nepalese population

et al. 2020

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“…An alternative to age‐based weight estimation methods is anthropometry‐based methods. These include the Broselow tape, Paediatric Advanced Weight‐Prediction in the Emergency Room (PAWPER) tape and the Mercy Method . These methods may be particularly useful where data regarding age is unavailable/inaccurate.…”

Section: Discussionmentioning

confidence: 99%

How well does the Best Guess method predict children's weight in an emergency department in 2018–2019?

Pan

Foster

Tagg

et al. 2019

Emerg Medicine Australasia

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“…Therefore, it provides only preliminary evidence of fluid equivalence in this patient population. Wells et al 29 reported the results of a systematic review on the accuracy of the Broselow tape across the global population of pediatric patients. They found that almost half of the weight estimates were more than 10% off the mark.…”

Section: Discussionmentioning

confidence: 99%

Global Emergency Medicine: A Review of the Literature From 2017

Becker

Trehan²,

Hayward

et al. 2018

Academic Emergency Medicine

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Objectives: The Global Emergency Medicine Literature Review (GEMLR) conducts an annual search of peerreviewed and gray literature relevant to global emergency medicine (EM) to identify, review, and disseminate the most important new research in this field to a global audience of academics and clinical practitioners.Methods: This year, 17,722 articles written in three languages were identified by our electronic search. These articles were distributed among 20 reviewers for initial screening based on their relevance to the field of global EM. Another two reviewers searched the gray literature, yielding an additional 11 articles. All articles that were deemed appropriate by at least one reviewer and approved by their editor underwent formal scoring of overall quality and importance. Two independent reviewers scored all articles.Results: A total of 848 articles met our inclusion criteria and underwent full review. Sixty-three percent were categorized as emergency care in resource-limited settings, 23% as disaster and humanitarian response, and 14% as EM development. Twenty-one articles received scores of 18.5 or higher out of a maximum score 20 and were selected for formal summary and critique. Inter-rater reliability testing between reviewers revealed a Cohen's kappa of 0.344. Conclusions:In 2017, the total number of articles identified by our search continued to increase. Studies and reviews with a focus on infectious diseases, pediatrics, and trauma represented the majority of top-scoring articles.T he Global Emergency Medicine Literature Review (GEMLR) strives to improve the global practice of emergency medicine (EM) by facilitating emergency care practitioners' identification of the most current and important research conducted on relevant topics around the world. Our review began in 2005 in an attempt to identify and consolidate the relevant global EM literature into a format that is readily available to academics and clinicians. [1][2][3][4][5][6][7][8][9][10][11][12] This year, our panel of reviewers and editors included physicians from Australia, Canada, Ethiopia, Ghana, Laos, Rwanda, and the United States.Our group strives to identify the most relevant practice-changing articles, by scouring both the peerreviewed and the gray literature via a comprehensive search strategy. Gray literature has been defined as any material produced by an organization whose primary function is not peer-reviewed academic publication. 13Our goal in performing a gray literature search is to identify new global EM research conducted by government agencies, local or international nongovernmental organizations, or other entities that may not have been published in peer-reviewed journals.The primary goals of the review are to illustrate best practices, stimulate research, and promote further professionalization in the field of global EM through the identification of important new publications that focus on emergency care in the global context, especially emergency care provision in limited-resource settings, disaster and hum...

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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

Cited by 52 publications

References 101 publications

Accuracy of Broselow tape in estimating the weight of the child for management of pediatric emergencies in Nepalese population

Accuracy of Broselow tape in estimating the weight of the child for management of pediatric emergencies in Nepalese population

How well does the Best Guess method predict children's weight in an emergency department in 2018–2019?

Global Emergency Medicine: A Review of the Literature From 2017

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