12/5/2023 0 Comments Broselow tape![]() ![]() Still, the most important issue with weight estimation methods is that these methods display insufficient accuracy and consistency among the different populations ( 7). It is recognized as the standard of emergency treatment for children in most Western medical textbooks and publications and is recommended by advanced pediatric life support (APLS) ( 5, 6). Moreover, the Broselow tape provides medical instructions, including drug dose, equipment model and voltage level during defibrillation. The tape ruler is divided into nine colors and is suitable for children weighing 3 to 36 kg and measuring 47 to 143 cm. The Broselow tape is a tape measure based on color-coding with length. Among them, the Broselow tape method has the longest history and the highest accuracy, and is the most widely used ( 4). There are also precalculated estimation systems, such as the Broselow tape, advanced pediatric life support (APLS) method, devised weight estimation method (DWEM) method, Oakley table, Traub-Johnson method and Traub-Kichen method. Two-dimensional methods can be more precise ( 4). ![]() One-dimensional methods usually fail because they do not consider the variability in weight-for-age and weight-for-length and pediatric obesity ( 3). Currently, the most frequently used methods for estimating the weight of pediatric emergency patients include parents or medical staff estimation, age-based formula, and length-based method ( 2). Hence, a rapid estimation of the children's weights is very essential to ensure the safety and accuracy of the treatments ( 1). In pediatric emergency wards, there are often critical children with shock, severe trauma, respiratory arrest or circulatory failure who need immediate treatment or management, but it can be very difficult to obtain an accurate weight value, and an inaccurate weight estimation is likely to lead to wrong dosage, which will lead to serious consequences, and it is also one of the most common errors of improper medication in emergency wards. required for diagnosis and treatment of children are commonly calculated/evaluated based on weight. −7.2 ± 17.2% of the APLS method).Ĭonclusion: The Broselow tape may be an available method for predicting the weights of Chinese children in pediatric emergency.Ĭompared with adults, the dosage, infusion volume, equipment, etc. The mean percentage error using the Broselow tape was 1.0 ± 12.0% ( P < 0.001 vs. The correlation between the Broselow tape estimated weight and actual weight was r = 0.931 ( P < 0.0001, 95% CI: 0.918–0.943), while the correlation between actual weight and the APLS method calculated weight was r = 0.883 ( P < 0.0001, 95% CI: 0.861–0.902). The percentage of weight estimations within 10% of actual weight were 65.8% (59.1, 65.8, and 68.1% for the 19-kg groups, respectively) and 44.8% (40.9, 50.6, and 35.5% for the 19-kg groups, respectively) using the Broselow tape and the APLS method, respectively. The color concordance rates of the Broselow tape-estimated weight in the three groups were 56.8, 57.2, and 68.1%, respectively. The 19-kg groups included 44, 257, and 141 children, respectively. Results: The study included 442 children (mean age: 48 months male-to-female ratio: 1.13:1). Broselow tape was used to estimate weight and its validity was compared with the advanced child life support (APLS) method. Methods: A cross-sectional study was conducted in the emergency department of the Children's Hospital of Zhejiang University School of Medicine (Hangzhou, Zhejiang Province, China) in March 2022. Objective: To assess the validity of the Broselow tape in estimating the weight of Chinese children in pediatric emergency.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |