Weight prediction in children in the emergency department
Date
2010-03-05T09:18:57Z
Authors
Wells, Michael David John
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Abstract
Objectives: to establish the accuracy and reliability of a new device, the PAWPER
tape (PT), for length-based weight estimation in children; to assess whether the
addition of a measure of body habitus could improve the accuracy of weight
estimation; and to compare the performance of the PT with that of the Broselow
tape (BT).
Design: prospective, cross-sectional, descriptive study.
Setting: emergency departments (EDs) of two Johannesburg private hospitals.
Patients: children aged from 1 month to 12 years who were not in need of
emergent medical management.
Methods: each child had their weight estimated by both the BT and the PT (which
included a method for adjusting the predicted weight according to body habitus).
These predicted weights were then compared against measured weight to
determine the bias and precision of the estimation techniques.
Main Results: the PT performed as well or better than the BT in every analysis
performed. The mean percentage error (MPE) was -3.8% vs 0% and the absolute
MPE was 9.1% vs 4.5% for the BT and PT respectively (p<0.0001). The BT
predicted weight to within 10% of actual weight in 63.6% of children and the PT in
89.2% (p<0.0001). The difference between the performances of the BT and PT
was most pronounced in children >20kg, and in children above or below average
weight-for-length.
Conclusions: The PT was a reliable weight estimation device that performed well
in this population, often with a greater degree of accuracy than the BT. The
inclusion of an appraisal of body habitus in the methodology considerably
improved the accuracy of weight estimation.
Description
MSc (Med), Emergency Medicine, Faculty of Health Sciences, University of the Witwatersrand, 2009
Keywords
PAWPER tape