A correlation analysis of BroselowTM Pediatric Emergency Tape-determined pediatric weight with actual pediatric weight in India

摘要

BACKGROUND:The Broselow?Pediatric Emergency Tape indicates standardized,precalculated medication doses,dose delivery volumes,and equipment sizes using color-coded zones based on height-weight correlations.The present study attempted to provide more evidence on the effectiveness of the Broselow?Pediatric Emergency Tape by comparing the tape-estimated weights with actual weights.We hypothesized that the Broselow?Pediatric Emergency Tape would overestimate weights in Indian children aged<10 years,leading to inaccurate dosing and equipment sizing in the emergency setting.METHODS:This prospective study of pediatric patients aged<10 years who were divided into three groups based on actual body weight:<10 kg,10–18 kg,and>18 kg.We calculated the percentage difference between the Broselow-predicted weight and the measured weight as a measure of tape bias.Concordant results were those with a mean percent difference within 3%.Standard deviation was measured to determine precision.Accuracy was determined as color-coded zone prediction and measured weight concordance,including the percentage overestimation by 1–2 zones.RESULTS:The male-to-female ratio of the patients was 1.3:1.Total agreement between colorcoding was 63.18%(κ=0.582).The Broselow?color-coded zone agreement was 74.8%in the<10kg group,61.24%in the 10–18 kg group,and 53.42%in the>18 kg group.CONCLUSIONS:The Broselow?Pediatric Emergency Tape showed good evidence for being more reliable in children of the<10 kg and 10–18 kg groups.However,as pediatric weight increased,predictive reliability decreased.This raises concerns over the use of the Broselow?Pediatric Emergency Tape in Indian children because body weight was overestimated in those weighing>18 kg.