WEIGHT ESTIMATION METHOD IN EMERGENCY DEPARTMENT IN MALAYSIA: IS BROSELOW TAPE (BT) RELIABLE?
DOI:
https://doi.org/10.11113/jt.v78.9063Keywords:
Broselow Tape, weight estimation, pediatricAbstract
Broselow tape is a well-established medical equipment to estimate body weight with pre-calculated drug dosages and emergency equipment sizes. The aim of this study is to determine whether weight estimation based on Broselow Tape corresponds to the actual weight of pediatric population in Klang Valley, Malaysia. The aim of this study is to determine the accuracy of BT usage in pediatric population attending the emergency department. A total of 1163 children attended emergency department at green zone were approached to be the sampling frame. BT weight estimation colour code was determined based on the colour which the child’s heel fell on the tape. Scatter plot was done to determine the range of actual weight scattered around the range of BT. Bland-Altman plot was used to identify the bias relation between the BT and actual weight measurement. In our population, the BT was an ineffective method to predict weight of pediatric patients with body length of <0.6m and >0.9m. Incorrect estimation of children weight leads toward poor clinical judgment. Therefore, clear indication of the BT limitations should be addressed before using the method as part of emergency department standard operating procedure for management of pediatric patients.
References
Dahlén, I., L. Westin, A. Adolfsson. 2012. Experience of Being a Low Priority Patient during Waiting Time At An Emergency Department. Psychology Research and Behavior Management. 5: 1-9.
House, D. R., E. Ngetich, R. C. Vreeman, D. E. Rusyniak. 2012. Estimating the Weight of Children in Kenya: Do the Broselow Tape and Age-Based Formulas Measure Up? Annals of Emergency Medicine. 61(1): 1-8.
Rosenberg, M., Greenberger, S,, Rawal, A. 2011. Comparison of Broselow Tape Measurements versus physician Estimations of Pediatric Weights. American Journal of Emergency Medicine 29(5): 482-8.
Vilke, G. M., A. Marino, R. Fisher, T. C. Chan. Estimation of Pediatric Patient Weight by EMT-PS. Journal of Emergency Medicine. 21(2): 125-8.
House, D. R., E. Ngetich, R. C. Vreeman, D. E. Rusyniak. 2013. Estimating the Weight Of Children In Kenya: Do The Broselow Tape And Age-Based Formulas Measure Up?. Ann Emerg Med. 61(1): 1-8.
Hofer, C. K., M. Ganter, M. Tucci, R. Klaghofer, A. Zollinger. 2002. How Reliable is Length-Based Determination of Body Weight And Tracheal Tube Size In The Pediatric Age Group? The Broselow Tape Reconsidered. British Journal Of Anaesthesia. 88(2): 283-5.
Varghese, A., V. K. Vasudevan, S. Lewin, C. K. Indumathi, C. Dinakar, S. D. Rao. 2006. Do the Length-Based (Broselow) Tape, APLS, Argall And Nelson's Formulae Accurately Estimate Weight Of Indian Children? Indian Pediatrics. 43(10): 889-94.
Luten, R. C., A. Zaritsky, R. Wears, J. Broselow. 2007. The Use of the Broselow Tape in Pediatric Resuscitation. Academic Emergency Medicine. 14(5): 500-1.
Argall, J. A. W., N. Wright, K. Mackway-Jones, R. Jackson. 2003. A Comparison of Two Commonly Used Methods of Weight Estimation. Archives of Disease in Childhood. 88(9): 789-90.
Hofer, C. K., M. Ganter, M. Tucci, R. Klaghofer, A. Zollinger. 2002. How Reliable Is Lengthâ€Based Determination of Body Weight and Tracheal Tube Size In The Pediatric Age Group? The Broselow Tape Reconsidered. British Journal of Anaesthesia. 88(2): 283-5.
Lubitz, D. S., J. S. Seidel, L. Chameides, R. C. Luten, A. L. Zaritsky, F. W. Campbell. 1988. A Rapid Method for Estimating Weight and Resuscitation Drug Dosages from Length In The Pediatric Age Group. Annals of Emergency Medicine. 17(6): 576-81.
Ramarajan, N., R. Krishnamoorthi, M. Strehlow, J. Quinn, S.V. Mahadevan. 2008. Internationalizing the Broselow Tape: How Reliable Is Weight Estimation in Indian Children. Academic Emergency Medicine. 15(5): 431-6.
Theron, L., A. Adams, K. Jansen, E. Robinson. 2005. Emergency Weight Estimation in Pacific Island and Maori Children Who Are Large-For-age. Emergency Medicine Australasia. 17(3): 238-43.
Dieckmann, R. A. 2007. The Dilemma of Pediatric Drug Dosing and Equipment Sizing In The Era of Patient Safety. Emergency Medicine Australasia. 19(6): 490-3.
Nieman, C. T., C. F. Manacci, D. M. Super, C. Mancuso, W. F. Fallon. 2006. Use of the Broselow Tape May Result in the Underresuscitation of Children. Academic Emergency Medicine. 13(10): 1011-9.
A. Varghese, V. K. Vasudevan, S. Lewin, C. K. Indumathi, C. Dinakar, S. D. S. Rao. 2006. Do the Length-based (Broselowâ) Tape, APLS, Argall and Nelson’s Formulae Accurately Estimate Weight of Indian Children? Indian Pediatrics. 43: 889-94.
Azarfarin, R., M. Seyedhejazi, S. E. J. Golzari, E. Bilehjani, K. Ghabili, A. Alizadehasl. 2013. Do Pediatric Patients Undergoing Cardiac Surgeries Require Larger-Size Cuffed Endotracheal Tubes? A Prospective Study. Pediatric Anesthesia. 23(3): 228-32.
Burrows, M., A. Baxter-Jones, R. Mirwald, H. Macdonald, H. McKay. 2009. Bone Mineral Accrual Across Growth in a Mixed-Ethnic Group of Children: Are Asian Children Disadvantaged from an Early Age? Calcif Tissue Int. 84(5): 366-78.
Downloads
Published
Issue
Section
License
Copyright of articles that appear in Jurnal Teknologi belongs exclusively to Penerbit Universiti Teknologi Malaysia (Penerbit UTM Press). This copyright covers the rights to reproduce the article, including reprints, electronic reproductions, or any other reproductions of similar nature.
