![]() The inclusion of an appraisal of body habitus in the methodology considerably improved the accuracy of weight estimation.Ĭopyright © 2012 Elsevier Ireland Ltd. 1 small and 1 large set of Magill Forceps. Infant, child and small adult blood pressure cuffs. Modules for intubation, intravenous, oxygen and intraosseous procedures. The PAWPER tape has been shown to be a simple and reliable method of weight estimation in children and infants. Each Broselow Pediatric Emergency Kit includes: Color-coded Broselow emergency tape sizing guide. 4.5% for the Broselow tape and PAWPER tape, respectively (p20 kg, and in children above or below average weight-for-length. 0% and the root mean squared percentage error was 9.1% vs. The PAWPER tape performed well, and better than the Broselow tape in every analysis performed. These weight estimates were then compared against measured weight to determine the bias and precision of the estimation techniques. Each child had their weight estimated by both the Broselow tape and the PAWPER tape. ![]() This was a prospective study in the Emergency Departments of two hospitals in Johannesburg, South Africa on a population of children aged from 1 month to 12 years. This study was conducted to evaluate the accuracy of the PAWPER tape, a new two-step weight-estimation tape device which employs a length-based habitus-modified weight estimation system. Where the Broselow Tape is not available, the original Advanced Paediatric Life Support formula should be used.Weight estimations in children, which are required when actual weight cannot be measured, are often very inaccurate because of variations in body habitus not accounted for in the estimating methodology. The Broselow Tape, also called the Broselow pediatric emergency tape, is a color-coded length-based tape measure that is used throughout the world for pediatric emergencies. Locally, and until we have evidence from further research that other methods are superior, we would advise use of the 1998 Broselow Tape in children aged one to ten years old. The 1998 version performed best with 84.8% of estimates within 20% of actual weight.DiscussionThis study is the first to compare paediatric weight estimation methods in Rwanda. All editions of the Broselow Tape performed better than age-based rules. Both were better than other age-based formulae (69% of estimates within 20% of actual weight). This formula and the original Advanced Paediatric Life Support formula (weight = + 8) performed similarly. The derived Rwanda Rule was: weight (kg) = + 8. Weight estimations were then compared with actual weight using Bland-Altman analysis, and the proportions of estimates within 10 and 20% of actual weight.ResultsThere were 327 children included in the study. Linear regression was used to derive a new age-based weight estimation formula, the Rwanda Rule. Weights were estimated using four versions of the Broselow Tape and several age-based formulae. It is designed for children up to approximately 12 years old with a maximum weight of roughly 36 kg. ![]() This study aimed to compare the accuracy of various weight estimation methods and to derive a dedicated age-based tool within a Rwandan setting.MethodsThis was a retrospective study using age, weight and height data from randomly selected charts of Rwandan children, aged between one and ten years, who attended the paediatric emergency centre, Centre Hospitalier Universitaire de Kigali, Rwanda. The Broselow pediatric emergency tape, also known as the Broselow tape (BT), is a color-coded tape that is designed to estimate a child's weight, ET size, LMA size, and emergency drugs based on length. The most common methods for paediatric weight estimation are based on height or age. However, knowledge of the weight is often unavailable as the urgency of the situation may impede measurement. IntroductionMost drugs, fluids and ventilator settings depend on the weight of a paediatric patient.
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