It is controversial which method is more reliable for weight estimation of achild in an emergent situation. The aim of this study is to compare differentmethods and to review the applicability of Broselow Luten tape for Turkishchildren. This study was performed prospectively in patients presenting topediatric emergency department. Weight estimation of patients were performedby parent, physician, nurse and Broselow Luten tape. Finally actual weightand height of the patient were measured. A total of 438 patients were eligiblefor the study. All estimates have a reliable correlation with actual weight.However, parent estimation is better followed by Broselow Luten tape.Correlation decreases as the weight of the child increases. When emergentcare of an acutely ill child is necessary, parental estimation of the weightcan be used. If it is unattainable, Broselow Luten tape can be reliably usedinstead of other methods especially in patients with lower weight.
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1. So TY, Farrington E, Absher RK. Evaluation of the accuracy of different methods used to estimate weights in the pediatric population. Pediatrics 2009; 123: e1045-1051.
2. Pinchevsky LE, Pesaturo KA, Smith BS, Hartman CA. Pilot comparison of three cardiopulmonary resuscitation medication dosing strategies in overweight children. J Pediatr Pharmacol Ther 2010; 15: 282-289.
3. Casey J, Borland M. Best guess method: a further external validation study and comparison with other methods. Emerg Med Australas 2010; 22: 68-74.
4. Young TP, Chen BG, Kim TY, Thorp AW, Brown L. Finger counting: an alternative method for estimating pediatric weights. Am J Emerg Med 2014; 32: 243-247.
5. Hoyle JD, Davis AT, Putman KK, Trytko JA, Fales WD. Medication dosing errors in pediatric patients treated by emergency medical services. Prehosp Emerg Care 2012; 16: 59-66.
6. Deboer S, Seaver M, Broselow J. Color coding to reduce errors. Am J Nurs 2005; 105: 68-71.
7. Kleinman ME, Chameides L, Schexnayder SM, et al. Part 14: Pediatric Advanced Life Support: 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation 2010; 122 (Supply 3): S876–S908.
8. Rosenberg M, Greenberger S, Rawal A, LatimerPierson J, Thundiyil J. Comparison of Broselow tape measurements versus physician estimations of pediatric weights. Am J Emerg Med 2011; 29: 482-8.
9. Nieman CT, Manacci CF, Super DM, Mancuso C, Fallon WF Jr. Use of the Broselow tape may result in the underresuscitation of children. Acad Emerg Med 2006; 13: 1011-1019.
10. DuBois D, Baldwin S, King WD. Accuracy of weight estimation methods for children. Pediatr Emerg Care 2007; 23: 227-230.
11. Knight JC, Nazim M, Riggs D, et al. Is the Broselow tape a reliable indicator for use in all pediatric trauma patients? A look at a rural trauma center. Pediatr Emerg Care 2011; 27: 479-482.
12. Ramarajan N, Krishnamoorthi R, Strehlow M, Quinn J, Mahadevan SV. Internationalizing the Broselow tape: how reliable is weight estimation in Indian children. Acad Emerg Med 2008; 15: 431-436.
13. Theron L, Adams A, Jansen K, Robinson E. Emergency weight estimation in Pacific Island and Maori children who are large-for-age. Emerg Med Australas 2005; 17: 238-243.
14. Kaji AH, Gausche-Hill M, Conrad H, et al. Emergency medical services system changes reduce pediatric epinephrine dosing errors in the prehospital setting. Pediatrics 2006; 118: 1493-1500.
15. Leffler S, Hayes M. Analysis of parental estimates of children’s weights in the ED. Ann Emerg Med 1997; 30: 167-170.
16. Ogden CL, Carroll MD, Kit BK, Flegal KM. Prevalence of childhood and adult obesity in the United States, 2011-2012. JAMA 2014; 311: 806-814.
17. Agarwal S, Swanson S, Murphy A, Yaeger K, Sharek P, Halamek LP. Comparing the utility of a standard pediatric resuscitation cart with a pediatric resuscitation cart based on the Broselow tape: a randomized, controlled, crossover trial involving simulated resuscitation scenarios. Pediatrics 2005; 116: e326-333.
18. Sinha M, Lezine MW, Frechette A, Foster KN. Weighing the pediatric patient during trauma resuscitation and its concordance with estimated weight using Broselow Luten Emergency Tape. Pediatr Emerg Care 2012; 28: 544-547.
19. Hofer CK, Ganter M, Tucci M, Klaghofer R, Zollinger A. How reliable is length-based determination of body weight and tracheal tube size in the paediatric age group? The Broselow tape reconsidered. Br J Anaesth 2002; 88: 283-285.
20. Luten RC, Zaritsky A, Wears R, Broselow J. The use of the Broselow tape in pediatric resuscitation. Acad Emerg Med 2007; 14: 500-1; author reply 501-502.
21. Loo PY, Chong SL, Lek N, Bautista D, Ng KC. Evaluation of three paediatric weight estimation methods in Singapore. J Paediatr Child Health 2013; 49: E311-316.
22. Varghese A, Vasudevan VK, Lewin S, Indumathi CK, Dinakar C, Rao SD. Do the length-based (Broselow) tape, APLS, Argall and Nelson’s formulae accurately estimate weight of Indian children? Indian Pediatr 2006; 43: 889-894.
23. Jang HY, Shin SD, Kwak YH. Can the Broselow tape be used to estimate weight and endotracheal tube size in Korean children?Acad Emerg Med 2007; 14: 489-491.
24. House DR, Ngetich E, Vreeman RC, Rusyniak DE. Estimating the weight of children in Kenya: do the Broselow tape and age-based formulas measure up? Ann Emerg Med 2013; 61: 1-8.
25. Krieser D, Nguyen K, Kerr D, et al. Parental weight estimation of their child’s weight is more accurate than other weight estimation methods for determining children’s weight in an emergency department? Emerg Med J 2007; 24: 756-759.
26. Cattermole GN, Leung MP, So HK, et al. Age-based formulae to estimate children’s weight in the emergency department. Emerg Med J 2011; 28: 390-396.
27. Cattermole GN, Leung PY, Mak PS, Graham CA, Rainer TH. Mid-arm circumference can be used to estimate children’s weights. Resuscitation 2010; 81: 1105-1110.
28. Abdel-Rahman SM, Paul IM, James LP, Lewandowski A. Evaluation of the Mercy TAPE: performance against the standard for pediatric weight estimation. Ann Emerg Med 2013; 62: 332-339.
29. Wells M, Coovadia A, Kramer E, Goldstein L. The PAWPER tape: A new concept tape-based device that increases the accuracy of weight estimation in children through the inclusion of a modifier based on body habitus. Resuscitation 2013; 84: 227-232.