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CORKSCREW 2013 CORK study of children's realistic estimation of weight

Darko Skrobo1, Gemma Kelleher1

  • 1Emergency Department, Cork University Hospital, Cork, Ireland.

Emergency Medicine Journal : EMJ
|February 21, 2014
PubMed

Insights

The Luskin and Owens (LO) formula accurately estimates paediatric weights, significantly outperforming the APLS formula in a large Irish study. This improved accuracy is crucial for effective resuscitation in children.

Area of Science:

  • Paediatric emergency medicine
  • Clinical pharmacology
  • Biostatistics

Background:

  • Accurate weight estimation is critical for paediatric resuscitation and management.
  • The APLS formula ('2×(age+4)') is widely used but its accuracy is questioned due to rising childhood obesity.
  • The Luscombe and Owens (LO) formula ('(3×age)+7') is a proposed alternative for weight estimation.

Purpose of the Study:

  • To collect weight and age data for children (1-15 years) at Cork University Hospital (CUH).
  • To compare the diagnostic accuracy of the APLS and LO weight estimation formulae in this population.

Main Methods:

  • Retrospective data collection from patient charts at CUH, Ireland's sole level one trauma centre.
  • Inclusion of 3155 children aged 1-15 years (1344 girls, 1811 boys).
  • Analysis of weight underestimation by both the APLS and LO formulae.

Main Results:

  • The APLS formula underestimated children's weights by a mean of 20.3% (95% CI 19.7%–20.9%).
  • The LO formula demonstrated a significantly lower mean underestimation of 4.0% (95% CI 3.3%–4.6%).

Conclusions:

  • The LO formula is a more accurate age-based weight estimation tool for Irish children aged 1-15 years.
  • This study validates the LO formula as a simple, safe, and superior alternative to the APLS formula in a paediatric emergency setting.
  • The findings support the adoption of the LO formula for improved clinical decision-making in paediatric resuscitation.
Abstract

Keywords:
emergency departmentpaediatric emergency medpaediatricspaediatrics, paediatric emergency medicinepaediatrics, paediatric resuscitation

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