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The Accuracy of the Broselow™ Pediatric Emergency Tape for Weight Estimation in an Omani Paediatric Population
Azher A Al-Busaidi1, Lakshmanan Jeyaseelan2, Hilal M Al-Barwani3
1Department of Emergency Medicine, Rustaq Hospital, Rustaq, Oman.
Insights
The Broselow™ Pediatric Emergency Tape (BT) accurately estimates weight in Omani children. This tool is reliable for emergency situations when a child's actual weight is unknown.
Area of Science:
- Pediatric Emergency Medicine
- Medical Device Accuracy
- Clinical Biometrics
Background:
- Accurate weight estimation is critical for pediatric emergency care.
- The Broselow™ Pediatric Emergency Tape (BT) is a widely used tool for estimating pediatric weight based on height.
- Evaluating the BT's accuracy in diverse populations is essential.
Purpose of the Study:
- To assess the accuracy of the Broselow™ Pediatric Emergency Tape (BT) for estimating weight in Omani children.
- To compare BT-predicted weights with actual weights in a tertiary care hospital setting.
Main Methods:
- Retrospective cross-sectional study of Omani outpatients under 14 years old.
- Data collected from electronic medical records at Sultan Qaboos University Hospital.
- Broselow™ Pediatric Emergency Tape (Version 2002A) used to predict weight from height; predictions compared to actual weights.
Main Results:
- 3,339 children included; mean age 6.4 years, mean height 93.2 cm.
- Mean actual weight 13.9 kg, mean BT-predicted weight 14.4 kg.
- High correlation between predicted and actual weights (ICC: 0.97, P <0.001); minimal overestimation (0.5 kg).
Conclusions:
- The Broselow™ Pediatric Emergency Tape (BT) is an effective tool for estimating pediatric weight by body length in the Omani population.
- The BT demonstrates good accuracy and can be reliably used in emergency settings when precise weight is unavailable.
Objectives:
This study aimed to evaluate the accuracy of the Broselow™ Pediatric Emergency Tape (BT) for estimating weight in an Omani paediatric population at a tertiary care hospital.
Methods:
This retrospective cross-sectional study was conducted during July 2015. The electronic medical records of Omani outpatients <14 years old attending the Sultan Qaboos University Hospital, Muscat, Oman, between July 2009 and June 2013 were reviewed for recorded height and weight data. The BT Version 2002A was used to predict weight based on actual height measurements. Predicted weight measurements were then compared with actual weight to determine the accuracy of the estimation.
Results:
A total of 3,339 children were included in the study, of which 43.5% were female and 56.5% were male. The mean age was 6.4 ± 3.1 years and the mean height was 93.2 ± 23.5 cm. The mean actual weight was 13.9 ± 6.7 kg while the mean BT-predicted weight was 14.4 ± 6.9 kg. The BT-predicted weight estimations correlated significantly with actual weight measurements (intraclass correlation coefficient: 0.97; P <0.001). A Bland-Altman analysis indicated that the BT performed well when estimating weight among Omani children, with an overestimation of only 0.5 kg for the entire cohort.
Conclusion:
The BT was found to be an effective tool for estimating weight according to body length in an Omani paediatric population. It should therefore be considered for use in emergency situations when actual weight cannot be determined.
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