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How Accurate Are Pediatric Emergency Tapes? A Comparison of 4 Emergency Tapes With Different Length-Based Weight

Christian P Both1, Achim Schmitz, Philipp K Buehler

  • 1From the Department of Anaesthesia and Children's Research Centre, University Children's Hospital Zurich, Zurich, Switzerland.

Pediatric Emergency Care
|July 12, 2017
PubMed

Insights

Pediatric emergency tapes show poor accuracy in estimating patient weight, necessitating new strategies for critical care. Broselow-Tape performed best but still requires improvement for reliable pediatric weight estimation.

Area of Science:

  • Pediatric Emergency Medicine
  • Anesthesiology
  • Medical Device Evaluation

Background:

  • Pediatric emergency tapes are crucial tools for drug dosing and equipment selection in emergencies.
  • Accurate patient weight estimation is vital for safe and effective pediatric emergency care.

Purpose of the Study:

  • To evaluate and compare the accuracy of four pediatric emergency tapes in estimating patient weight.
  • To determine the effectiveness of existing weight estimation tools in a large pediatric population.

Main Methods:

  • A retrospective analysis of 3307 pediatric patients undergoing general anesthesia was conducted.
  • Weight estimations from Broselow-Tape, Pädiatrisches Notfalllineal, Paulino System, and Kinder-Sicher were compared to actual patient weights.
  • Accuracy was assessed by calculating the percentage of weight estimations within ±10% and ±20% intervals.

Main Results:

  • Broselow-Tape demonstrated the highest accuracy, with 54.0% of estimations within ±10% and 81.5% within ±20% (P < 0.001).
  • Other tapes showed similar, albeit slightly lower, accuracy rates (Pädiatrisches Notfalllineal: 50.5%/79.8%; Paulino System: 49.9%/78.0%; Kinder-Sicher: 48.2%/77.5%).
  • Despite variations, the overall accuracy of all tested tapes was deemed poor.

Conclusions:

  • Current pediatric emergency tapes exhibit limited accuracy for weight estimation in pediatric emergencies.
  • Increasing the number of weight categories on tapes does not significantly improve accuracy.
  • Development of novel strategies is essential to enhance weight estimation accuracy in pediatric emergency medicine.
Abstract

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