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Updated: Sep 5, 2025

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
A validation of newly developed weight estimating tape for Korean pediatric patients
Sungwoo Choi1, Sangun Nah1, Sumin Kim1
1Department of Emergency Medicine, Soonchunhyang University Bucheon Hospital, Bucheon, Republic of Korea.
Insights
A new weight-estimating tape, the Body Habitus-based Pediatric Emergency Tape (BHPET), shows improved accuracy for estimating pediatric emergency drug dosages in Korean children compared to existing methods.
Area of Science:
- Pediatric Emergency Medicine
- Clinical Pharmacology
- Biostatistics
Background:
- Accurate pediatric weight estimation is critical for emergency drug dosing.
- Existing weight-estimating tapes (e.g., Broselow tape) may lack accuracy due to population-specific growth variations.
- Local growth charts may offer more precise reference data than global standards.
Purpose of the Study:
- To develop and evaluate a novel weight-estimating tape (BHPET) based on Korean National Growth Charts for pediatric emergency use.
- To compare the accuracy and performance of the BHPET against established tapes like Broselow tape (BT) and Pediatric Advanced Weight Prediction in the Emergency Room XL (PAWPER XL).
- To assess the tape's suitability for the Korean pediatric population.
Main Methods:
- Prospective cross-sectional study of 792 pediatric patients in an emergency department.
- Weight estimation using Broselow tape (BT), PAWPER XL, and the newly developed Body Habitus-based Pediatric Emergency Tape (BHPET).
- Analysis of tape performance using Mean Absolute Percentage Error (MAPE), Root Mean Square Percentage Error (RMSPE), percentage of estimations within 10% of actual weight (PW10), and intraclass correlation coefficients (ICC).
Main Results:
- The BHPET demonstrated the lowest MAPE (10.23%) and RMSPE (14.14%) among the tapes evaluated.
- BHPET achieved a higher PW10 (59.6%) compared to BT and PAWPER XL across all age groups.
- Intraclass correlation coefficients indicated strong agreement for all tapes, with BHPET showing the highest (0.985), suggesting excellent reliability.
Conclusions:
- The Body Habitus-based Pediatric Emergency Tape (BHPET) offers accurate and reliable weight estimations for Korean pediatric patients in emergency settings.
- BHPET's performance is comparable or superior to existing weight-estimating tapes, particularly when utilizing local growth data.
- This tape represents a valuable tool for improving the precision of emergency drug dosing in pediatric care within Korea.
Abstract:
Pediatric drug dosages are based on body weight, so accurate measurement thereof is essential. However, this is not possible in emergencies. When using weight-estimating tapes, World Health Organization (WHO) growth charts serve as reference weights; however, local growth charts might be more accurate. This study developed a tape based on 2017 Korean National Growth Charts, which are more suitable for the Korean population than WHO growth charts, and evaluated its performance in a Korean pediatric population. This prospective cross-sectional study analyzed 792 pediatric patients who had visited the emergency department from June 2021 to December 2021. Weights were estimated using the Broselow tape (BT), Pediatric Advanced Weight Prediction in the Emergency Room XL (PAWPER XL), and Body Habitus-based Pediatric Emergency Tape (BHPET). The performance and measurement agreement of the tapes were analyzed. Among the tapes, the BHPET had the smallest mean absolute percentage error (MAPE), of 10.23%, and a root mean square percentage error (RMSPE) of 14.14%. Also, the percentage of weight estimations within 10% of the actual weight (PW10) was 59.6%, indicating better accuracy than the BT and PAWPER XL in all age groups. The intraclass correlation coefficients of the BT, PAWPER XL, and BHPET were 0.931, 0.977, and 0.985, respectively (p < 0.001). The performance and accuracy of the BHPET was similar or slightly superior to that of the other tapes. The body weight estimated using the BHPET for a local pediatric population was sufficiently correlated with the actual body weight.
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