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.

Plos One
|July 7, 2022
PubMed

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.

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