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Development and Validation of Indian Children Length-based Tape (InChiTape) for Use in Critically Sick Children
Suresh K Angurana1, Shalu Gupta2, Lokesh Tiwari3
1Division of Pediatric Critical Care, Department of Pediatrics, Advanced Pediatrics Centre, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India.
Summary
The Indian Children Length-based Tape (InChiTape) accurately estimates weight in critically ill Indian children aged 1 month to 12 years. This validated tool aids in emergency drug dosing and equipment selection for pediatric critical care.
Area of Science:
- Pediatric Emergency Medicine
- Clinical Tool Development
- Biomedical Engineering
Background:
- Length-based tapes are vital for estimating weight, drug dosages, and equipment size in critically ill children.
- The Indian Academy of Pediatrics (IAP) identified the need for an indigenous length-based tape for Indian children.
Purpose of the Study:
- To develop and validate a color-coded length-based tape, the Indian Children Length-based Tape (InChiTape), for use in critically sick Indian children.
- To provide a reliable tool for emergency weight estimation in pediatric critical care.
Main Methods:
- Developed the InChiTape using WHO and IAP weight-for-length/height charts for boys.
- Included children aged 1 month to 12 years and weighing 2.5-40 kg across 14 centers in India.
- Marked median weights/lengths and corresponding standard deviations on the tape.
Main Results:
- Data from 1,595 children were pooled, with the majority aged 1-3.9 years.
- The InChiTape correctly estimated weight within the expected range for 69.1% of children.
- A strong correlation (Pearson r=0.95, p<0.001) was found between actual weight and the tape's estimated weight.
Conclusions:
- The InChiTape is a rapid, reliable, and accurate method for estimating the weight of Indian children (2.5-40 kg) in emergency settings.
- This indigenous tool can improve the management of critically ill children in India.
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