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Pediatr Emerg Care. 2007 Apr;23(4):227-30.

Accuracy of weight estimation methods for children.

Author information

1
Division of Pediatric Emergency Medicine, Department of Pediatrics, University of Alabama at Birmingham, Birmingham, AL 35233, USA. ddubois1@creighton.edu

Abstract

OBJECTIVES:

To evaluate differences in accuracy of 2 weight estimation methods for children when compared with measured weights: the Broselow-Luten tape (patient's height as the predictor) and the devised weight estimation method (DWEM) (patient's height and body habitus as predictors).

METHODS:

Information was obtained prospectively on a convenience sample of patients presenting through triage on nonconsecutive days at the Children's Hospital Emergency Department. Weight was measured in kilograms, and a measured length or height in centimeters was obtained, as well as 2 independent assessments of body habitus. Weights were then estimated using the Broselow-Luten tape and the DWEM. This study evaluated 4 separate weight classes: less than or equal to 10 kg, 10.1 to 20 kg, 20.1 to 36 kg, and 36.1 kg or more. One hundred children were recruited into each weight class, for a total of 400 children. Comparisons of estimations with measured weights were made using the Pearson correlation coefficient method. Mean percentage errors were calculated for weight estimations by both methods.

RESULTS:

Both the Broselow-Luten and DWEM weight estimations when compared with measured weights showed statistical correlation (using the Pearson correlation coefficient). However, the Broselow-Luten method had a negative mean percentage error in all weight classes, and the DWEM had a negative mean percentage error in classes greater than 20 kg, indicating an underestimation of weight in those classes.

CONCLUSIONS:

Although both the Broselow-Luten and DWEM weight estimations show statistical correlation with measured weights, the Broselow-Luten method underestimates weights in all weight classes, and the DWEM underestimates weights in the weight classes greater than 20 kg.

PMID:
17438435
DOI:
10.1097/PEC.0b013e31803f5aca
[Indexed for MEDLINE]
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