AcorrelationanalysisofBroselow~(TM)PediatricEmergencyTape-determinedpediatricweightwithactualpediatricweightinIndia

摘要： BACKGROUND:TheBroselow?PediatricEmergencyTapeindicatesstandardized,precalculatedmedicationdoses,dosedeliveryvolumes,andequipmentsizesusingcolor-codedzonesbasedonheight-weightcorrelations.ThepresentstudyattemptedtoprovidemoreevidenceontheeffectivenessoftheBroselow?PediatricEmergencyTapebycomparingthetape-estimatedweightswithactualweights.WehypothesizedthattheBroselow?PediatricEmergencyTapewouldoverestimateweightsinIndianchildrenaged<10years,leadingtoinaccuratedosingandequipmentsizingintheemergencysetting.METHODS:Thisprospectivestudyofpediatricpatientsaged<10yearswhoweredividedintothreegroupsbasedonactualbodyweight:<10kg,10–18kg,and>18kg.WecalculatedthepercentagedifferencebetweentheBroselow-predictedweightandthemeasuredweightasameasureoftapebias.Concordantresultswerethosewithameanpercentdifferencewithin3%.Standarddeviationwasmeasuredtodetermineprecision.Accuracywasdeterminedascolor-codedzonepredictionandmeasuredweightconcordance,includingthepercentageoverestimationby1–2zones.RESULTS:Themale-to-femaleratioofthepatientswas1.3:1.Totalagreementbetweencolorcodingwas63.18%(κ=0.582).TheBroselow?color-codedzoneagreementwas74.8%inthe<10kggroup,61.24%inthe10–18kggroup,and53.42%inthe>18kggroup.CONCLUSIONS:TheBroselow?PediatricEmergencyTapeshowedgoodevidenceforbeingmorereliableinchildrenofthe<10kgand10–18kggroups.However,aspediatricweightincreased,predictivereliabilitydecreased.ThisraisesconcernsovertheuseoftheBroselow?PediatricEmergencyTapeinIndianchildrenbecausebodyweightwasoverestimatedinthoseweighing>18kg. ... （共4頁）