Do the length-based (Broselow) Tape, APLS, Argall and Nelson's formulae accurately estimate weight of Indian children?

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dc.contributor.authorVarghese, Aen_US
dc.contributor.authorVasudevan, V Ken_US
dc.contributor.authorLewin, Sen_US
dc.contributor.authorIndumathi, C Ken_US
dc.contributor.authorDinakar, Cen_US
dc.contributor.authorRao, S D Subhaen_US
dc.date.accessioned2006-10-03en_US
dc.date.accessioned2009-05-27T05:24:40Z
dc.date.available2006-10-03en_US
dc.date.available2009-05-27T05:24:40Z
dc.date.issued2006-10-03en_US
dc.description.abstractThis study was aimed at validating the usefulness of a length based pediatric emergency tape (Broselow) in an Indian population. The secondary objective was to validate age based weight estimation formulae (Nelson, Argalls, APLS) for emergency needs (doses, sizes). This cross sectional study was done at a tertiary teaching hospital on a sample of 500 children attending outpatient clinic. Inclusion criteria was age between 1 month to 12 years. Children who were unstable, uncooperative or critically ill requiring emergency care and those measuring more than 145 cm in length or weighing more than 35 kg weight were excluded from the study. Measurement of actual weights, calculation of weight, adrenaline dose, fluid bolus and endotracheal tube size was done by all four methods. Results indicated good positive correlation between actual measured weights and weights estimated using Broselow Tape (r = 0.974), APLS (r = 0.902), Argalls modification (r = 0.902), and combined Nelson formulae (0.935). However, specific Nelson formulas for 7-12 yr and 3-12 mo were especially poor in correlation. Bland-Altman Plots comparing actual weight showed least mean bias for Broselow Tape estimations in < 15 kg group (0.080 +/- 0.96 kg) and maximum bias with Nelsons formula for 7 to12 yr (5.204 +/- 4.272 kg). For adrenaline doses and fluid bolus calculations, Broselow estimations were valid estimates. Broselow tape did underestimate endotracheal tube size (mean bias -0.53 +/- 0.18). To conclude, length based pediatric emergency tape (Broselow) correlates well with overall emergency decision making process in our setting. This is especially validated in the age group 0.1 to 6.7 yr weighing less than 15 kg.en_US
dc.description.affiliationDepartment of Pediatrics, St. John's Medical College Hospital, Bangalore, Karnataka 560 034, India.en_US
dc.identifier.citationVarghese A, Vasudevan VK, Lewin S, Indumathi CK, Dinakar C, Rao SD. Do the length-based (Broselow) Tape, APLS, Argall and Nelson's formulae accurately estimate weight of Indian children? Indian Pediatrics. 2006 Oct; 43(10): 889-94en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/10656
dc.language.isoengen_US
dc.source.urihttps://indianpediatrics.neten_US
dc.subject.meshAnthropometry --instrumentationen_US
dc.subject.meshBody Weight --physiologyen_US
dc.subject.meshChilden_US
dc.subject.meshChild, Preschoolen_US
dc.subject.meshCross-Sectional Studiesen_US
dc.subject.meshDecision Makingen_US
dc.subject.meshEmergency Treatment --instrumentationen_US
dc.subject.meshEpinephrine --administration & dosageen_US
dc.subject.meshFemaleen_US
dc.subject.meshFluid Therapyen_US
dc.subject.meshHospitals, Teachingen_US
dc.subject.meshHumansen_US
dc.subject.meshIndiaen_US
dc.subject.meshInfanten_US
dc.subject.meshMaleen_US
dc.subject.meshReference Valuesen_US
dc.subject.meshTrachea --physiologyen_US
dc.titleDo the length-based (Broselow) Tape, APLS, Argall and Nelson's formulae accurately estimate weight of Indian children?en_US
dc.typeJournal Articleen_US
dc.typeValidation Studiesen_US
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