太平洋岛屿和毛利族大龄儿童的紧急体重估计
Emergency weight estimation in Pacific Island and Maori children who are large-for-age.
作者信息
Theron Lynn, Adams Adrienne, Jansen Karl, Robinson Elizabeth
机构信息
Emergency Department, Middlemore Hospital, South Auckland, and Department of Community Health, University of Auckland, New Zealand.
出版信息
Emerg Med Australas. 2005 Jun;17(3):238-43. doi: 10.1111/j.1742-6723.2005.00729.x.
OBJECTIVE
Methods to estimate weights of children requiring resuscitation appeared to underestimate the weight of Pacific Island and Maori children. This study sought to quantify differences between real and estimated weights, study links with ethnicity and derive a new estimation method for large-for-age children.
METHOD
Data were collected prospectively for 3 months. Weights were estimated by formulae described by Shann, Leffler, the Advanced Paediatric Life Support (APLS) formula, the Oakley resuscitation chart and the Broselow tape.
RESULTS
Of the 909 children included, 46% were of Pacific Island and 25% were of Maori origin. Differences between actual and estimated weights were significantly greater (P<0.05) for the Pacific Island group using all methods of estimation. Maori differences were significantly greater than European differences using Oakley and Broselow methods (P<0.05). The Broselow tape was the method most likely to underestimate weight in Pacific Island and Maori children. A new formula was derived from non-linear regression analysis, leading to a new chart.
CONCLUSION
Current emergency methods underestimate weight in Pacific Island and Maori children. We recommend a new chart for these children.
目的
用于估算需要复苏的儿童体重的方法似乎低估了太平洋岛民和毛利儿童的体重。本研究旨在量化实际体重与估算体重之间的差异，研究与种族的关联，并为大龄儿童推导一种新的估算方法。
方法
前瞻性收集3个月的数据。体重通过尚恩、莱弗勒描述的公式、高级儿科生命支持（APLS）公式、奥克利复苏图表和布罗泽洛卷尺进行估算。
结果
在纳入的909名儿童中，46%为太平洋岛民，25%为毛利人。使用所有估算方法时，太平洋岛民组实际体重与估算体重之间的差异显著更大（P<0.05）。使用奥克利和布罗泽洛方法时，毛利人的差异显著大于欧洲人的差异（P<0.05）。布罗泽洛卷尺是最有可能低估太平洋岛民和毛利儿童体重的方法。通过非线性回归分析得出了一个新公式，进而形成了一个新图表。
结论
当前的急救方法低估了太平洋岛民和毛利儿童的体重。我们建议为这些儿童使用新图表。
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