Department of Emergency Medicine, Harbor-UCLA Medical Center, Torrance, CA 90509, USA.
Prehosp Emerg Care. 2012 Jul-Sep;16(3):374-80. doi: 10.3109/10903127.2012.664247. Epub 2012 Mar 23.
The Broselow tape is widely used to rapidly estimate weight and facilitate proper medication dosing in pediatric patients.
We aimed to determine the accuracy of prehospital use of the Broselow tape.
We prospectively enrolled a consecutive sample of pediatric patients transported to the emergency department (ED) at Harbor-UCLA Medical Center from February 2008 to January 2009. Eligible subjects arrived via ambulance and were less than 145 cm tall, the upper limit of height for Broselow measurements. Subjects were excluded if they had a medical condition preventing proper measurement (e.g., contractures). Per Los Angeles County protocol, paramedics obtained a Broselow weight on all pediatric patients. The paramedic Broselow weight was compared with the ED Broselow weight and the ED scale weight, which was obtained unless mobilization was contraindicated. Accuracy was determined by assessing Bland-Altman plots and the Pearson correlation coefficient. As part of a sensitivity analysis, multiple imputation was used to account for missing data.
There were 572 subjects enrolled. The median age was 24 months (interquartile range [IQR] 10 to 49 months); 316 (55%) of the subjects were male. The weighted Cohen's kappa assessing agreement between the paramedic and ED Broselow colors was 0.74 (95% confidence interval [CI] 0.68 to 0.79). The median difference between the paramedic Broselow weight and the scale weight was -0.10 kg (IQR -1.7 to 0.7). The accuracy of the paramedic Broselow weight when compared with the ED scale weight and the ED Broselow weight as defined by Pearson's correlation coefficient was 0.92 (95% CI 0.90 to 0.93) and 0.97 (95% CI 0.97 to 0.98), respectively. Multiple imputation for missing data did not alter the results.
Paramedic Broselow weight correlates well with scale weight and ED Broselow weight. Paramedics can use the Broselow tape to accurately determine weight for pediatric patients in the prehospital setting.
布罗塞洛色码带被广泛用于快速估计体重，并有助于为儿科患者进行适当的药物剂量。
我们旨在确定院前使用布罗塞洛色码带的准确性。
我们前瞻性地纳入了 2008 年 2 月至 2009 年 1 月期间从 Harbor-UCLA 医疗中心送往急诊部（ED）的连续样本儿科患者。符合条件的患者通过救护车到达，身高小于 145cm，即布罗塞洛测量的上限。如果患者有妨碍正确测量的医疗状况（例如挛缩），则将其排除在外。根据洛杉矶县的协议，护理人员在所有儿科患者身上都使用了布罗塞洛色码带。将护理人员的布罗塞洛体重与 ED 的布罗塞洛体重和 ED 秤体重进行比较，除非移动受到限制。通过评估 Bland-Altman 图和 Pearson 相关系数来确定准确性。作为敏感性分析的一部分，使用多重插补法来处理缺失数据。
共有 572 名患者入选。中位年龄为 24 个月（四分位距 [IQR] 10 至 49 个月）；316 名（55%）患者为男性。评估护理人员和 ED 布罗塞洛颜色之间一致性的加权 Cohen's kappa 为 0.74（95%置信区间 [CI] 0.68 至 0.79）。护理人员的布罗塞洛体重与秤体重的中位数差异为-0.10kg（IQR -1.7 至 0.7）。当与 ED 秤体重和 ED 布罗塞洛体重相比时，护理人员的布罗塞洛体重的准确性通过 Pearson 相关系数定义为 0.92（95%CI 0.90 至 0.93）和 0.97（95%CI 0.97 至 0.98）。对于缺失数据的多重插补并没有改变结果。
护理人员的布罗塞洛体重与秤体重和 ED 布罗塞洛体重相关良好。护理人员可以在院前环境中使用布罗塞洛色码带准确确定儿科患者的体重。
