17 Shahrivar医院收治儿童中不同体重估计方法相对于实际体重的误差百分比。
The Percentage of Error of Different Weight Estimation Methods toward Actual Weight in Children Admitted to 17 Shahrivar Hospital.
作者信息
Badeli Hamidreza, Hashemian Houman, Nazari Nima, Rad Afagh Hassanzadeh
机构信息
Pediatrics Growth Disorders Research Center, 17 Shahrivar Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran.
出版信息
Int J Prev Med. 2015 Feb 20;6:13. doi: 10.4103/2008-7802.151821. eCollection 2015.
BACKGROUND
In pediatric resuscitation, it is necessary to distinguish the weight in order to provide proper doses of drugs, equipment selection, and ventilator settings, therefore, access to a simple, unbiased, and accurate formula can decrease mistakes. The aim of this study is to determine the percentage of error (PE) of different weight estimation methods toward actual weight in children admitted to 17 Shahrivar Hospital.
METHODS
This is a descriptive cross-sectional study conducted on 1-10 years children admitted in the pediatric clinic of 17 Shahrivar Hospital in Rasht. Data were collected by a checklist, including age, sex, height and mid-arm circumference (MAC). Investigators compared estimated weight by ten different methods with the actual weight. Finally, clinicians measured the PE and data were analyzed in SPSS software version.18.
RESULTS
About 50.9% of participants were male. The mean age was 4.59 ± 3.35 years and the mean weight was 17.4 ± 5.69 (6.5-45) kg. Results showed no significant difference between the estimated weight and the actual one based on visual expert estimation and advanced pediatric life support (APLS) method. Visual estimation (0.017%) and MAC (25.48%) noted the lowest and highest PE, respectively.
CONCLUSIONS
Results indicated a significant difference between the estimated weight and the actual one based on visual expert's estimation and APLS method. As, these methods were easy, rapid and accurate for body weight estimation in emergencies and may be more accurate than parent's estimation, it seems that it could be helpful for prescribing medication dosage and equipment sizes.
背景
在儿科复苏中，区分体重对于提供适当的药物剂量、设备选择和呼吸机设置很有必要，因此，使用一个简单、无偏差且准确的公式可以减少错误。本研究的目的是确定在17 Shahrivar医院住院儿童中，不同体重估计方法相对于实际体重的误差百分比（PE）。
方法
这是一项描述性横断面研究，对象为在拉什特17 Shahrivar医院儿科门诊就诊的1至10岁儿童。通过一份清单收集数据，包括年龄、性别、身高和上臂中部周长（MAC）。研究人员将十种不同方法估计的体重与实际体重进行比较。最后，临床医生测量了PE，并在SPSS软件18版中对数据进行了分析。
结果
约50.9%的参与者为男性。平均年龄为4.59±3.35岁，平均体重为17.4±5.69（6.5 - 45）千克。结果显示，基于视觉专家估计和高级儿科生命支持（APLS）方法的估计体重与实际体重之间无显著差异。视觉估计（0.017%）和MAC（25.48%）的PE分别为最低和最高。
结论
结果表明，基于视觉专家估计和APLS方法的估计体重与实际体重之间存在显著差异。由于这些方法在紧急情况下对体重估计简便、快速且准确，可能比家长的估计更准确，似乎有助于开处药物剂量和确定设备尺寸。
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