Department of Anaesthesia, Great Ormond Street Hospital, London, UK.
Department of Anaesthesia, University Teaching Hospital, Lusaka, Zambia.
Anaesthesia. 2017 Apr;72(4):470-478. doi: 10.1111/anae.13780. Epub 2016 Dec 27.
Limited resources and access to healthcare in sub-Saharan Africa are associated with high rates of malnourished children, although many countries globally are demonstrating increasing childhood obesity. This study evaluated how well current age- or height-based formulae estimate the weight of children undergoing surgery in Zambia. All children under 14 years of age presenting for elective surgery at the University Teaching Hospital, Lusaka, had both height and weight measured. Their actual weight was compared against estimated weight from various formulae. The Broselow tape outperformed all the age-based formulae, demonstrating the lowest median percentage error of -5.8%, with 46.0% of estimates falling within 10% of the actual measured weight (p < 0.001). Of the 1111 children who were eligible for World Health Organization growth standard appraisal, 88 (8%) met the weight criteria for severe acute malnutrition. Our results are consistent with other studies in finding that the Broselow tape is the best estimator of weight in a lower middle-income country, followed by the original Advanced Paediatric Life Support formula if the Broselow tape is unavailable.
撒哈拉以南非洲地区的医疗资源有限，这与儿童营养不良率高有关，尽管全球许多国家的儿童肥胖率都在上升。本研究评估了当前基于年龄或身高的公式在多大程度上可以估计赞比亚接受手术的儿童的体重。卢萨卡大学教学医院所有 14 岁以下接受择期手术的儿童均测量了身高和体重。将实际体重与各种公式估算的体重进行比较。Broselow 色码带的表现优于所有基于年龄的公式，显示出最低的中位数百分比误差为-5.8%，46.0%的估计值在实际测量体重的 10%以内（p < 0.001）。在符合世界卫生组织生长标准评估条件的 1111 名儿童中，有 88 名（8%）符合严重急性营养不良的体重标准。我们的研究结果与其他研究一致，即 Broselow 色码带是中低收入国家中估计体重的最佳工具，如果 Broselow 色码带不可用，则原始的高级儿科生命支持公式次之。
