拉玛儿科卡片：它对急诊科儿童患者的实际体重估算有用吗？
The RAMA Ped Card: Does it work for actual weight estimation in child patients at the emergency department.
作者信息
Trainarongsakul Thavinee, Sanguanwit Pitsucha, Rojcharoenchai Supawan, Sawanyawisuth Kittisak, Sittichanbuncha Yuwares
机构信息
Department of Emergency Medicine, Faculty of Medicine, Ramathibodi Hospital Mahidol University, Bangkok, Thailand.
Department of Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.
出版信息
World J Emerg Med. 2017;8(2):126-130. doi: 10.5847/wjem.j.1920-8642.2017.02.008.
BACKGROUND
In emergency conditions, the actual weight of infants and young children are essential for treatments. The RAMATHIBODI Pediatric Emergency Drug Card or RAMA Ped Card has also been developed to estimate actual weight of the subjects. This study aimed to validate the RAMA Ped Card in correctly identifying the actual weight of infants and young adults.
METHODS
This study was a prospective study. We enrolled all consecutive patients under 15 years of age who visited the emergency department (ED). All eligible patients' actual weight and height were measured at the screening point of the ED. The weight of each patient was also measured using the unlabeled RAMA Ped Card. The Cohen's kappa values and agreement percentages were calculated.
RESULTS
During the study period, there were 345 eligible patients. The RAMA Ped Card had a 61.16% agreement with the actual weight with a kappa of 0.54 (<0.01), while the agreement with the actual height had a kappa of 0.90 and 91.59% agreement. Sub-group analysis found kappa scores with good range in two categories: in cases of accidents and in the infant group (kappa of 0.68 and 0.65, respectively).
CONCLUSION
The RAMA Ped Card had a fair correlation with the actual weight in child patients presenting at the ED. Weight estimation in infant patients and children who presented with accidents were more accurate.
背景
在紧急情况下，婴幼儿的实际体重对治疗至关重要。拉玛蒂博迪儿科急救药物卡（RAMA儿科卡）也已被开发用于估算受试者的实际体重。本研究旨在验证RAMA儿科卡在正确识别婴幼儿和青少年实际体重方面的有效性。
方法
本研究为前瞻性研究。我们纳入了所有连续就诊于急诊科（ED）的15岁以下患者。在急诊科的筛查点测量了所有符合条件患者的实际体重和身高。还使用未标记的RAMA儿科卡测量了每位患者的体重。计算了科恩kappa值和一致性百分比。
结果
在研究期间，有345名符合条件的患者。RAMA儿科卡与实际体重的一致性为61.16%，kappa值为0.54（<0.01），而与实际身高的一致性kappa值为0.90，一致性为91.59%。亚组分析发现，在两类情况下kappa分数范围良好：事故病例和婴儿组（kappa分别为0.68和0.65）。
结论
RAMA儿科卡与急诊科就诊的儿童患者的实际体重有一定相关性。婴儿患者和因事故就诊的儿童的体重估计更准确。
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