Al-Busaidi Azher A, Jeyaseelan Lakshmanan, Al-Barwani Hilal M
Department of Emergency Medicine, Rustaq Hospital, Rustaq, Oman.
Department of Statistics & Health Information, Sultan Qaboos University Hospital, Muscat, Oman.
Sultan Qaboos Univ Med J. 2017 May;17(2):e191-e195. doi: 10.18295/squmj.2016.17.02.009. Epub 2017 Jun 20.
This study aimed to evaluate the accuracy of the Broselow™ Pediatric Emergency Tape (BT) for estimating weight in an Omani paediatric population at a tertiary care hospital.
This retrospective cross-sectional study was conducted during July 2015. The electronic medical records of Omani outpatients <14 years old attending the Sultan Qaboos University Hospital, Muscat, Oman, between July 2009 and June 2013 were reviewed for recorded height and weight data. The BT Version 2002A was used to predict weight based on actual height measurements. Predicted weight measurements were then compared with actual weight to determine the accuracy of the estimation.
A total of 3,339 children were included in the study, of which 43.5% were female and 56.5% were male. The mean age was 6.4 ± 3.1 years and the mean height was 93.2 ± 23.5 cm. The mean actual weight was 13.9 ± 6.7 kg while the mean BT-predicted weight was 14.4 ± 6.9 kg. The BT-predicted weight estimations correlated significantly with actual weight measurements (intraclass correlation coefficient: 0.97; <0.001). A Bland-Altman analysis indicated that the BT performed well when estimating weight among Omani children, with an overestimation of only 0.5 kg for the entire cohort.
The BT was found to be an effective tool for estimating weight according to body length in an Omani paediatric population. It should therefore be considered for use in emergency situations when actual weight cannot be determined.
本研究旨在评估Broselow™儿科急救卷尺(BT)在一家三级护理医院中对阿曼儿科人群体重估计的准确性。
本回顾性横断面研究于2015年7月进行。回顾了2009年7月至2013年6月期间在阿曼马斯喀特苏丹卡布斯大学医院就诊的14岁以下阿曼门诊患者的电子病历,以获取记录的身高和体重数据。使用2002A版BT根据实际身高测量值预测体重。然后将预测体重测量值与实际体重进行比较,以确定估计的准确性。
共有3339名儿童纳入研究,其中43.5%为女性,56.5%为男性。平均年龄为6.4±3.1岁,平均身高为93.2±23.5厘米。平均实际体重为13.9±6.7千克,而BT预测的平均体重为14.4±6.9千克。BT预测的体重估计值与实际体重测量值显著相关(组内相关系数:0.97;P<0.001)。Bland-Altman分析表明,BT在估计阿曼儿童体重时表现良好,整个队列仅高估0.5千克。
发现BT是一种根据阿曼儿科人群身长估计体重的有效工具。因此,在无法确定实际体重的紧急情况下应考虑使用。