Division of Emergency Medicine, Faculty of Health Sciences, University of the Witwatersrand, 7 York Road, Parktown, Johannesburg, South Africa.
Resuscitation. 2017 Dec;121:9-33. doi: 10.1016/j.resuscitation.2017.09.026. Epub 2017 Sep 25.
The Broselow tape is widely used as a weight-estimation device and drug-dosing guide aid, but concerns about its accuracy and its efficacy have emerged in the last decade. The aim of this study was to systematically review the literature to analyse the accuracy of the Broselow tape as a weight estimation device and review evidence of its utility as a drug-dosing guide.
This was a MOOSE-driven systematic review and meta-analysis, which focused on studies evaluating the accuracy of the Broselow tape and studies reviewing its use as a drug-dosing aid.
The tape has undergone substantial changes over the years, but there was no evidence to show that the changes have improved weight-estimation performance. The weight-estimation accuracy of the tape was suboptimal in all populations, with just over 50% of children receiving an estimation within 10% of their actual weight. The overestimation of weight in low- and middle-income countries was often extreme. This indicated a significant potential for potentially harmful medication errors. The limited available evidence on the value of the tape as a drug-dosing guide indicated that the tape was frequently used incorrectly and contained insufficient information to function without additional resources.
The Broselow tape lacked sufficient accuracy as a weight estimation and drug-dosing tool when compared to other available techniques. In addition, the Broselow tape contains insufficient drug-dosing information to function as a complete resuscitation aid without additional material. The frequent rate of incorrect usage of the tape indicated that appropriate training with the tape is mandatory to reduce errors.
布罗塞洛色带被广泛用作体重估计装置和药物剂量指导辅助工具，但在过去十年中，人们对其准确性及其有效性产生了担忧。本研究旨在系统地回顾文献，分析布罗塞洛色带作为体重估计装置的准确性，并综述其作为药物剂量指导工具的有效性证据。
这是一项 MOOSE 驱动的系统评价和荟萃分析，重点评估了布罗塞洛色带准确性的研究和评估其作为药物剂量辅助工具使用的研究。
多年来，色带已经发生了重大变化，但没有证据表明这些变化提高了体重估计性能。在所有人群中，色带的体重估计准确性都不理想，只有超过 50%的儿童的估计值在其实际体重的 10%以内。在中低收入国家，体重的高估往往是极端的。这表明潜在的药物治疗错误有很大的潜在风险。关于色带作为药物剂量指导工具的价值的有限可用证据表明，色带经常被错误使用，并且没有足够的信息在没有额外资源的情况下发挥作用。
与其他可用技术相比，布罗塞洛色带在体重估计和药物剂量工具方面的准确性不足。此外，布罗塞洛色带的药物剂量信息不足，无法在没有额外材料的情况下作为完整的复苏辅助工具发挥作用。频繁出现的色带使用不当表明，必须进行适当的色带培训，以减少错误。
