ArticleAfrican journal of emergency medicine : Revue africaine de la medecine d'urgence2018
The accuracy of paediatric weight estimation during simulated emergencies: The effects of patient position, patient cooperation, and human errors.
Article in African journal of emergency medicine : Revue africaine de la medecine d'urgence, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.
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Who cites it
15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 28 citations in OpenAlex.
- Is there evidence that length-based tapes with precalculated drug doses increase the accuracy of drug dose calculations in children? A systematic review.Clinical and experimental emergency medicine · 2024Pooled it
- Weight Estimation for Drug Dose Calculations in the Prehospital Setting - A Systematic Review.Prehospital and disaster medicine · 2023Pooled it
- Cat owners do not provide more reliable weight estimates for cats compared with veterinary professionals in an emergency setting.Journal of feline medicine and surgery · 2024Article
- The PAWPER tape as a tool for rapid weight assessment in a Paediatric Emergency Department: Validation study and comparison with parents' estimation and Broselow tape.Resuscitation plus · 2022Article
- Development and Validation of a Length- and Habitus-Based Method of Ideal and Lean Body Weight Estimation for Adults Requiring Urgent Weight-Based Medical Intervention.European journal of drug metabolism and pharmacokinetics · 2022Article
- Estimating Lean Body Weight in Adults With the PAWPER XL-MAC Tape Using Actual Measured Weight as an Input Variable.Cureus · 2022Article
- Human Factor Errors in the use of the PAWPER Tape Systems: An Analysis of Inter-Rater Reliability.Cureus · 2021Article
- Pediatric weight estimation: validation of the PAWPER XL tape and the PAWPER XL tape mid-arm circumference method in a South African hospital.Clinical and experimental emergency medicine · 2020Article
- Drug dosing errors in simulated paediatric emergencies - Comprehensive dosing guides outperform length-based tapes with precalculated drug doses.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2020Article
- Using the Mercy Method to Estimate Ideal Body Weight in Children: A Description and Validation of a New Methodology.Cureus · 2020Article
- Article
- Are "virtual" paediatric weight estimation studies valid?African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2019Article
- The "PAWPER-on-a-page": Increasing global access to a low-cost weight estimation system.World journal of emergency medicine · 2019Article
- A validation of the PAWPER XL-MAC tape for total body weight estimation in preschool children from low- and middle-income countries.PloS one · 2019Observational
- Paediatric weight estimation practices of advanced life support providers in Johannesburg, South Africa.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2018Article
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionThe effect of patient position and patient cooperation on the accuracy of emergency weight estimation systems has not been evaluated previously. The objective of this study was to evaluate weight estimation accuracy of the Broselow tape, the PAWPER XL tape, the Mercy method, and a custom-designed mobile phone App in a variety of realistic simulated paediatric emergencies.
methodsThis was a prospective study in which 32 emergency medicine volunteers participated in eight simulations of common paediatric emergency conditions, using children models. The participants used each of the four methods to estimate the children's weight. The accuracy of and time taken for the weight estimations were evaluated for each method. A regression analysis determined the effects of patient position and cooperation on weight estimation accuracy. Evaluation of subgroups of best-performers and worst-performers among the participants provided information on the effects of human user-error on weight estimation accuracy.
resultsThe Broselow tape, Mercy method, App and the PAWPER XL tape achieved percentages of weight estimation within 10% of actual weight in 47.7, 57.3, 68.1, and 73.0% of estimations, respectively. Patient position and cooperation strongly impacted the accuracy of the Broselow tape, had a minimal effect on the Mercy method and the App, and had no effect on the PAWPER XL tape. The best performing participants achieved very high accuracy with all methods except the Broselow tape. DISCUSSION: The Mercy method, the App, and the PAWPER XL tape achieved exceptionally high accuracy even in uncooperative and sub-optimally positioned children when used by the best-performing participants. Human error, from inexperience and inadequate training, had the most significant impact on accuracy. The Mercy method was the most subject to human error, and the PAWPER XL tape, the least. Adequate training in using weight estimation systems is essential for paediatric patient safety.
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