ReviewAfrican journal of emergency medicine : Revue africaine de la medecine d'urgence2017
A systematic review and meta-analysis of the accuracy of weight estimation systems used in paediatric emergency care in developing countries.
Review in African journal of emergency medicine : Revue africaine de la medecine d'urgence, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.
What it found
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
23 citing papers in PubMed, 1 synthesis or guideline pooled it.
- 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
- Development and Validation of Indian Children Length-based Tape (InChiTape) for Use in Critically Sick Children.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2026Article
- Predictors and accuracy of visual weight estimation by veterinary students for cats in trap-neuter-return programs.Journal of feline medicine and surgery · 2025Article
- Considerations and expectations for the administration of dispersible arpraziquantel to young children: a landscape analysis.International health · 2025Article
- Weight estimation in two groups of Ghanaian children with chronic diseases using Broselow, Mercy, PAWPER XL and PAWPER XL-MAC tapes.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2023Article
- An anthropometric evidence against the use of age-based estimation of bodyweight in pediatric patients admitted to intensive care units.Scientific reports · 2023Article
- Article
- 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
- A validation of newly developed weight estimating tape for Korean pediatric patients.PloS one · 2022Article
- Comparison of paediatric weight estimation methods at a tertiary hospital in Ghana.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2021Article
- 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
- Validation of two pediatric resuscitation tapes.Journal of the American College of Emergency Physicians open · 2020Article
- The utility of pediatric age-based weight estimation formulas for emergency drug dose calculations in obese children.Journal of the American College of Emergency Physicians open · 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
- 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
- Article
- Estimating children's weight in a Rwandan emergency centre.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2018Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionWhen weight cannot be measured during the management of medical emergencies in children, a convenient, quick and accurate method of weight estimation is required, as many drug doses and other interventions are based on body weight. Many weight estimation methodologies in current use have been shown to be inaccurate, especially in low- and middle-income countries with a high prevalence of underweight children. This meta-analysis evaluated the accuracy of weight estimation systems in children from studies from low- and middle-income countries.
methodsArticles from low- and middle-income countries were screened for inclusion to evaluate and compare the accuracy of existing systems and the newer dual length- and habitus-based methods, using standard meta-analysis techniques.
resultsThe 2D systems and parental estimates performed best overall. The PAWPER tape, parental estimates, the Wozniak method and the Mercy method were the most accurate systems with percentage of weight estimates within 10% of actual weight (PW10) accuracies of 86.9%, 80.4%, 72.1% and 71.4% respectively. The Broselow tape (PW10 47.1%) achieved a moderate accuracy and age-based estimates a very low accuracy (PW10 11.8-47.5%).
conclusionsThe PAWPER tape, the Wozniak method and the Mercy method achieved an acceptable level of accuracy in studies from low- and middle-income countries and should preferentially be used and further advanced for clinical emergency medicine practice. Parental estimates may be considered if the regular caregiver of the child is present and a recent measured weight is known. The Broselow tape and age-based formulas should be abandoned in low- and middle-income country populations as they are potentially dangerously inaccurate.
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