ArticleFrontiers in pediatrics2026
Validation of the Pediatric Advanced Weight Prediction in the Emergency Room Extra Large Mid-Arm Circumference scale in Turkish children.
Article in Frontiers in pediatrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Aim: This study aimed to validate the Pediatric Advanced Weight Prediction in the Emergency Room Extra Large-Mid-Arm Circumference (PAWPER XL-MAC) weight estimation scale in Turkish children by evaluating its accuracy, agreement, and validity across age groups. We assessed the scale's performance using mid-arm circumference (MAC), habitus status (HS), and height to predict weight, while examining age- and gender-related differences. Methods: This study included pediatric patients (aged 0-18 years) who presented to a pediatric surgery outpatient clinic from December 2024 to April 2025. Data on demographics, height, weight, MAC, and clinician-assigned HS (1-7) were collected. PAWPER XL-MAC estimated weights were calculated. Accuracy was assessed using percentage within 10% (PW10) and percentage within 20% (PW20). Analyses included descriptive stats, Pearson correlations, Results: The cohort comprised 323 boys (65.8%) and 168 girls (34.2%), for a total of 491 patients, with infants (0-2 years) forming the largest group (41.8%). Significant gender differences were observed in MAC and weight ( Conclusion: The PAWPER XL-MAC scale shows acceptable structure validity in Turkish children but has age-related accuracy issues, especially in younger groups. Age-specific adjustments are recommended to improve reliability for emergency weight estimation and drug dosing in children.
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