A Multicenter Study for Validation of the New Pediatric Advanced Life Support Tape for Indian Children.

IF 1.5 4区医学 Q2 PEDIATRICS

Indian pediatrics Pub Date : 2026-08-10 DOI:10.1007/s13312-026-00419-z

Vaman Khadilkar, Shruti Mondkar, A R Mullai Baalaaji, Anand Bhutada, Ashish Dhongade, Sagar S Lad, Preeti Lad, Mukesh Kumar Jain, Sibabratta Patnaik, Mihir Sarkar, Farhan Shaikh, Manish Sharma, Rakshay Shetty, Nitesh Upadhyay, Rohit Vohra, Sonali Wagle-Patki, Anuradha Khadilkar, Vinayak Patki, Ebor Jacob G James, Sachin Shah, Arun Bansal

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引用次数: 0

Abstract

Objective: Accurate weight estimation is essential for drug dosing and equipment selection in pediatric emergencies. A new Pediatric Advanced Life Support (ALS) tape was developed using Indian growth references. The present study was performed to validate its performance in critically ill children across multiple centers in India.

Methods: A prospective, cross-sectional, multicenter observational study was conducted in 13 pediatric intensive care units (PICUs) across five zones of India in children aged < 12 years. Recumbent length was measured using the new ALS tape, and color-band-based estimated weight recorded. Weight was measured using a digital scale. The primary outcomes were bias, precision, and accuracy of the tape in predicting weight. Secondary outcomes included correlation between estimated and measured weight, agreement using Bland-Altman analysis, center-wise subgroup analyses, and interrater reliability for color-band assignment.

Results: Out of 2740 children measured, 2253 were included in the final analysis. Correct color-band concordance was observed in 79.9% of children. Overall, 78.6% of estimates were within ± 10% and 84.6% within ± 15% of measured weight. The mean difference between estimated and measured weight was - 0.6 kg (0.08%). Lower color bands showed modest underestimation (13.1%), while higher bands showed mild overestimation (- 10.3%). Regional concordance ranged from 65.9% to 91.4%. Interrater reliability demonstrated strong agreement (κ = 0.84; 95% CI 0.61, 1.00).

Conclusions: The Indianized Pediatric ALS tape demonstrated acceptable accuracy, minimal overall bias, and strong interrater reliability in critically ill Indian children. Although some variability was observed across regions and lower weight bands, the new ALS tape represents a practical and reasonably accurate indigenous alternative for emergency weight estimation in diverse PICU settings across India.

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一项针对印度儿童的新型儿科高级生命支持带验证的多中心研究。

目的：准确的体重估计对儿科急诊的药物剂量和设备选择至关重要。一种新的儿科高级生命支持（ALS）磁带被开发使用印度生长参考。目前的研究是为了验证其在印度多个中心的重症儿童中的表现。方法：在印度5个地区的13个儿童重症监护病房（picu）进行了一项前瞻性、横断面、多中心观察性研究。结果：在2740名儿童中，2253名被纳入最终分析。在79.9%的儿童中观察到正确的色带一致性。总体而言，78.6%的估计值在测量体重的±10%以内，84.6%在测量体重的±15%以内。估计体重和测量体重之间的平均差异为- 0.6 kg（0.08%）。较低色带显示适度低估（13.1%），而较高色带显示轻度高估（- 10.3%）。区域一致性为65.9% ~ 91.4%。测者间信度显示出很强的一致性（κ = 0.84; 95% CI 0.61, 1.00）。结论：印度化儿科ALS磁带在危重印度儿童中显示出可接受的准确性、最小的总体偏倚和很强的交叉可靠性。尽管在不同地区和较低的体重带之间观察到一些差异，但新的ALS胶带代表了印度各地不同PICU环境中紧急体重估计的实用和合理准确的本土替代方案。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Indian pediatrics 医学-小儿科

CiteScore

3.30

自引率

8.70%

发文量

344

审稿时长

3-8 weeks

期刊介绍： The general objective of Indian Pediatrics is "To promote the science and practice of Pediatrics." An important guiding principle has been the simultaneous need to inform, educate and entertain the target audience. The specific key objectives are: -To publish original, relevant, well researched peer reviewed articles on issues related to child health. -To provide continuing education to support informed clinical decisions and research. -To foster responsible and balanced debate on controversial issues that affect child health, including non-clinical areas such as medical education, ethics, law, environment and economics. -To achieve the highest level of ethical medical journalism and to produce a publication that is timely, credible and enjoyable to read.