Weight estimation in two groups of Ghanaian children with chronic diseases using Broselow, Mercy, PAWPER XL and PAWPER XL-MAC tapes

IF 1.4 4区 医学 Q3 EMERGENCY MEDICINE
Rafiuk Cosmos Yakubu , Vivian Paintsil , Samuel Blay Nguah
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引用次数: 0

Abstract

Introduction

The performance of various weight estimation methods in children with sickle cell disease (SCD) and heart disease (HD) has not been studied. We aimed to determine and compare the accuracies of the Broselow, Mercy, PAWPER XL and PAWPER XL-MAC tapes in Ghanaian children with no known chronic diseases (controls), SCD and HD.

Methods

We prospectively recruited 631 children (199 with HD, 209 SCD and 223 controls) from the Komfo Anokye Teaching Hospital (KATH). Their weights were estimated using the Broselow, Mercy, PAWPER XL and PAWPER XL-MAC tapes. These estimated weights were compared to measured weight using mean percentage error (MPE), the proportion of weight estimates within ±10% (P10) and ±20% (P20) of measured weight. Bland-Altman limits of agreement (LOA) were determined to assess the precision of weight estimation and agreement with measured weight.

Results

The PAWPER XL, Mercy and PAWPER XL-MAC were the most accurate in all groups of children studied. All methods except the Broselow tape (BT), which performed best in the control group, had their best performance among children with SCD with negligible critical error rates (proportion of children with weight estimates > 20% of their actual weight). The P20 in the various groups of children using the BT were 88.36%, 80.21% and 51.10% respectively in the control, SCD and HD groups. The Mercy, PAWPER XL and PAWPER XL MAC tapes were generally above 90% in all groups.

Discussion

The Mercy, PAWPER XL and PAWPER XL-MAC tapes performed significantly better than the BT in all groups of children studied. These methods of weight estimation performed best in children with SCD with very little critical error.

使用Broselow, Mercy, PAWPER XL和PAWPER XL- mac磁带对两组加纳慢性疾病儿童进行体重估计
引言各种体重估计方法在镰状细胞病(SCD)和心脏病(HD)儿童中的表现尚未得到研究。我们旨在确定和比较Broselow、Mercy、PAWPER XL和PAWPER XL-MAC胶带在没有已知慢性病(对照)、SCD和HD的加纳儿童中的准确性。方法我们前瞻性地从Komfo Anokye教学医院(KATH)招募了631名儿童(199名HD儿童、209名SCD儿童和223名对照)。使用Broselow、Mercy、PAWPER XL和PAWPER XL-MAC胶带估算它们的重量。使用平均百分比误差(MPE)将这些估计重量与测量重量进行比较,重量估计在测量重量的±10%(P10)和±20%(P20)范围内。确定Bland-Altman一致性限度(LOA),以评估重量估计的准确性以及与测量重量的一致性。结果PAWPER XL、Mercy和PAWPER XL-MAC在所研究的所有儿童组中是最准确的。除了在对照组中表现最好的Broselow胶带(BT)外,所有方法在SCD儿童中表现最好,临界错误率可忽略不计(体重估计值大于实际体重20%的儿童比例)。使用BT的各组儿童的P20在对照组、SCD组和HD组中分别为88.36%、80.21%和51.10%。Mercy、PAWPERXL和PAWPER-XL MAC磁带在所有组中普遍高于90%。讨论在所有研究的儿童组中,Mercy、PAWPER XL和PAWPER XL-MAC胶带的表现都明显优于BT。这些体重估计方法在SCD儿童中表现最好,临界误差很小。
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来源期刊
CiteScore
2.40
自引率
7.70%
发文量
78
审稿时长
85 days
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