Using Mean Ages on Clothing Size Labels in Revised Advanced Pediatric Life Support Formulas for Weight Estimation

NCT02455674 | Completed DMC

• 1 other identifier: AntalyaTRH003
• Study Type: observational
• Target: 1,094
• Locations: 1 country
• Sites: 1

Brief Summary

Weight calculation based on age could be performed according to APLS (Advanced Pediatric Life Support) guideline recommendations in children requiring emergency treatment and intervention in the field or during resuscitation with no active weight and height measurements. The aim of the study is to investigate the suitability of weight calculation using mean ages on clothing size labels (ACL) to the actual weight in real emergencies with no known actual age of the patient (AA).

Conditions

Body Weight

Keywords

weight estimation; emergency; child

Outcome Measures

Primary Outcomes (1)

• Correlation of children's actual age and age information on clothing size labels.

  6 weeks

Study Arms (2)

Age under 6 years

All children 1 to 6 years Used formula for weight calculation: Children 1-5 years: Weight (kg) = (2 × age in years) + 8

Age over 6 years

All children 6 to 12 years Used formula for weight calculation: Children 6-12 years: Weight (kg) = (3 × age in years) + 7

Eligibility Criteria

• Age: 1 Year - 12 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17)
• Sampling Method: Non-Probability Sample

Study Population

Data of children, aged between 1 to 12 years, were consecutively collected. Patients were divided into two groups as under the age of 6 (age \<6) and over 6 years of age (age≥6).

You may qualify if:

• All patients between 1-12 years of age who presented to the emergency department and agreed to participate in the study were consecutively included in the study

You may not qualify if:

• Age under 1 years and over 12.99 years
• No weighing in ED
• No clothing size label information
• Refused to participate

Sponsors & Collaborators

• Antalya Training and Research Hospital: lead

Study Sites (1)

Antalya Training and Research Hospital, Department of Emergency

Antalya, 07100, Turkey (Türkiye)

Location

Related Publications (19)

• Young TP, Washington O, Flanery A, Guptill M, Reibling ET, Brown L, Barcega B. Comparison of the finger counting method, the Broselow tape and common weight estimation formulae in Filipino children after Typhoon Haiyan. Emerg Med Australas. 2015 Jun;27(3):239-44. doi: 10.1111/1742-6723.12382. Epub 2015 Mar 26.

  PMID: 25818595 BACKGROUND

• Graves L, Chayen G, Peat J, O'Leary F. A comparison of actual to estimated weights in Australian children attending a tertiary children's' hospital, using the original and updated APLS, Luscombe and Owens, Best Guess formulae and the Broselow tape. Resuscitation. 2014 Mar;85(3):392-6. doi: 10.1016/j.resuscitation.2013.11.024. Epub 2013 Dec 7.

  PMID: 24321321 BACKGROUND

• Sanghera N, Chan PY, Khaki ZF, Planner C, Lee KK, Cranswick NE, Wong IC. Interventions of hospital pharmacists in improving drug therapy in children: a systematic literature review. Drug Saf. 2006;29(11):1031-47. doi: 10.2165/00002018-200629110-00003.

  PMID: 17061909 BACKGROUND

• Wells M, Coovadia A, Kramer E, Goldstein L. The PAWPER tape: A new concept tape-based device that increases the accuracy of weight estimation in children through the inclusion of a modifier based on body habitus. Resuscitation. 2013 Feb;84(2):227-32. doi: 10.1016/j.resuscitation.2012.05.028. Epub 2012 Jul 13.

  PMID: 22796544 BACKGROUND

• Argall JA, Wright N, Mackway-Jones K, Jackson R. A comparison of two commonly used methods of weight estimation. Arch Dis Child. 2003 Sep;88(9):789-90. doi: 10.1136/adc.88.9.789. No abstract available.

  PMID: 12937099 BACKGROUND

• Kelly AM, Nguyen K, Krieser D. Validation of the Luscombe weight formula for estimating children's weight. Emerg Med Australas. 2011 Feb;23(1):59-62. doi: 10.1111/j.1742-6723.2010.01351.x. Epub 2010 Dec 6.

  PMID: 21134132 BACKGROUND

• Luscombe MD, Owens BD, Burke D. Weight estimation in paediatrics: a comparison of the APLS formula and the formula 'Weight=3(age)+7'. Emerg Med J. 2011 Jul;28(7):590-3. doi: 10.1136/emj.2009.087288. Epub 2010 Jul 20.

  PMID: 20659877 BACKGROUND

• Thompson MT, Reading MJ, Acworth JP. Best Guess method for age-based weight estimation in paediatric emergencies: validation and comparison with current methods. Emerg Med Australas. 2007 Dec;19(6):535-42. doi: 10.1111/j.1742-6723.2007.01031.x.

  PMID: 18021106 BACKGROUND

• van Furth R, Braat AG, Leijh PC, Klein F. Opsonic activity and composition of five intramuscular gammaglobulin preparations. J Infect. 1986 Nov;13(3):269-75. doi: 10.1016/s0163-4453(86)91256-9.

  PMID: 2432132 BACKGROUND

• Sinha M, Lezine MW, Frechette A, Foster KN. Weighing the pediatric patient during trauma resuscitation and its concordance with estimated weight using Broselow Luten Emergency Tape. Pediatr Emerg Care. 2012 Jun;28(6):544-7. doi: 10.1097/PEC.0b013e318258ac2e.

  PMID: 22653453 BACKGROUND

• Lim CA, Kaufman BJ, O'Connor J Jr, Cunningham SJ. Accuracy of weight estimates in pediatric patients by prehospital Emergency Medical Services personnel. Am J Emerg Med. 2013 Jul;31(7):1108-12. doi: 10.1016/j.ajem.2013.04.018. Epub 2013 May 21.

  PMID: 23706580 BACKGROUND

• Elgie LD, Williams AR. Using age on clothes size label to estimate weight in emergency paediatric patients. Eur J Emerg Med. 2012 Oct;19(5):338-40. doi: 10.1097/MEJ.0b013e328355abc2.

  PMID: 22914117 BACKGROUND

• Krieser D, Nguyen K, Kerr D, Jolley D, Clooney M, Kelly AM. Parental weight estimation of their child's weight is more accurate than other weight estimation methods for determining children's weight in an emergency department? Emerg Med J. 2007 Nov;24(11):756-9. doi: 10.1136/emj.2007.047993.

  PMID: 17954827 BACKGROUND

• Leffler S, Hayes M. Analysis of parental estimates of children's weights in the ED. Ann Emerg Med. 1997 Aug;30(2):167-70. doi: 10.1016/s0196-0644(97)70137-9.

  PMID: 9250640 BACKGROUND

• Rosenberg M, Greenberger S, Rawal A, Latimer-Pierson J, Thundiyil J. Comparison of Broselow tape measurements versus physician estimations of pediatric weights. Am J Emerg Med. 2011 Jun;29(5):482-8. doi: 10.1016/j.ajem.2009.12.002. Epub 2010 Apr 2.

  PMID: 20825816 BACKGROUND

• Nieman CT, Manacci CF, Super DM, Mancuso C, Fallon WF Jr. Use of the Broselow tape may result in the underresuscitation of children. Acad Emerg Med. 2006 Oct;13(10):1011-9. doi: 10.1197/j.aem.2006.06.042.

  PMID: 17015417 BACKGROUND

• Harris M, Patterson J, Morse J. Doctors, nurses, and parents are equally poor at estimating pediatric weights. Pediatr Emerg Care. 1999 Feb;15(1):17-8. doi: 10.1097/00006565-199902000-00005.

  PMID: 10069305 BACKGROUND

• Greig A, Ryan J, Glucksman E. How good are doctors at estimating children's weight? J Accid Emerg Med. 1997 Mar;14(2):101-3. doi: 10.1136/emj.14.2.101.

  PMID: 9132182 BACKGROUND

• Meguerdichian MJ, Clapper TC. The Broselow tape as an effective medication dosing instrument: a review of the literature. J Pediatr Nurs. 2012 Aug;27(4):416-20. doi: 10.1016/j.pedn.2012.04.009. Epub 2012 May 8. No abstract available.

  PMID: 22579781 BACKGROUND

MeSH Terms

Conditions

Body Weight; Emergencies

Condition Hierarchy (Ancestors)

Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Disease Attributes; Pathologic Processes

Study Officials

• Can K Akyol, MD

  Antalya Training and Research Hospital

  STUDY DIRECTOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: CROSS SECTIONAL
• Sponsor Type: OTHER GOV
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: May 21, 2015
• First Posted: May 28, 2015
• Study Start: December 1, 2014
• Primary Completion: January 1, 2015
• Study Completion: January 1, 2015
• Last Updated: May 28, 2015

Record last verified: 2015-05

Locations

TU (1)