A Comparison of Paediatric Weight Estimation Methods for Emergency Resuscitation

NCT02466620 | Unknown

• 1 other identifier: 719/2557(EC4)
• Study Type: observational
• Target: 430
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this study is to study the validity, reliability and practicality of the different weight estimation methods (parent estimation method, Mercy method, Broselow tape, original and update APLS) in Thai children.

Conditions

Body Weight

Keywords

Body Weight; Resuscitation; Pediatric weight estimation

Outcome Measures

Primary Outcomes (1)

• The validity of the different weight estimation methods

  The performance of the Mercy method, Broselow tape, parental estimation and aged-base methods (original APLS,updated APLS formula) were compared against the actual weight and against each other. Agreement between estimated weight and actual weight of each weight estimation method was determined by Bland-Altman plots with 95% limits of agreement and correlation test. Bias and variability tested by calculate error : predicted weight -actual weight, calculated percentage error : \[(predicted - actual weight) x 100%\] / actual weight, calculated root mean square error = square root of the average squared error. Categorical error analysis was done by the percentage error of each of the estimation techniques within 10% and 20% of actual weight.

  at time of measurement within one day

Secondary Outcomes (2)

• The reliability of the different weight estimation methods

  at time of measurement within one day

• The practicality of the different weight estimation methods

  at time of measurement within one day

Eligibility Criteria

• Age: 6 Months - 12 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17)
• Sampling Method: Probability Sample

Study Population

2 sources of study population: 1. Children from pre-school and primary school at Wat Amarintararam School, Bangkok, Thailand 2. Children from the out-patient department at Siriraj hospital, Bangkok, Thailand

You may qualify if:

• Healthy children
• Informed consent and assent (7-12 years) were obtained

You may not qualify if:

• Disabling children
• Incapable to stand up or lie down to measure weight or length
• Chronic steroid use
• Edema from known diseases
• Extremities joint contracture

Sponsors & Collaborators

• Mahidol University: lead

Study Sites (1)

Artid Samerchua

Bangkok, Bangkok, 10700, Thailand

Location

Related Publications (8)

• Lundahl A, Kidwell KM, Nelson TD. Parental underestimates of child weight: a meta-analysis. Pediatrics. 2014 Mar;133(3):e689-703. doi: 10.1542/peds.2013-2690. Epub 2014 Feb 2.

  PMID: 24488736 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

• Dicko A, Alhousseini ML, Sidibe B, Traore M, Abdel-Rahman SM. Evaluation of the Mercy weight estimation method in Ouelessebougou, Mali. BMC Public Health. 2014 Mar 21;14:270. doi: 10.1186/1471-2458-14-270.

  PMID: 24650051 BACKGROUND

• Abdel-Rahman SM, Ridge A, Kearns GL. Estimation of body weight in children in the absence of scales: a necessary measurement to insure accurate drug dosing. Arch Dis Child. 2014 Jun;99(6):570-4. doi: 10.1136/archdischild-2013-305211. Epub 2014 Feb 26. No abstract available.

  PMID: 24573883 BACKGROUND

• Abdel-Rahman SM, Ahlers N, Holmes A, Wright K, Harris A, Weigel J, Hill T, Baird K, Michaels M, Kearns GL. Validation of an improved pediatric weight estimation strategy. J Pediatr Pharmacol Ther. 2013 Apr;18(2):112-21. doi: 10.5863/1551-6776-18.2.112.

  PMID: 23798905 BACKGROUND

• Trakulsrichai S, Boonsri C, Chatchaipun P, Chunharas A. Accuracy of three methods used for Thai children's body weight estimation. J Med Assoc Thai. 2012 Sep;95(9):1194-9.

  PMID: 23140037 BACKGROUND

• Loo PY, Chong SL, Lek N, Bautista D, Ng KC. Evaluation of three paediatric weight estimation methods in Singapore. J Paediatr Child Health. 2013 Apr;49(4):E311-6. doi: 10.1111/jpc.12141. Epub 2013 Mar 14.

  PMID: 23489439 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

Condition Hierarchy (Ancestors)

Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• Artid Samerchua

  Mahidol University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Time Perspective: CROSS SECTIONAL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: June 2, 2015
• First Posted: June 9, 2015
• Study Start: February 1, 2015
• Primary Completion: November 1, 2015
• Study Completion: December 1, 2015
• Last Updated: November 17, 2015

Record last verified: 2015-11

Locations

TH (1)