Are APLS formulae for estimating weight appropriate for use in children admitted to PICU?

Flannigan, Christopher; Bourke, Thomas; Sproule, Ashley; Stevenson, Mike; Terris, Martha K.

doi:10.1016/j.resuscitation.2014.03.313

Cited by 10 publications

(8 citation statements)

References 6 publications

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“…Agreement was found between measured and estimated weight according to the colour zone proposed by the tape in 63.2% of the sample (20). These results are more satisfactory than those obtained by other studies, in which the mean percentage of accuracy was below 50% (10,16,18,21).…”

Section: Participantssupporting

confidence: 53%

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Comparison of weight estimation methods in hospitalized Brazilian children and adolescents

et al. 2020

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Comparación de métodos de estimación del peso en niños y adolescentes brasileños hospitalizados Comparison of weight estimation methods in hospitalized Brazilian children and adolescents 10.20960/nh.02594 OR 2594 Comparison of weight estimation methods in hospitalized Brazilian children and adolescents Comparación de métodos de estimación del peso en niños y adolescentes brasileños hospitalizados

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Section: Participantssupporting

confidence: 53%

“…The results obtained with the Broselow tape, nevertheless, were best when compared to the mathematical methods, confirming that the effectiveness of the length-based method is better than the effectiveness of those approaches that take only age into consideration (4,9,16,(21)(22)(23).…”

Section: Participantsmentioning

confidence: 76%

Comparison of weight estimation methods in hospitalized Brazilian children and adolescents

et al. 2020

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“…Incomplete presentation of data. Flannigan 2014 [ 46 ] 10,081 UK R 0 to 15 years New APLS, Luscombe, novel formula None 1, 2 Low Findings: New APLS formula very inaccurate and should not be used. Weight should be adjusted according to a data table with the 5th and 95th weight-for-height values.…”

Section: Resultsmentioning

confidence: 99%

The accuracy of emergency weight estimation systems in children—a systematic review and meta-analysis

2017

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The safe and effective administration of fluids and medications during the management of medical emergencies in children depends on an appropriately determined dose, based on body weight. Weight can often not be measured in these circumstances and a convenient, quick and accurate method of weight estimation is required. Most methods in current use are not accurate enough, but the newer length-based, habitus-modified (two-dimensional) systems have shown significantly higher accuracy. This meta-analysis evaluated the accuracy of weight estimation systems in children. Articles were screened for inclusion into two study arms: to determine an appropriate accuracy target for weight estimation systems; and to evaluate the accuracy of existing systems using standard meta-analysis techniques. There was no evidence found to support any specific goal of accuracy. Based on the findings of this study, a proposed minimum accuracy of 70% of estimations within 10% of actual weight (PW10 > 70%), and 95% within 20% of actual weight (PW20 > 95%) should be demonstrated by a weight estimation system before being considered to be accurate. In the meta-analysis, the two-dimensional systems performed best. The Mercy method (PW10 70.9%, PW20 95.3%), the PAWPER tape (PW10 78.0%, PW20 96.6%) and parental estimates (PW10 69.8%, PW20 87.1%) were the most accurate systems investigated, with the Broselow tape (PW10 55.6%, PW20 81.2%) achieving a lesser accuracy. Age-based estimates achieved a very low accuracy. Age- and length-based systems had a substantial difference in over- and underestimation of weight in high-income and low- and middle-income populations. A benchmark for minimum accuracy is recommended for weight estimation studies and a PW10 > 70% with PW20 > 95% is suggested. The Mercy method, the PAWPER tape and parental estimates were the most accurate weight estimation systems followed by length-based and age-based systems. The use of age-based formulas should be abandoned because of their poor accuracy.Electronic supplementary materialThe online version of this article (10.1186/s12245-017-0156-5) contains supplementary material, which is available to authorized users.

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“…Various methods, most of them based on gender and height measures, have been proposed for estimating the body weight of infants and children in emergency settings when determining appropriate drug dosing (35)(36)(37)(38), whereas for lung function measurements, it has been suggested that PBW should be calculated by using gender and height prediction from ulna length (39). This later method was developed to accurately predict the degree of restrictive lung pathologies in patients presenting with scoliosis and other syndromes associated with skeletal anomalies.…”

Section: Ventilatory Strategies During Conventional Ventilationmentioning

confidence: 99%

Ventilatory Support in Children With Pediatric Acute Respiratory Distress Syndrome

Rimensberger

Cheifetz

2015

Pediatric Critical Care Medicine

125

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The Consensus Conference developed pediatric-specific recommendations regarding mechanical ventilation of the patient with pediatric acute respiratory distress syndrome as well as future research priorities. These recommendations are intended to initiate discussion regarding optimal mechanical ventilation management for children with pediatric acute respiratory distress syndrome and identify areas of controversy requiring further investigation.

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Are APLS formulae for estimating weight appropriate for use in children admitted to PICU?

Cited by 10 publications

References 6 publications

Comparison of weight estimation methods in hospitalized Brazilian children and adolescents

Comparison of weight estimation methods in hospitalized Brazilian children and adolescents

The accuracy of emergency weight estimation systems in children—a systematic review and meta-analysis

Ventilatory Support in Children With Pediatric Acute Respiratory Distress Syndrome

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