Comparison of Broselow tape measurements versus physician estimations of pediatric weights

Rosenberg, M.; Greenberger, Sarah; Rawal, Amit; Latimer-Pierson, Janese; Thundiyil, Josef G.

doi:10.1016/j.ajem.2009.12.002

Cited by 50 publications

(51 citation statements)

References 25 publications

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“…The Broselow tape [18] is the recommended method [10,11,15,17,18] to estimate a child's weight in the emergency department where a patient is critically ill and whose weight is unknown or cannot be weighed on a scale [16].…”

Section: Discussionmentioning

confidence: 99%

“…Although many studies have confirmed the usefulness of the Broselow tape [10,11,15,18], other studies have found that the accuracy of the Broselow tape varies in different populations. To our knowledge, there has been just one study assessing the accuracy of the Broselow tape in Thai children [19].…”

Section: Brief Communication (Original)mentioning

confidence: 99%

“…The patient's weight must then be estimated to calculate medication dosages or other needs. There are a number of methods currently used to estimate a child's weight such as visual assessment, parental estimation [3,4], an age formula [5,6], and lengthbased estimations such as that using the Broselow tape [7][8][9][10][11][12][13][14][15][16].…”

Section: Brief Communication (Original)mentioning

confidence: 99%

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Brief communication (Original). The accuracy of the Broselow tape in the weight estimation of Thai children

2014

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Background:The effectiveness of medical treatment depends on proper drug dosing. The most accurate measurement of a child's weight is by weighing the child on a scale, and can be done for stable children. However, an emergency, or other conditions may preclude normal weighing. The child's weight must then be estimated quickly for treatment including drug dosages, equipment sizes, ventilator volume settings, and cardioversiondefibrillation. Objectives: To assess the accuracy of the Broselow tape in the weight estimation of Thai children. Methods: Retrospective analysis reviewing the hospital-based data of 4746 Thai children aged less than 15 years. Demographic data, measured weight (MW), and height were collected. The subjects were divided into nine color-coded groups according to the Broselow tape color range and the actual weight plotted according to their groups. Comparison between Broselow tape-predicted weight (TW), height and MW was explored. Results: A total of 3869 children met the inclusion criteria, of whom 2121 (54.8%) were male. The overall agreement between actual weight and predicted weight was 62.1% (range 36.4-90.5 depending on color-code). The mean difference between TW and MW was -3.56% (95% CI -3.964 to -3.150) with SD 12.91%, P < 0.001. TW was within a 10% error for 58% of children. Conclusions:The accuracy of the Broselow tape in the weight estimation of Thai children decreases with increasing height. The Broselow tape underestimates Thai children's weight.

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Section: Discussionmentioning

confidence: 99%

Section: Brief Communication (Original)mentioning

confidence: 99%

Section: Brief Communication (Original)mentioning

confidence: 99%

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Brief communication (Original). The accuracy of the Broselow tape in the weight estimation of Thai children

2014

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“…This method was discussed in the American Heart Association Pediatric Advanced Life Support courses and widely used in the United States as well as in European countries. However, recent studies show that it may underestimate weight among obese children [2,3]. Another disadvantage of this method is that it sometimes underestimates the weight when used among children of different race and ethnicity since Broselow Tape was developed on the basis of the 50th percentile or ideal body weight of the pediatric population in the United States [4].…”

Section: Introductionmentioning

confidence: 99%

“…One of the most widely used method would be the Broselow-Luten color coded tape designed to estimate the body weight, medication doses and endotracheal tube sizes based on body length among children aged 1 to 12 years old [1,2]. This method was discussed in the American Heart Association Pediatric Advanced Life Support courses and widely used in the United States as well as in European countries.…”

Section: Introductionmentioning

confidence: 99%

Comparison of Actual and Estimated Body Weight Using Mid Upper Arm Circumference, Broselow Tape and Advanced Pediatric Life Support (APLS) Formula Among Children Age 1 to 12 Years Old

Garcia¹,

Castro²

2017

Pediatr Ther

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Background: Medications and fluids used among pediatric patients are computed based on weight. The Broselow tape and the Advanced Pediatric Life Support (APLS) formula are currently being used to predict the actual weight, however, studies have shown that when used on patients of different ethnicity and varying body mass index (BMI), it over/underestimates the weight. Studies done among Chinese and Indian children as well as elderly patients made use of a formula using Mid Upper Arm Circumference (MUAC): (MUAC-10) × 3 to predict weight. As of this time, there is no published literature on methods for approximating weight among Filipino children.

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Use of the Broselow Tape

Lucas

2016

Atlas of Emergency Medicine Procedures

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Comparison of Broselow tape measurements versus physician estimations of pediatric weights

Cited by 50 publications

References 25 publications

Brief communication (Original). The accuracy of the Broselow tape in the weight estimation of Thai children

Brief communication (Original). The accuracy of the Broselow tape in the weight estimation of Thai children

Comparison of Actual and Estimated Body Weight Using Mid Upper Arm Circumference, Broselow Tape and Advanced Pediatric Life Support (APLS) Formula Among Children Age 1 to 12 Years Old

Use of the Broselow Tape

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