Hostname: page-component-78c5997874-xbtfd Total loading time: 0 Render date: 2024-11-10T07:09:17.779Z Has data issue: false hasContentIssue false

Do Clothing Labels Play a Role for Weight Estimation in Pediatric Emergencies? A Prospective, Cross-Sectional Study

Published online by Cambridge University Press:  26 February 2021

Adeviyye Karaca*
Affiliation:
Department of Emergency Medicine, Antalya Training and Research Hospital, Antalya, Turkey
Kamil Can Akyol
Affiliation:
Department of Emergency Medicine, Krankenhaus Bad Oeynhausen, Bad Oeynhausen, Germany
Mustafa Keşaplı
Affiliation:
Department of Emergency Medicine, Antalya Training and Research Hospital, Antalya, Turkey
Faruk Güngör
Affiliation:
Department of Emergency Medicine, Private Life Hospital Emergency Department, Antalya, Turkey
Umut Cengiz Çakır
Affiliation:
Department of Emergency Medicine, Antalya Training and Research Hospital, Antalya, Turkey
Angelika Janitzky
Affiliation:
Department of Emergency Medicine, Krankenhaus Bad Oeynhausen, Bad Oeynhausen, Germany
Ramazan Güven
Affiliation:
Department of Emergency Medicine, Kanuni Sultan Suleyman Education and Research Hospital University of Health Science, İstanbul, Turkey
*
Correspondence: Adeviyye Karaca, MD, Department of Emergency Medicine, Antalya Training and Research Hospital, Antalya, Turkey, E-mail: ade.aksoy@gmail.com

Abstract

Introduction:

The aim of this study was to investigate the usability of the age value listed on the labels on children’s clothes in the age-based weight estimation method recommended by the Pediatric Advanced Life Support (PALS) guidelines.

Material-Method:

This prospective, cross-sectional study was organized in Antalya Training and Research Hospital Emergency Department. Children aged between 1-12 years were included in the study. The weight measurements of the children were obtained based on the age-related criteria on the labels of their clothes. The estimated values were compared with the real values of the cases measured on the scale.

Results:

One-thousand ninety-four cases were included, the mean age of cases in age-based measurements was 6.25 years, which was 6.5 years in label-based measurements. Average weights measured 25.75kg according to age-based measurements, 26.5kg according to label-based measurements, and 26.0kg on the scales, and showed no statistical difference (P <.0001). It was estimated that 741 (67.7%) of age-based measurements and 775 (70.8%) of label-based measurements were within (±)10% values within the normal measurement limits and no significant difference was measured.

Conclusion:

In the emergency department and prehospital setting, children with an unknown age and that need resuscitation and interventional procedures for stabilization, and have no time for weight estimation, checking the age on clothing label (ACL) instead of the actual age (AA) can be safely used for the age-dependent weight calculation formula recommended by the PALS guide.

Type
Original Research
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of the World Association for Disaster and Emergency Medicine

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Wells, M, Goldstein, LN, Bentley, A. The accuracy of emergency weight estimation systems in children—a systematic review and meta-analysis. Int J Emerg Med. 2017;10(1):29.CrossRefGoogle ScholarPubMed
O’Meara, M, Watton, DJ, (eds). Advanced Life Support Group. Advanced Paediatric Life Support: The Practical Approach. 5th ed. Chichester, UK: Wiley&Sons; 2011.Google Scholar
Elgie, LD, Williams, AR. Using age on clothes size label to estimate weight in emergency pediatric patients. Eur J Emerg Med. 2012;19(5):338340.CrossRefGoogle Scholar
Stevens, AD, Hernandez, C, Jones, S, et al. Color-coded prefilled medication syringes decrease time to delivery and dosing errors in simulated prehospital pediatric resuscitations: a randomized crossover trial. Resuscitation. 2015;96:8591.CrossRefGoogle ScholarPubMed
Young, KD, Korotzer, NC. Weight estimation methods in children: a systematic review. Ann Emerg Med. 2016;68(4):441451.CrossRefGoogle ScholarPubMed
Kelly, A.Estimation of children’s weight in medical emergencies.” In: Preedy, V, (ed). Handbook of Anthropometry: Physical Measures of Human Form in Health and Disease. New York USA: Springer-Verlag; 2012:11511161.CrossRefGoogle Scholar
Lim, CAE, Kaufman, BJ, O’Connor, J Jr., et al. Accuracy of weight estimates in pediatric patients by prehospital Emergency Medical Services personnel. Medicine. 2013;31(7):11081112.Google ScholarPubMed
Stewart, D. Accuracy of the Broselow Tape for Estimating Paediatric Weight in Two Australian Emergency Departments. University of Sydney, WPP 2009; Declan Stewart SID 198838644.Google Scholar
Francesca Carasco, C, Fletcher, P, Maconochie, I. Review of commonly used age-based weight estimates for pediatric drug dosing in relation to the pharmacokinetic properties of resuscitation drugs. Br J Clin Pharmacol. 2016;81(5):849856.CrossRefGoogle Scholar
Wells, M, Goldstein, LN. How and why pediatric weight estimation systems fail - a body composition study. Cureus. 2020;12(3):e7198.Google ScholarPubMed
Luscombe, MD, Owens, BD, Burke, D. Weight estimation in pediatrics: a comparison of the APLS formula and the formula “Weight = 3(age) + 7.” Emerg Med J. 2011;28(7):590593.CrossRefGoogle Scholar