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KMID : 0385920220330050429
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Journal of the Korean Society of Emergency Medicine
2022 Volume.33 No. 5 p.429 ~ p.435
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Validation of Korean Pediatric Resuscitation Tape
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Kim Bo-Seong
Jang Hye-Young
Noh Hyun
Park Su-Yeon
Lee Young-Joo
Cho Young-Shin
Park Joon-Bum
Chung Hea-Jin
Kim Sang-Il
Seo Beom-Sok
Sohn Young-Wha
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Abstract
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Objective: Various tools using the length-based method for weight estimation and decisions regarding equipment size have been used in pediatric resuscitation globally. The Korean Pediatric Resuscitation Tape (KPRT) is one such tool that has been developed recently. This study was performed to validate the use of KPRT in Korean children.
Methods: Data on the measured weights and the endotracheal tube (ETT) sizes used for children aged 12 years or less, who received general anesthesia, were collected by reviewing medical records from June 2018 to October 2020 at two hospitals in the urban areas of Korea. We compared the weight and ETT size estimated by the KPRT to the actually measured weight and ETT size used for the study population. We also calculated the weight and ETT size using an agebased formula and compared these values to the actual values of the patients. We then analyzed the agreement between these estimated values and the actual values of the children.
Results: A total of 1,237 children were included in this study. The intra-class correlation coefficient of agreement between the actual weight and estimated weight by the KPRT was 0.94 compared to 0.93 when estimated by the age-based formula. The weighted kappa coefficient of the agreement between the ETT size actually used, and the size estimated by the KPRT was 0.61 compared to 0.74 when estimated by the age-based formula. The estimated ETT sizes using the KPRT were smaller than the actual size used in children under three years old, whereas it was larger for children aged eight years or more.
Conclusion: Our study showed that the KPRT was a dependable tool for estimating the weight and ETT size of Korean children. Future studies would be needed to augment the reliability of the KPRT in pediatric resuscitation.
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KEYWORD
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Resuscitation, Pediatrics, Body weight, Pediatric resuscitation tape
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