KMID : 1037620210080020043
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Pediatric Emergency Medicine Journal 2021 Volume.8 No. 2 p.43 ~ p.50
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Validation of the Broselow tape in Korean children using data from a nationwide anthropometric survey: a cross-sectional study
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Suh Dong-Bum
Park Jung-Ho kwak Young-Ho Kim Do-Kyun Jung Jae-Yun Lee Jin-Hee Jang Hye-Young Kim Hahn-Bom Hong Ki-Jeong
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Abstract
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Purpose: In Korea, the Broselow tape (BT) is widely used to estimate weight in resuscitation. Validation of BT in Korean children is essential because the tool was developed based on children¡¯s weight and height in the United States. The validation was previously performed in a small-scale dataset. The authors aimed to validate BT using the 2005 Korean nationwide anthropometric survey data.
Methods: From the population used for the survey, we sampled children aged 0-12 years. The weights estimated by BT were compared with measured weights of the children using Bland-Altman analysis with results recorded as percentage differences.
We measured the accuracy of BT, defined as within a 10% error of the measured weight, and the concordance of the color-coded zones derived from the estimated and measured weights. The accuracy and concordance were further assessed according to the age groups and body mass index-for-age Z-score (< -2, underweight; > 2, overweight or obese).
Results: A total of 108,128 children were enrolled. The mean age was 55.2 ¡¾ 37.5 months. The bias was ?5.4% (P < 0.001), and the limits of agreement were ?28.3% and 17.6%, respectively. The accuracy and concordance of BT were 64.4% and 67.2%, respectively. Differences of no more than 1 color-coded zone between estimated and measured weights accounted for 89.8% and 84.1% of the under- and overweight (or obese) children, respectively.
Conclusion: BT accurately estimates weight in approximately two-thirds of Korean children. In addition, adjustment of 1 color-coded zone may be considered in children with extreme weight.
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KEYWORD
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Child, Heart Arrest, Overweight, Resuscitation, Weights and Measures
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