Using Mean Ages on Clothing Size Labels in Revised Advanced Pediatric Life Support Formulas for Weight Estimation

NCT ID: NCT02455674

Last Updated: 2015-05-28

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

1094 participants

Study Classification

OBSERVATIONAL

Study Start Date

2014-12-31

Study Completion Date

2015-01-31

Brief Summary

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Weight calculation based on age could be performed according to APLS (Advanced Pediatric Life Support) guideline recommendations in children requiring emergency treatment and intervention in the field or during resuscitation with no active weight and height measurements. The aim of the study is to investigate the suitability of weight calculation using mean ages on clothing size labels (ACL) to the actual weight in real emergencies with no known actual age of the patient (AA).

Detailed Description

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Weight calculation based on age could be performed according to APLS guideline recommendations in children requiring emergency treatment and intervention in the field or during resuscitation with no active weight and height measurements. Age formulas require only knowledge of the actual age of the child and widely used all over the world with being catchy. However, situations in which one has to intervene a child without having any patient data, including information on children's ages, especially in the field or during resuscitation are not uncommon. The objective of this study is to investigate the availability of age information contained in clothing size labels of children in weight calculation according to APLS recommendations. Usability of labels can protect victims from overdose and underdose problems in cases where the actual age is unknown and the measurements cannot be done

Conditions

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Body Weight

Study Design

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Observational Model Type

COHORT

Study Time Perspective

CROSS_SECTIONAL

Study Groups

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Age under 6 years

All children 1 to 6 years

Used formula for weight calculation:

Children 1-5 years: Weight (kg) = (2 × age in years) + 8

No interventions assigned to this group

Age over 6 years

All children 6 to 12 years

Used formula for weight calculation:

Children 6-12 years: Weight (kg) = (3 × age in years) + 7

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* All patients between 1-12 years of age who presented to the emergency department and agreed to participate in the study were consecutively included in the study

Exclusion Criteria

* Age under 1 years and over 12.99 years
* No weighing in ED
* No clothing size label information
* Refused to participate
Minimum Eligible Age

1 Year

Maximum Eligible Age

12 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Antalya Training and Research Hospital

OTHER_GOV

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Can K Akyol, MD

Role: STUDY_DIRECTOR

Antalya Training and Research Hospital

Locations

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Antalya Training and Research Hospital, Department of Emergency

Antalya, , Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

References

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Young TP, Washington O, Flanery A, Guptill M, Reibling ET, Brown L, Barcega B. Comparison of the finger counting method, the Broselow tape and common weight estimation formulae in Filipino children after Typhoon Haiyan. Emerg Med Australas. 2015 Jun;27(3):239-44. doi: 10.1111/1742-6723.12382. Epub 2015 Mar 26.

Reference Type BACKGROUND
PMID: 25818595 (View on PubMed)

Graves L, Chayen G, Peat J, O'Leary F. A comparison of actual to estimated weights in Australian children attending a tertiary children's' hospital, using the original and updated APLS, Luscombe and Owens, Best Guess formulae and the Broselow tape. Resuscitation. 2014 Mar;85(3):392-6. doi: 10.1016/j.resuscitation.2013.11.024. Epub 2013 Dec 7.

Reference Type BACKGROUND
PMID: 24321321 (View on PubMed)

Sanghera N, Chan PY, Khaki ZF, Planner C, Lee KK, Cranswick NE, Wong IC. Interventions of hospital pharmacists in improving drug therapy in children: a systematic literature review. Drug Saf. 2006;29(11):1031-47. doi: 10.2165/00002018-200629110-00003.

Reference Type BACKGROUND
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Wells M, Coovadia A, Kramer E, Goldstein L. The PAWPER tape: A new concept tape-based device that increases the accuracy of weight estimation in children through the inclusion of a modifier based on body habitus. Resuscitation. 2013 Feb;84(2):227-32. doi: 10.1016/j.resuscitation.2012.05.028. Epub 2012 Jul 13.

Reference Type BACKGROUND
PMID: 22796544 (View on PubMed)

Argall JA, Wright N, Mackway-Jones K, Jackson R. A comparison of two commonly used methods of weight estimation. Arch Dis Child. 2003 Sep;88(9):789-90. doi: 10.1136/adc.88.9.789. No abstract available.

Reference Type BACKGROUND
PMID: 12937099 (View on PubMed)

Kelly AM, Nguyen K, Krieser D. Validation of the Luscombe weight formula for estimating children's weight. Emerg Med Australas. 2011 Feb;23(1):59-62. doi: 10.1111/j.1742-6723.2010.01351.x. Epub 2010 Dec 6.

Reference Type BACKGROUND
PMID: 21134132 (View on PubMed)

Luscombe MD, Owens BD, Burke D. Weight estimation in paediatrics: a comparison of the APLS formula and the formula 'Weight=3(age)+7'. Emerg Med J. 2011 Jul;28(7):590-3. doi: 10.1136/emj.2009.087288. Epub 2010 Jul 20.

Reference Type BACKGROUND
PMID: 20659877 (View on PubMed)

Thompson MT, Reading MJ, Acworth JP. Best Guess method for age-based weight estimation in paediatric emergencies: validation and comparison with current methods. Emerg Med Australas. 2007 Dec;19(6):535-42. doi: 10.1111/j.1742-6723.2007.01031.x.

Reference Type BACKGROUND
PMID: 18021106 (View on PubMed)

van Furth R, Braat AG, Leijh PC, Klein F. Opsonic activity and composition of five intramuscular gammaglobulin preparations. J Infect. 1986 Nov;13(3):269-75. doi: 10.1016/s0163-4453(86)91256-9.

Reference Type BACKGROUND
PMID: 2432132 (View on PubMed)

Sinha M, Lezine MW, Frechette A, Foster KN. Weighing the pediatric patient during trauma resuscitation and its concordance with estimated weight using Broselow Luten Emergency Tape. Pediatr Emerg Care. 2012 Jun;28(6):544-7. doi: 10.1097/PEC.0b013e318258ac2e.

Reference Type BACKGROUND
PMID: 22653453 (View on PubMed)

Lim CA, Kaufman BJ, O'Connor J Jr, Cunningham SJ. Accuracy of weight estimates in pediatric patients by prehospital Emergency Medical Services personnel. Am J Emerg Med. 2013 Jul;31(7):1108-12. doi: 10.1016/j.ajem.2013.04.018. Epub 2013 May 21.

Reference Type BACKGROUND
PMID: 23706580 (View on PubMed)

Elgie LD, Williams AR. Using age on clothes size label to estimate weight in emergency paediatric patients. Eur J Emerg Med. 2012 Oct;19(5):338-40. doi: 10.1097/MEJ.0b013e328355abc2.

Reference Type BACKGROUND
PMID: 22914117 (View on PubMed)

Krieser D, Nguyen K, Kerr D, Jolley D, Clooney M, Kelly AM. Parental weight estimation of their child's weight is more accurate than other weight estimation methods for determining children's weight in an emergency department? Emerg Med J. 2007 Nov;24(11):756-9. doi: 10.1136/emj.2007.047993.

Reference Type BACKGROUND
PMID: 17954827 (View on PubMed)

Leffler S, Hayes M. Analysis of parental estimates of children's weights in the ED. Ann Emerg Med. 1997 Aug;30(2):167-70. doi: 10.1016/s0196-0644(97)70137-9.

Reference Type BACKGROUND
PMID: 9250640 (View on PubMed)

Rosenberg M, Greenberger S, Rawal A, Latimer-Pierson J, Thundiyil J. Comparison of Broselow tape measurements versus physician estimations of pediatric weights. Am J Emerg Med. 2011 Jun;29(5):482-8. doi: 10.1016/j.ajem.2009.12.002. Epub 2010 Apr 2.

Reference Type BACKGROUND
PMID: 20825816 (View on PubMed)

Nieman CT, Manacci CF, Super DM, Mancuso C, Fallon WF Jr. Use of the Broselow tape may result in the underresuscitation of children. Acad Emerg Med. 2006 Oct;13(10):1011-9. doi: 10.1197/j.aem.2006.06.042.

Reference Type BACKGROUND
PMID: 17015417 (View on PubMed)

Harris M, Patterson J, Morse J. Doctors, nurses, and parents are equally poor at estimating pediatric weights. Pediatr Emerg Care. 1999 Feb;15(1):17-8. doi: 10.1097/00006565-199902000-00005.

Reference Type BACKGROUND
PMID: 10069305 (View on PubMed)

Greig A, Ryan J, Glucksman E. How good are doctors at estimating children's weight? J Accid Emerg Med. 1997 Mar;14(2):101-3. doi: 10.1136/emj.14.2.101.

Reference Type BACKGROUND
PMID: 9132182 (View on PubMed)

Meguerdichian MJ, Clapper TC. The Broselow tape as an effective medication dosing instrument: a review of the literature. J Pediatr Nurs. 2012 Aug;27(4):416-20. doi: 10.1016/j.pedn.2012.04.009. Epub 2012 May 8. No abstract available.

Reference Type BACKGROUND
PMID: 22579781 (View on PubMed)

Other Identifiers

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AntalyaTRH003

Identifier Type: -

Identifier Source: org_study_id

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