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Development and validation of a novel paediatric weight estimation equation in multinational cohorts of sick children.

Abstract：

AIM:In sick children who are unable to be weighed estimation of weight is often required, but the routinely used equations lack accuracy and precision. This study aimed to develop a novel equation (Children's European Estimator of Weight-CEEW) using measurements of mid-upper arm circumference (MUAC) and other predictors in multinational groups of sick children in Europe. METHODS:Weight estimation equations were developed in 2086 children from the UK, Greece and the Netherlands, using a combination of demographics, MUAC and height measurements. The final CEEW equations were compared against the performance of the European Resuscitation Council (ERC), Advanced Paediatric Life Support (APLS) and the Cattermole equations. RESULTS:Two final CEEW equations were developed, incorporating measurements of age, gender and MUAC, with (CEEW1) or without (CEEW2) the inclusion of height. Both equations presented very high coefficients of determination (R2>96.5%), minimal mean prediction error and narrower limits of agreement than the comparator equations. 88% (CEEW1) and 77% (CEEW2) of weight estimates fell within 15% of measured body weight. These figures compared with less than 57%, 57% and 37% for the ERC, APLS and Cattermole equations respectively. CONCLUSION:The CEEW equations performed substantially better than other routinely used equations for weight estimation. An electronic application for mobile use is presented.

journal_name

Resuscitation

journal_title

Resuscitation

authors

McVey L,Young D,Hulst J,Bradley S,Raudaschl A,Karagiozoglou T,Daskalou E,Choudhery V,Macleod I,Joosten K,Spenceley N,Gerasimidis K

doi

10.1016/j.resuscitation.2017.04.025

subject

Has Abstract

pub_date

2017-08-01 00:00:00

pages

118-121

eissn

0300-9572

issn

1873-1570

pii

S0300-9572(17)30178-8

journal_volume

117

pub_type

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