Evaluation of the accuracy of common weight estimation formulae in a Zambian paediatric surgical population
| Autor: | M. D. Bould, M. Zyambo, David Michael Snell, John Kinnear, L. Bowen |
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| Rok vydání: | 2016 |
| Předmět: |
Male
Pediatrics medicine.medical_specialty Adolescent Population Severe Acute Malnutrition Zambia Developing country Childhood obesity Actual weight 03 medical and health sciences 0302 clinical medicine Humans Medicine 030212 general & internal medicine Elective surgery Child education education.field_of_study Anthropometry business.industry Body Weight Malnutrition Age Factors Infant Reproducibility of Results 030208 emergency & critical care medicine medicine.disease Body Height Anesthesiology and Pain Medicine Weight estimation Elective Surgical Procedures Child Preschool Female business Algorithms |
| Zdroj: | Anaesthesia. 72:470-478 |
| ISSN: | 0003-2409 |
| DOI: | 10.1111/anae.13780 |
| Popis: | Limited resources and access to healthcare in sub-Saharan Africa are associated with high rates of malnourished children, although many countries globally are demonstrating increasing childhood obesity. This study evaluated how well current age- or height-based formulae estimate the weight of children undergoing surgery in Zambia. All children under 14 years of age presenting for elective surgery at the University Teaching Hospital, Lusaka, had both height and weight measured. Their actual weight was compared against estimated weight from various formulae. The Broselow tape outperformed all the age-based formulae, demonstrating the lowest median percentage error of -5.8%, with 46.0% of estimates falling within 10% of the actual measured weight (p < 0.001). Of the 1111 children who were eligible for World Health Organization growth standard appraisal, 88 (8%) met the weight criteria for severe acute malnutrition. Our results are consistent with other studies in finding that the Broselow tape is the best estimator of weight in a lower middle-income country, followed by the original Advanced Paediatric Life Support formula if the Broselow tape is unavailable. |
| Databáze: | OpenAIRE |
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