Weight estimation in resuscitation: is the current formula still valid?. Luscombe, M. & Owens, B. Archives of Disease in Childhood, 92(5):412–415, May, 2007. Paper doi abstract bibtex OBJECTIVES: To gather data on the ages and weights of paediatric patients between 1 and 10 years of age, and to compare these data with the current weight estimation formula weight(kg) = 2(age+4). If a significant difference was found, the data would be used to derive a more accurate formula. DESIGN: Retrospective study using data collected from paediatric attendances at an emergency department (ED). SETTING: A large ED in a major UK city, treating both children and adults. Patients: 17 244 children aged 1-10 years, attending the ED between June and December 2005. MAIN OUTCOME MEASURES: Weight difference between the measured weight and the expected weight, the latter given by weight = 2(age+4). RESULTS: The weights of seriously ill children were recorded in only 41.5% of cases, necessitating a weight estimate in the remainder. The formula weight = 2(age+4) underestimated children's weights by a mean of 18.8% (95% confidence interval (95% CI) 18.42% to 19.18%). Using linear regression and analysis of each individual age group, ten new formulas were tested. Of these formulas, weight(kg) = 3(age)+7 proved the most accurate with a mean underestimate of just 2.48% (95% CI 2.17% to 2.79%). CONCLUSIONS: Weight estimation remains of paramount importance in paediatric resuscitation. This study shows that the current estimation formula provides a significant underestimate of children's weights. When used to calculate drug and fluid dosages, this may lead to the under-resuscitation of a critically ill child. The formula weight(kg) = 3(age)+7 provided a safe and more accurate estimate of the weight of today's child.
@article{luscombe_weight_2007,
title = {Weight estimation in resuscitation: is the current formula still valid?},
volume = {92},
issn = {1468-2044},
shorttitle = {Weight estimation in resuscitation},
url = {http://www.ncbi.nlm.nih.gov/pubmed/17213259},
doi = {10.1136/adc.2006.107284},
abstract = {OBJECTIVES: To gather data on the ages and weights of paediatric patients between 1 and 10 years of age, and to compare these data with the current weight estimation formula weight(kg) = 2(age+4). If a significant difference was found, the data would be used to derive a more accurate formula. DESIGN: Retrospective study using data collected from paediatric attendances at an emergency department (ED). SETTING: A large ED in a major UK city, treating both children and adults. Patients: 17 244 children aged 1-10 years, attending the ED between June and December 2005. MAIN OUTCOME MEASURES: Weight difference between the measured weight and the expected weight, the latter given by weight = 2(age+4). RESULTS: The weights of seriously ill children were recorded in only 41.5\% of cases, necessitating a weight estimate in the remainder. The formula weight = 2(age+4) underestimated children's weights by a mean of 18.8\% (95\% confidence interval (95\% CI) 18.42\% to 19.18\%). Using linear regression and analysis of each individual age group, ten new formulas were tested. Of these formulas, weight(kg) = 3(age)+7 proved the most accurate with a mean underestimate of just 2.48\% (95\% CI 2.17\% to 2.79\%). CONCLUSIONS: Weight estimation remains of paramount importance in paediatric resuscitation. This study shows that the current estimation formula provides a significant underestimate of children's weights. When used to calculate drug and fluid dosages, this may lead to the under-resuscitation of a critically ill child. The formula weight(kg) = 3(age)+7 provided a safe and more accurate estimate of the weight of today's child.},
number = {5},
urldate = {2010-03-18},
journal = {Archives of Disease in Childhood},
author = {Luscombe, Mark and Owens, Ben},
month = may,
year = {2007},
pmid = {17213259},
keywords = {Aging, Anthropometry, Body Weight, Child, Child, Preschool, Emergency Service, Hospital, Female, Humans, Infant, Male, Models, Biological, Reference Values, Resuscitation},
pages = {412--415},
}
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{"_id":"2s8bPgZpD9MBWewM2","bibbaseid":"luscombe-owens-weightestimationinresuscitationisthecurrentformulastillvalid-2007","author_short":["Luscombe, M.","Owens, B."],"bibdata":{"bibtype":"article","type":"article","title":"Weight estimation in resuscitation: is the current formula still valid?","volume":"92","issn":"1468-2044","shorttitle":"Weight estimation in resuscitation","url":"http://www.ncbi.nlm.nih.gov/pubmed/17213259","doi":"10.1136/adc.2006.107284","abstract":"OBJECTIVES: To gather data on the ages and weights of paediatric patients between 1 and 10 years of age, and to compare these data with the current weight estimation formula weight(kg) = 2(age+4). If a significant difference was found, the data would be used to derive a more accurate formula. DESIGN: Retrospective study using data collected from paediatric attendances at an emergency department (ED). SETTING: A large ED in a major UK city, treating both children and adults. Patients: 17 244 children aged 1-10 years, attending the ED between June and December 2005. MAIN OUTCOME MEASURES: Weight difference between the measured weight and the expected weight, the latter given by weight = 2(age+4). RESULTS: The weights of seriously ill children were recorded in only 41.5% of cases, necessitating a weight estimate in the remainder. The formula weight = 2(age+4) underestimated children's weights by a mean of 18.8% (95% confidence interval (95% CI) 18.42% to 19.18%). Using linear regression and analysis of each individual age group, ten new formulas were tested. Of these formulas, weight(kg) = 3(age)+7 proved the most accurate with a mean underestimate of just 2.48% (95% CI 2.17% to 2.79%). CONCLUSIONS: Weight estimation remains of paramount importance in paediatric resuscitation. This study shows that the current estimation formula provides a significant underestimate of children's weights. When used to calculate drug and fluid dosages, this may lead to the under-resuscitation of a critically ill child. The formula weight(kg) = 3(age)+7 provided a safe and more accurate estimate of the weight of today's child.","number":"5","urldate":"2010-03-18","journal":"Archives of Disease in Childhood","author":[{"propositions":[],"lastnames":["Luscombe"],"firstnames":["Mark"],"suffixes":[]},{"propositions":[],"lastnames":["Owens"],"firstnames":["Ben"],"suffixes":[]}],"month":"May","year":"2007","pmid":"17213259","keywords":"Aging, Anthropometry, Body Weight, Child, Child, Preschool, Emergency Service, Hospital, Female, Humans, Infant, Male, Models, Biological, Reference Values, Resuscitation","pages":"412–415","bibtex":"@article{luscombe_weight_2007,\n\ttitle = {Weight estimation in resuscitation: is the current formula still valid?},\n\tvolume = {92},\n\tissn = {1468-2044},\n\tshorttitle = {Weight estimation in resuscitation},\n\turl = {http://www.ncbi.nlm.nih.gov/pubmed/17213259},\n\tdoi = {10.1136/adc.2006.107284},\n\tabstract = {OBJECTIVES: To gather data on the ages and weights of paediatric patients between 1 and 10 years of age, and to compare these data with the current weight estimation formula weight(kg) = 2(age+4). If a significant difference was found, the data would be used to derive a more accurate formula. DESIGN: Retrospective study using data collected from paediatric attendances at an emergency department (ED). SETTING: A large ED in a major UK city, treating both children and adults. Patients: 17 244 children aged 1-10 years, attending the ED between June and December 2005. MAIN OUTCOME MEASURES: Weight difference between the measured weight and the expected weight, the latter given by weight = 2(age+4). RESULTS: The weights of seriously ill children were recorded in only 41.5\\% of cases, necessitating a weight estimate in the remainder. The formula weight = 2(age+4) underestimated children's weights by a mean of 18.8\\% (95\\% confidence interval (95\\% CI) 18.42\\% to 19.18\\%). Using linear regression and analysis of each individual age group, ten new formulas were tested. Of these formulas, weight(kg) = 3(age)+7 proved the most accurate with a mean underestimate of just 2.48\\% (95\\% CI 2.17\\% to 2.79\\%). CONCLUSIONS: Weight estimation remains of paramount importance in paediatric resuscitation. This study shows that the current estimation formula provides a significant underestimate of children's weights. When used to calculate drug and fluid dosages, this may lead to the under-resuscitation of a critically ill child. The formula weight(kg) = 3(age)+7 provided a safe and more accurate estimate of the weight of today's child.},\n\tnumber = {5},\n\turldate = {2010-03-18},\n\tjournal = {Archives of Disease in Childhood},\n\tauthor = {Luscombe, Mark and Owens, Ben},\n\tmonth = may,\n\tyear = {2007},\n\tpmid = {17213259},\n\tkeywords = {Aging, Anthropometry, Body Weight, Child, Child, Preschool, Emergency Service, Hospital, Female, Humans, Infant, Male, Models, Biological, Reference Values, Resuscitation},\n\tpages = {412--415},\n}\n\n","author_short":["Luscombe, M.","Owens, B."],"key":"luscombe_weight_2007","id":"luscombe_weight_2007","bibbaseid":"luscombe-owens-weightestimationinresuscitationisthecurrentformulastillvalid-2007","role":"author","urls":{"Paper":"http://www.ncbi.nlm.nih.gov/pubmed/17213259"},"keyword":["Aging","Anthropometry","Body Weight","Child","Child","Preschool","Emergency Service","Hospital","Female","Humans","Infant","Male","Models","Biological","Reference Values","Resuscitation"],"metadata":{"authorlinks":{}},"html":""},"bibtype":"article","biburl":"https://bibbase.org/zotero/robin.marlow","dataSources":["ix72eqAAMGCuupBaz"],"keywords":["aging","anthropometry","body weight","child","child","preschool","emergency service","hospital","female","humans","infant","male","models","biological","reference values","resuscitation"],"search_terms":["weight","estimation","resuscitation","current","formula","still","valid","luscombe","owens"],"title":"Weight estimation in resuscitation: is the current formula still valid?","year":2007}