The PAWPER tape as a tool for rapid weight assessment in a Paediatric Emergency Department: Validation study and comparison with parents’ estimation and Broselow tape
Aim: To validate the PAWPER tape and assess its inter-observer reliability in children accessing a Paediatric Emergency Department (PED). As secondary outcome we compared the accuracy of the PAWPER tape with that of parents’ estimation, the Broselow tape and the European Paediatric Life Support (EPL...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2022-12-01
|
| Series: | Resuscitation Plus |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666520422001011 |
| _version_ | 1797980473841942528 |
|---|---|
| author | Davide Silvagni Laura Baggio Cristina Mazzi Giorgio Cuffaro Silvia Carlassara Simona Spada Paolo Biban |
| author_facet | Davide Silvagni Laura Baggio Cristina Mazzi Giorgio Cuffaro Silvia Carlassara Simona Spada Paolo Biban |
| author_sort | Davide Silvagni |
| collection | DOAJ |
| description | Aim: To validate the PAWPER tape and assess its inter-observer reliability in children accessing a Paediatric Emergency Department (PED). As secondary outcome we compared the accuracy of the PAWPER tape with that of parents’ estimation, the Broselow tape and the European Paediatric Life Support (EPLS) formula. Methods: This was a cross-sectional study of children (0–12 years) enrolled in a tertiary Paediatric Emergency Department in Italy. Children’s weight was estimated by parents and by trained healthcare providers using the PAWPER tape, the Broselow tape and the EPLS formula. The root mean squared percentage error (RMSPE) for the estimation of precision was calculated. Overall accuracy was evaluated using the percentage of weight estimation falling within 10% (PW10) and 20% (PW20) of real weight. Results: The study included 2060 children. Parental estimation was the most accurate and precise method. The PAWPER tape was accurate throughout all habitus sizes except for extreme underweight and overweight categories. Furthermore, it was more accurate and more precise than the Broselow tape and the EPLS formula (p adjusted <0.001). Conclusions: The PAWPER tape served as an accurate method for weight estimation in children accessing a Paediatric Emergency Department, with excellent inter-rater reliability. It performed significantly better than other length or age-based tools, showing good accuracy and precision except for very extreme weights. Whilst parents’ estimation yielded to be the most accurate and precise method, the age-based EPLS formula was not reliable for estimating weight in all subcategories of habitus. |
| first_indexed | 2024-04-11T05:56:02Z |
| format | Article |
| id | doaj.art-07571fc4024b44ee8195a5624441e6a3 |
| institution | Directory Open Access Journal |
| issn | 2666-5204 |
| language | English |
| last_indexed | 2024-04-11T05:56:02Z |
| publishDate | 2022-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Resuscitation Plus |
| spelling | doaj.art-07571fc4024b44ee8195a5624441e6a32022-12-22T04:41:54ZengElsevierResuscitation Plus2666-52042022-12-0112100301The PAWPER tape as a tool for rapid weight assessment in a Paediatric Emergency Department: Validation study and comparison with parents’ estimation and Broselow tapeDavide Silvagni0Laura Baggio1Cristina Mazzi2Giorgio Cuffaro3Silvia Carlassara4Simona Spada5Paolo Biban6Pediatric Emergency Room – Department of Neonatal and Pediatric Critical Care, University Hospital of Verona, Piazzale Stefani 1, 37126 Verona, ItalyPediatric Emergency Room – Department of Neonatal and Pediatric Critical Care, University Hospital of Verona, Piazzale Stefani 1, 37126 Verona, ItalyClinical Research Unit, University Hospital of Verona, Piazzale Stefani 1, 37126 Verona, Italy; Centre for Clinical Research, IRCCS Sacro Cuore Don Calabria Hospital, Negrar di Valpolicella, Verona, ItalyPediatrics Residency, Department of Surgical Sciences, Dentistry, Paediatrics and Gynaecology, University of Verona, Verona, ItalyPediatrics Residency, Department of Surgical Sciences, Dentistry, Paediatrics and Gynaecology, University of Verona, Verona, ItalyPediatric Emergency Room – Department of Neonatal and Pediatric Critical Care, University Hospital of Verona, Piazzale Stefani 1, 37126 Verona, ItalyPediatric Emergency Room – Department of Neonatal and Pediatric Critical Care, University Hospital of Verona, Piazzale Stefani 1, 37126 Verona, Italy; Corresponding author at: Department of Pediatric and Neonatal Critical Care, University Hospital of Verona, Piazzale Stefani 1, 37126 Verona, Italy.Aim: To validate the PAWPER tape and assess its inter-observer reliability in children accessing a Paediatric Emergency Department (PED). As secondary outcome we compared the accuracy of the PAWPER tape with that of parents’ estimation, the Broselow tape and the European Paediatric Life Support (EPLS) formula. Methods: This was a cross-sectional study of children (0–12 years) enrolled in a tertiary Paediatric Emergency Department in Italy. Children’s weight was estimated by parents and by trained healthcare providers using the PAWPER tape, the Broselow tape and the EPLS formula. The root mean squared percentage error (RMSPE) for the estimation of precision was calculated. Overall accuracy was evaluated using the percentage of weight estimation falling within 10% (PW10) and 20% (PW20) of real weight. Results: The study included 2060 children. Parental estimation was the most accurate and precise method. The PAWPER tape was accurate throughout all habitus sizes except for extreme underweight and overweight categories. Furthermore, it was more accurate and more precise than the Broselow tape and the EPLS formula (p adjusted <0.001). Conclusions: The PAWPER tape served as an accurate method for weight estimation in children accessing a Paediatric Emergency Department, with excellent inter-rater reliability. It performed significantly better than other length or age-based tools, showing good accuracy and precision except for very extreme weights. Whilst parents’ estimation yielded to be the most accurate and precise method, the age-based EPLS formula was not reliable for estimating weight in all subcategories of habitus.http://www.sciencedirect.com/science/article/pii/S2666520422001011Weight-estimationChildrenResuscitationBroselow tapePAWPER tape |
| spellingShingle | Davide Silvagni Laura Baggio Cristina Mazzi Giorgio Cuffaro Silvia Carlassara Simona Spada Paolo Biban The PAWPER tape as a tool for rapid weight assessment in a Paediatric Emergency Department: Validation study and comparison with parents’ estimation and Broselow tape Resuscitation Plus Weight-estimation Children Resuscitation Broselow tape PAWPER tape |
| title | The PAWPER tape as a tool for rapid weight assessment in a Paediatric Emergency Department: Validation study and comparison with parents’ estimation and Broselow tape |
| title_full | The PAWPER tape as a tool for rapid weight assessment in a Paediatric Emergency Department: Validation study and comparison with parents’ estimation and Broselow tape |
| title_fullStr | The PAWPER tape as a tool for rapid weight assessment in a Paediatric Emergency Department: Validation study and comparison with parents’ estimation and Broselow tape |
| title_full_unstemmed | The PAWPER tape as a tool for rapid weight assessment in a Paediatric Emergency Department: Validation study and comparison with parents’ estimation and Broselow tape |
| title_short | The PAWPER tape as a tool for rapid weight assessment in a Paediatric Emergency Department: Validation study and comparison with parents’ estimation and Broselow tape |
| title_sort | pawper tape as a tool for rapid weight assessment in a paediatric emergency department validation study and comparison with parents estimation and broselow tape |
| topic | Weight-estimation Children Resuscitation Broselow tape PAWPER tape |
| url | http://www.sciencedirect.com/science/article/pii/S2666520422001011 |
| work_keys_str_mv | AT davidesilvagni thepawpertapeasatoolforrapidweightassessmentinapaediatricemergencydepartmentvalidationstudyandcomparisonwithparentsestimationandbroselowtape AT laurabaggio thepawpertapeasatoolforrapidweightassessmentinapaediatricemergencydepartmentvalidationstudyandcomparisonwithparentsestimationandbroselowtape AT cristinamazzi thepawpertapeasatoolforrapidweightassessmentinapaediatricemergencydepartmentvalidationstudyandcomparisonwithparentsestimationandbroselowtape AT giorgiocuffaro thepawpertapeasatoolforrapidweightassessmentinapaediatricemergencydepartmentvalidationstudyandcomparisonwithparentsestimationandbroselowtape AT silviacarlassara thepawpertapeasatoolforrapidweightassessmentinapaediatricemergencydepartmentvalidationstudyandcomparisonwithparentsestimationandbroselowtape AT simonaspada thepawpertapeasatoolforrapidweightassessmentinapaediatricemergencydepartmentvalidationstudyandcomparisonwithparentsestimationandbroselowtape AT paolobiban thepawpertapeasatoolforrapidweightassessmentinapaediatricemergencydepartmentvalidationstudyandcomparisonwithparentsestimationandbroselowtape AT davidesilvagni pawpertapeasatoolforrapidweightassessmentinapaediatricemergencydepartmentvalidationstudyandcomparisonwithparentsestimationandbroselowtape AT laurabaggio pawpertapeasatoolforrapidweightassessmentinapaediatricemergencydepartmentvalidationstudyandcomparisonwithparentsestimationandbroselowtape AT cristinamazzi pawpertapeasatoolforrapidweightassessmentinapaediatricemergencydepartmentvalidationstudyandcomparisonwithparentsestimationandbroselowtape AT giorgiocuffaro pawpertapeasatoolforrapidweightassessmentinapaediatricemergencydepartmentvalidationstudyandcomparisonwithparentsestimationandbroselowtape AT silviacarlassara pawpertapeasatoolforrapidweightassessmentinapaediatricemergencydepartmentvalidationstudyandcomparisonwithparentsestimationandbroselowtape AT simonaspada pawpertapeasatoolforrapidweightassessmentinapaediatricemergencydepartmentvalidationstudyandcomparisonwithparentsestimationandbroselowtape AT paolobiban pawpertapeasatoolforrapidweightassessmentinapaediatricemergencydepartmentvalidationstudyandcomparisonwithparentsestimationandbroselowtape |