Validation of the finger counting method using the Monte Carlo simulation

Purpose The dose of drug and the size of instrument are determined based on children’s weight. We aimed to validate the finger counting method (FCM) for weight estimation in Korean children using the Monte Carlo simulation. Methods We estimated the weight of Korean children aged 1 to 9 years by the...

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Main Authors: Hyunsu Kang, Youngsuk Cho, Jinhyuck Lee, Hyunmin Cha, Hyunjung Lee, Daehee Choi, Gyu Chong Cho, Dongkeon Lee, Ji Yun Ahn, Youdong Sohn
Format: Article
Language:English
Published: Korean Society of Pediatric Emergency Medicine 2017-12-01
Series:Pediatric Emergency Medicine Journal
Subjects:
Online Access:http://pemj.org/upload/pdf/pemj-2017-00150.pdf
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author Hyunsu Kang
Youngsuk Cho
Jinhyuck Lee
Hyunmin Cha
Hyunjung Lee
Daehee Choi
Gyu Chong Cho
Dongkeon Lee
Ji Yun Ahn
Youdong Sohn
author_facet Hyunsu Kang
Youngsuk Cho
Jinhyuck Lee
Hyunmin Cha
Hyunjung Lee
Daehee Choi
Gyu Chong Cho
Dongkeon Lee
Ji Yun Ahn
Youdong Sohn
author_sort Hyunsu Kang
collection DOAJ
description Purpose The dose of drug and the size of instrument are determined based on children’s weight. We aimed to validate the finger counting method (FCM) for weight estimation in Korean children using the Monte Carlo simulation. Methods We estimated the weight of Korean children aged 1 to 9 years by the FCM. These measurements were compared with the weight extracted by the Monte Carlo simulation applied to the “2007 Korean Children and Adolescents Growth Standard.” Pearson correlation coefficients (r) were measured to assess the correlation between the weight extracted by the simulation and that estimated by FCM. Bland-Altman analyses were performed to assess the agreement between the weight extracted by the simulation and that estimated by FCM and 2 other well-known pediatric weight estimation formulas (the Advanced Pediatric Life Support and Luscombe formulas). Results Data regarding 9,000 children’s weight selected by age and gender was randomly extracted using the simulation. We found a positive correlation between the weight estimated by the FCM and the weight extracted (in boys, r = 0.896, P < 0.001; in girls, r = 0.899, P < 0.001). The FCM tended to underestimate weight in the children aged 7 years or old. Conclusion This article suggests the usefulness of FCM in weight estimation, particularly in children younger than 7 years. With appreciation of the limitation in older children, the FCM could be applied to emergency practice.
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spelling doaj.art-4d55d9875db845aa99e83bef5dc720222023-04-04T23:44:08ZengKorean Society of Pediatric Emergency MedicinePediatric Emergency Medicine Journal2383-48972508-55062017-12-0142586610.22470/pemj.2017.0015054Validation of the finger counting method using the Monte Carlo simulationHyunsu Kang0Youngsuk Cho1Jinhyuck Lee2Hyunmin Cha3Hyunjung Lee4Daehee Choi5Gyu Chong Cho6Dongkeon Lee7Ji Yun Ahn8Youdong Sohn9Department of Emergency Medicine, Hallym University Kangdong Sacred Heart Hospital, Hallym University College of Medicine, Seoul, KoreaDepartment of Emergency Medicine, Hallym University Kangdong Sacred Heart Hospital, Hallym University College of Medicine, Seoul, KoreaDepartment of Emergency Medicine, Hallym University Kangdong Sacred Heart Hospital, Hallym University College of Medicine, Seoul, KoreaDepartment of Emergency Medicine, Hallym University Kangdong Sacred Heart Hospital, Hallym University College of Medicine, Seoul, KoreaDepartment of Emergency Medicine, Hallym University Kangdong Sacred Heart Hospital, Hallym University College of Medicine, Seoul, KoreaDepartment of Emergency Medicine, Hallym University Kangdong Sacred Heart Hospital, Hallym University College of Medicine, Seoul, KoreaDepartment of Emergency Medicine, Hallym University Kangdong Sacred Heart Hospital, Hallym University College of Medicine, Seoul, KoreaDepartment of Emergency Medicine, Hallym University Sacred Heart Hospital, Hallym University College of Medicine, Anyang, KoreaDepartment of Emergency Medicine, Hallym University Sacred Heart Hospital, Hallym University College of Medicine, Anyang, KoreaDepartment of Emergency Medicine, Hallym University Sacred Heart Hospital, Hallym University College of Medicine, Anyang, KoreaPurpose The dose of drug and the size of instrument are determined based on children’s weight. We aimed to validate the finger counting method (FCM) for weight estimation in Korean children using the Monte Carlo simulation. Methods We estimated the weight of Korean children aged 1 to 9 years by the FCM. These measurements were compared with the weight extracted by the Monte Carlo simulation applied to the “2007 Korean Children and Adolescents Growth Standard.” Pearson correlation coefficients (r) were measured to assess the correlation between the weight extracted by the simulation and that estimated by FCM. Bland-Altman analyses were performed to assess the agreement between the weight extracted by the simulation and that estimated by FCM and 2 other well-known pediatric weight estimation formulas (the Advanced Pediatric Life Support and Luscombe formulas). Results Data regarding 9,000 children’s weight selected by age and gender was randomly extracted using the simulation. We found a positive correlation between the weight estimated by the FCM and the weight extracted (in boys, r = 0.896, P < 0.001; in girls, r = 0.899, P < 0.001). The FCM tended to underestimate weight in the children aged 7 years or old. Conclusion This article suggests the usefulness of FCM in weight estimation, particularly in children younger than 7 years. With appreciation of the limitation in older children, the FCM could be applied to emergency practice.http://pemj.org/upload/pdf/pemj-2017-00150.pdfbody weightchildemergency service, hospitalmonte carlo methodresuscitation
spellingShingle Hyunsu Kang
Youngsuk Cho
Jinhyuck Lee
Hyunmin Cha
Hyunjung Lee
Daehee Choi
Gyu Chong Cho
Dongkeon Lee
Ji Yun Ahn
Youdong Sohn
Validation of the finger counting method using the Monte Carlo simulation
Pediatric Emergency Medicine Journal
body weight
child
emergency service, hospital
monte carlo method
resuscitation
title Validation of the finger counting method using the Monte Carlo simulation
title_full Validation of the finger counting method using the Monte Carlo simulation
title_fullStr Validation of the finger counting method using the Monte Carlo simulation
title_full_unstemmed Validation of the finger counting method using the Monte Carlo simulation
title_short Validation of the finger counting method using the Monte Carlo simulation
title_sort validation of the finger counting method using the monte carlo simulation
topic body weight
child
emergency service, hospital
monte carlo method
resuscitation
url http://pemj.org/upload/pdf/pemj-2017-00150.pdf
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