Conclusion: The Broselow Tape underestimated the weights of both overweight and obese patients, suggesting the need for adjustment of the length-based dosing zones for overweight and obese patients. Obese patients had a one-zone misclassification rate of 71% and a two-zone misclassification rate of 23%. Overweight patients had a one zone misclassification rate of 83%. Results showed that the misclassification rate of Broselow Tape increases with BMI percentile values. Results: Percent of true classification and misclassification of body weight zones was calculated for each BMI percentile category. SAS 9.4 was used for all statistical analyses with an alpha level of 0.05 to assess statistical significance. The 2019 version of the Broselow Reference Tape will be compliant with the most current PALS Standards and will include the following: Pre-calculated. Heights and weights were recorded and compared to predicted Broselow Tape weight. Subjects were placed into groups according to the CDC guidelines of BMI percentile categories: underweight, normal, overweight, obese. Methods: A retrospective chart review was performed using the electronic medical records at the Children’s Hospital of Georgia in Augusta University, between May 2015- March 2018.
It was hypothesized that the predicted weight needed adjustment by at least color zone for obese and overweight patients in order for them to receive adequate medication during emergency. This study aims to determine the accuracy of the Broselow Tape among pediatric patients with a body mass index (BMI) greater than the 85th percentile. The rise of childhood obesity in the United States, with a prevalence of 18.5% in 2016, has brought up recent concerns for underestimation of weight using the Broselow Tape. GREAT product from a GREAT site.Introduction: The Broselow Tape is a color-coded tape that uses height to predict weight-based dosage of medications and equipment sizes in order to safely treat pediatric patients in medical emergencies. When I showed it to some Paramedic instructors, they said it was the best they' d ever seen. I expected to receive a paper tape that wouldn' t last very long but what I got was a well made durable tape that will last for a long time. The Broselow tape I received was even better then I thought. This was the best price I found and the order came quickly. I ordered and received the Broselow tape so I could demonstrate to my nursing students how it is used.
Unfortunately, the accuracy has shown limited improvement in these children, but worsening accuracy in populations from low- and middle-income countries 14, 24. Time saved is life saved, and nothing saves time like having doses and treatments already calculated and at your fingertips. This edition of the Broselow tape, the 2011 edition A which is now 8 years old, was modified to limit the degree of underestimation in populations from high-income countries. If I' m in any clinical setting, I keep one in a pocket next to my light & my trauma shears. If you work in Pediatrics, Emergency Medicine, Intensive Care or anything similar, you already know the Broselow tape. Thus, incorporating a visual estimate of whether the child is over-weight provides a simple method to predict weight that appears to be clinically relevant given the rise of obesity in the United States. Specifically, for application the patient's length-based measurements zone if the child appears overweight. *If the healthcare provider incorporates a visual estimate of body habitus into the prediction, the accuracy of the estimate of actual patient weight is improved as confirmed in multiple studies.
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