比较不同以年龄为基础的儿童体重估算公式用在香港儿童的表现.PDF

Hong Kong Journal of Emergency Medicine A comparison of the performance of different age-based paediatric weight estimation formulae in Hong Kong children JLT So , EPF Chow , GN Cattermole , CA Graham , TH Rainer Obj ective: To evaluate the performance of five existing age-based weight estimation formulae – the original and updated Advanced Paediatric Life Support (A PLS) formulae, Luscombe formula, Best Guess formula, Chinese Age Weight Rule (CAWR) – as well as a new two-part weight estimation formula, the Chinese Age Weight Rule-3 (CAWR-3), in Hong Kong children presenting to the emergency department (ED). Methods: Data based on children aged 1- 12 who presented to the ED of a tertiary referral centre in Hong Kong over a six-month period. A ctual weight was compared against estimated weight from the weight estimation formulae. Level of agreement was assessed by Bland-Altman analysis using mean percentage difference (MPD) and 95% limits of agreement (LOA). Root mean squared error (RMSE) and proportions of weight estimates within 10%, 15% and 20% of actual weight were calculated. Results: A total of 4600 children were included. The CAWR-3 outperformed the five existing weight estimation formulae. The CAWR-3 had the least MPD in age 4- 12 (MPD +3.2%), as well as the second least MPD in age 1- 12 (MPD -0.7%) . The CAWR-3 had narrowest 95% LOA in age 1-3 (95% LOA -32.6% to 2 1.9%) and the second narrowest 95% LOA in age 1- 12 (95% LOA -37.5% to 36.1%) . The CAW R-3 had the smallest RMSE of 6.33 kg in age 4- 12 and the smallest RMSE of 4.90 kg in age 1- 12. Furthermore, the CAW R-3 had the highest proportion of weight estimates within 10%, 15% and 20% of actual weight. Conclusion: The CAW R-3 outperforms the five ex isting age-based weight estimation formulae in Hong Kong children presenting to the emergency department. (Hong