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Evaluation of the Mercy TAPE: performance against the standard for pediatric weight estimation.

2013 Oct

Journal Article

Authors:
Abdel-Rahman, S.M.; Paul, I.M.; James, L.P.; Lewandowski, A.

Secondary:
Ann Emerg Med

Volume:
62

Pagination:
332-339.e6

Issue:
4

PMID:
23602655

DOI:
10.1016/j.annemergmed.2013.02.021

Keywords:
Adolescent; Anthropometry; body mass index; Body Weight; Child; Child, Preschool; Female; Humans; Infant; Male; Prospective Studies; Reproducibility of Results

Abstract:
STUDY OBJECTIVE: We assessed the performance of 2 new devices (2D- and 3D-Mercy TAPE) to implement the Mercy Method for pediatric weight estimation and contrasted their accuracy with the Broselow method.METHODS: We enrolled children aged 2 months through 16 years in this prospective, multicenter, observational study. Height/length, weight, humeral length, and mid-upper arm circumference were obtained for each child, using calibrated scales and measures. We then made measurements with blinded versions of the 2D- and 3D-TAPEs. Using height/length data, we calculated the weight estimated by the Broselow method. We contrasted measures with mean error, mean percentage error, and percentage predicted within 10% and 20% of actual.RESULTS: Six hundred twenty-four participants (median 8.5 years, 27.6 kg, 17.3 kg/m(2)) completed the study. Mean error was 0.3 kg (mean percentage error 1.6%), 0.2 kg (mean percentage error 1.9%), and -1.3 kg (mean percentage error -4.1%) for 2D-, 3D-, and Broselow, respectively. Concordance between both TAPE devices and the Mercy Method was greater than 0.99. The proportion of children predicted within 10% and 20% of actual weight was 76% and 98% for the 2D-TAPE and 65% and 93% for the 3D-TAPE. Excluding the 209 (33%) children who were too tall for the device, Broselow predictions were within 10% and 20% of actual weight in 59% and 91%.CONCLUSION: The 2D- and 3D-Mercy TAPEs outperform the Broselow tape for pediatric weight estimation and can be used in a wider range of children.

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