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The Broselow and Handtevy Resuscitation Tapes: A Comparison of the Performance of Pediatric Weight Prediction

Published online by Cambridge University Press:  25 May 2016

Calvin G. Lowe ,
Rashida T. Campwala ,
Nurit Ziv  and
Vincent J. Wang
Calvin G. Lowe*
Affiliation:
Division of Emergency and Transport Medicine, Children’s Hospital Los Angeles, Los Angeles, CaliforniaUSA Department of Pediatrics, Keck School of Medicine of the University of Southern California, Los Angeles, CaliforniaUSA
Rashida T. Campwala
Affiliation:
Division of Emergency and Transport Medicine, Children’s Hospital Los Angeles, Los Angeles, CaliforniaUSA
Nurit Ziv
Affiliation:
Division of Emergency and Transport Medicine, Children’s Hospital Los Angeles, Los Angeles, CaliforniaUSA
Vincent J. Wang
Affiliation:
Division of Emergency and Transport Medicine, Children’s Hospital Los Angeles, Los Angeles, CaliforniaUSA Department of Pediatrics, Keck School of Medicine of the University of Southern California, Los Angeles, CaliforniaUSA
*
Correspondence: Calvin G. Lowe, MD Division of Emergency and Transport Medicine Children’s Hospital Los Angeles 4650 Sunset Blvd., Mailstop #113 Los Angeles, California 90027 USA E-mail: clowe@chla.usc.edu
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Abstract

Objectives

To assess the performance of two pediatric length-based tapes (Broselow and Handtevy) in predicting actual weights of US children.

Methods

In this descriptive study, weights and lengths of children (newborn through 13 years of age) were extracted from the 2009-2010 National Health and Nutrition Examination Survey (NHANES). Using the measured length ranges for each tape and the NHANES-extracted length data, every case from the study sample was coded into Broselow and Handtevy zones. Mean weights were calculated for each zone and compared to the predicted Broselow and Handtevy weights using measures of bias, precision, and accuracy. A sub-sample was examined that excluded cases with body mass index (BMI)≥95th percentile. Weights of children longer than each tape also were examined.

Results

A total of 3,018 cases from the NHANES database met criteria. Although both tapes underestimated children’s weight, the Broselow tape outperformed the Handtevy tape across most length ranges in measures of bias, precision, and accuracy of predicted weights relative to actual weights. Accuracy was higher in the Broselow tape for shorter children and in the Handtevy tape for taller children. Among the sub-sample with cases of BMI≥95th percentile removed, performance of the Handtevy tape improved, yet the Broselow tape still performed better. When assessing the weights of children who were longer than either tape, the actual mean weights did not approximate adult weights; although, those exceeding the Handtevy tape were closer.

Conclusions

For pediatric weight estimation, the Broselow tape performed better overall than the Handtevy tape and more closely approximated actual weight.

LoweCG, CampwalaRT, ZivN, WangVJ. The Broselow and Handtevy Resuscitation Tapes: A Comparison of the Performance of Pediatric Weight Prediction. Prehosp Disaster Med. 2016;31(4):364–375.

Keywords

body weights and measuresemergency treatmentpediatricsprehospital care
Type
Original Research
Information
Prehospital and Disaster Medicine , Volume 31 , Issue 4 , August 2016 , pp. 364 - 375
Copyright
© World Association for Disaster and Emergency Medicine 2016 

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