{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,21]],"date-time":"2026-01-21T16:40:51Z","timestamp":1769013651374,"version":"3.49.0"},"reference-count":11,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"10","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pediatr Emer Care"],"published-print":{"date-parts":[[2017,10]]},"abstract":"\n Objectives<\/jats:title>\n The aims of the study were to examine the predictive accuracy of Broselow tape (BT) weight estimation and body mass index\u2013based weight categorization in overweight and obese pediatric patients and to develop an adjustment factor that improves the BT weight estimate in overweight and obese pediatric patients.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n A prospective observational study was conducted. We enrolled noncritical pediatric patients presenting to a tertiary care pediatric emergency department with nonurgent complaints. Patients had their weights, heights, abdominal circumferences, and actual BT measurements documented by research staff.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n One hundred seventy-eight patients aged 2 to 18 years were enrolled. Using the Centers for Disease Control and Prevention's definition of body mass index classification, 71 patients (39.89%) had normal BMI, 43 patients (24.16%) were overweight, and 64 patients (35.96%) were obese. The accuracy of the BT-estimated weight range, compared with the actual weight, is 40.5% in our study population. When stratified by BMI classification, the accuracy proportions were the following: 71.8% for normal, 41.9% for overweight, and 4.7% for obese patients. The adjustment formula ([0.014 \u00d7 waistline in cm + 0.3] \u00d7 BT weight) improved overall weight estimation from 40.5% to 65.2%. The greatest improvement was noted in obese children, where the BT accuracy improved from 4.7% to 59.4%.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n The growing pediatric obesity epidemic has challenged the BT's ability to accurately estimate the weights in overweight and obese pediatric patients. Our study demonstrated inverse relationship between the accuracy of BT and body weight. An adjustment factor significantly improved BT accuracy in obese children.<\/jats:p>\n <\/jats:sec>","DOI":"10.1097\/pec.0000000000000894","type":"journal-article","created":{"date-parts":[[2016,10,7]],"date-time":"2016-10-07T12:03:07Z","timestamp":1475841787000},"page":"675-678","source":"Crossref","is-referenced-by-count":22,"title":["A Prospective Evaluation of the Accuracy of Weight Estimation Using the Broselow Tape in Overweight and Obese Pediatric Patients in the Emergency Department"],"prefix":"10.1097","volume":"33","author":[{"given":"Dennis","family":"Tanner","sequence":"first","affiliation":[{"name":"From the *Cook Children's Hospital, Forth Worth; \u2020Department of Pediatrics, Division of Pediatric Emergency Medicine, UT Southwestern; and \u2021Children Medical Center, Dallas, TX."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ashley","family":"Negaard","sequence":"additional","affiliation":[{"name":"From the *Cook Children's Hospital, Forth Worth; \u2020Department of Pediatrics, Division of Pediatric Emergency Medicine, UT Southwestern; and \u2021Children Medical Center, Dallas, TX."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rong","family":"Huang","sequence":"additional","affiliation":[{"name":"From the *Cook Children's Hospital, Forth Worth; \u2020Department of Pediatrics, Division of Pediatric Emergency Medicine, UT Southwestern; and \u2021Children Medical Center, Dallas, TX."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Neil","family":"Evans","sequence":"additional","affiliation":[{"name":"From the *Cook Children's Hospital, Forth Worth; \u2020Department of Pediatrics, Division of Pediatric Emergency Medicine, UT Southwestern; and \u2021Children Medical Center, Dallas, TX."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Halim","family":"Hennes","sequence":"additional","affiliation":[{"name":"From the *Cook Children's Hospital, Forth Worth; \u2020Department of Pediatrics, Division of Pediatric Emergency Medicine, UT Southwestern; and \u2021Children Medical Center, Dallas, TX."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"bib1-20231023","doi-asserted-by":"crossref","first-page":"526","DOI":"10.1016\/j.ajem.2004.09.002","article-title":"The accuracy of visual estimation of body weight in the ED","volume":"22","year":"2004","journal-title":"Am J Emerg Med"},{"key":"bib2-20231023","doi-asserted-by":"crossref","first-page":"160","DOI":"10.1046\/j.1442-2026.2002.00311.x","article-title":"Are methods used to estimate weight in children accurate?","volume":"14","year":"2002","journal-title":"Emerg Med (Fermantle)"},{"key":"bib3-20231023","doi-asserted-by":"crossref","first-page":"242","DOI":"10.1001\/jama.2009.2012","article-title":"Prevalence of high body mass index in US children and adolescents, 2007-2008","volume":"303","year":"2010","journal-title":"JAMA"},{"key":"bib4-20231023","doi-asserted-by":"crossref","first-page":"167","DOI":"10.1016\/S0196-0644(97)70137-9","article-title":"Analysis of parental estimates of children's weights in the ED","volume":"30","year":"1997","journal-title":"Ann Emerg Med"},{"key":"bib5-20231023","doi-asserted-by":"crossref","first-page":"390","DOI":"10.1016\/0735-6757(86)90184-1","article-title":"A rapid and accurate method of estimating body weight","volume":"4","year":"1986","journal-title":"Am J Emerg Med"},{"key":"bib6-20231023","doi-asserted-by":"crossref","first-page":"576","DOI":"10.1016\/S0196-0644(88)80396-2","article-title":"A rapid method for estimating weight and resuscitation drug dosage from length in pediatric age group","volume":"17","year":"1988","journal-title":"Ann Emerg Med"},{"key":"bib7-20231023","doi-asserted-by":"crossref","first-page":"1011","DOI":"10.1197\/j.aem.2006.06.042","article-title":"Use of the Broselow tape may result in the underresuscitation of children","volume":"13","year":"2006","journal-title":"Acad Emerg Med"},{"key":"bib8-20231023","first-page":"25","article-title":"How good is the Broselow tape measurement for estimation of body weights in paediatric patients for application in Hong Kong","volume":"5","year":"2000","journal-title":"HK J Paediatr"},{"key":"bib9-20231023","doi-asserted-by":"crossref","first-page":"215","DOI":"10.2165\/00003088-200039030-00004","article-title":"Effects of obesity on pharmacokinetics implications for drug therapy","volume":"39","year":"2000","journal-title":"Clin Pharmacokinet"},{"key":"bib10-20231023","doi-asserted-by":"crossref","first-page":"112","DOI":"10.1136\/adc.2009.163055","article-title":"Dosing dilemmas in obese children","volume":"95","year":"2010","journal-title":"Arch Dis Child Educ Pract Ed"},{"key":"bib11-20231023","first-page":"1","article-title":"Medication dosing in overweight and obese children. Pediatric Pharmacy Advocacy Group (PPAG)","year":"2013"}],"container-title":["Pediatric Emergency Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/00006565-201710000-00003","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,23]],"date-time":"2023-10-23T02:08:47Z","timestamp":1698026927000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/00006565-201710000-00003"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,10]]},"references-count":11,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2017]]}},"URL":"https:\/\/doi.org\/10.1097\/pec.0000000000000894","relation":{},"ISSN":["1535-1815","0749-5161"],"issn-type":[{"value":"1535-1815","type":"electronic"},{"value":"0749-5161","type":"print"}],"subject":[],"published":{"date-parts":[[2017,10]]}}}