Literature DB >> 30687446

The "PAWPER-on-a-page": Increasing global access to a low-cost weight estimation system.

Mike Wells1, Lara Nicole Goldstein1.   

Abstract

BACKGROUND: The PAWPER tape is one of the most accurate weight estimation systems available today, but international access to the tape is limited because it has no commercial distribution. For this reason, the "PAWPER-on-a-page" concept was devised: downloadable image files that allow users to print and assemble their own tapes. However, the feasibility of this method is dependent on users being able to produce accurate tapes. This study was devised to determine whether untrained participants could print and assemble the "PAWPER-on-a-page" easily and accurately.
METHODS: Doctor and nurse volunteers downloaded the "PAWPER-on-a-page" and "PAWPER XL-on-a-page" image files and printed copies on a home-printer and also at a commercial printer. One copy of each tape was then assembled according to instructions from an online video. The accuracy of printing and assembly, the time taken for assembly and the cost were then evaluated.
RESULTS: There were 32 participants. The median time for assembly was 8 minutes 19 seconds and 7 minutes 31 seconds for the "PAWPER-on-a-page" and "PAWPER XL-on-a-page" respectively, with a median cost of USD 0.09 and USD 1.00 respectively. For the assembled tapes, 71.9% of the "PAWPER-on-a-page" tapes and 65.6% of the "PAWPER XL-on-a-page" achieved the required accuracy of 0.2%. Printing errors, related to scaling, were common, but easily detectable.
CONCLUSION: The "PAWPER-on-a-page" system can be easily, quickly, affordably and accurately printed and assembled by end users. Stringent double checking of the printed and fully assembled tapes is essential to ensure accuracy.

Entities:  

Keywords:  PAWPER tape; Paediatric emergency care; Weight estimation

Year:  2019        PMID: 30687446      PMCID: PMC6340814          DOI: 10.5847/wjem.j.1920-8642.2019.02.006

Source DB:  PubMed          Journal:  World J Emerg Med        ISSN: 1920-8642


  6 in total

1.  Variables associated with medication errors in pediatric emergency medicine.

Authors:  Eran Kozer; Dennis Scolnik; Alison Macpherson; Tara Keays; Kevin Shi; Tracy Luk; Gideon Koren
Journal:  Pediatrics       Date:  2002-10       Impact factor: 7.124

2.  Optimising emergency weight estimation in underweight and obese children: the accuracy of estimations of total body weight and ideal body weight.

Authors:  Mike Wells; Lara N Goldstein
Journal:  Eur J Emerg Med       Date:  2019-08       Impact factor: 2.799

3.  Estimating the weight of children in Nepal by Broselow, PAWPER XL and Mercy method.

Authors:  Karun Shrestha; Prakriti Subedi; Oshna Pandey; Likhita Shakya; Kailash Chhetri; Darlene R House
Journal:  World J Emerg Med       Date:  2018

4.  The PAWPER tape: A new concept tape-based device that increases the accuracy of weight estimation in children through the inclusion of a modifier based on body habitus.

Authors:  Mike Wells; Ashraf Coovadia; Efraim Kramer; Lara Goldstein
Journal:  Resuscitation       Date:  2012-07-13       Impact factor: 5.262

Review 5.  The accuracy of emergency weight estimation systems in children-a systematic review and meta-analysis.

Authors:  Mike Wells; Lara Nicole Goldstein; Alison Bentley
Journal:  Int J Emerg Med       Date:  2017-09-21

6.  The accuracy of paediatric weight estimation during simulated emergencies: The effects of patient position, patient cooperation, and human errors.

Authors:  Mike Wells; Lara Nicole Goldstein; Alison Bentley
Journal:  Afr J Emerg Med       Date:  2018-01-19
  6 in total
  1 in total

1.  Comparison of paediatric weight estimation methods at a tertiary hospital in Ghana.

Authors:  Rafiuk Cosmos Yakubu; Samuel Blay Nguah; Nedda Ayi-Bisah
Journal:  Afr J Emerg Med       Date:  2021-04-05
  1 in total

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