Sepsis is the most common cause of death among critically ill patients.[1]Accordingly,most patients with sepsis are diagnosed and initially treated in the emergency department(ED).[2]Moreover,some studies have shown t...Sepsis is the most common cause of death among critically ill patients.[1]Accordingly,most patients with sepsis are diagnosed and initially treated in the emergency department(ED).[2]Moreover,some studies have shown that early resuscitation is an important determinant of sepsis survival.[2,3]展开更多
BACKGROUND: In emergency conditions, the actual weight of infants and young children are essential for treatments. The RAMATHIBODI Pediatric Emergency Drug Card or RAMA Ped Card has also been developed to estimate act...BACKGROUND: In emergency conditions, the actual weight of infants and young children are essential for treatments. The RAMATHIBODI Pediatric Emergency Drug Card or RAMA Ped Card has also been developed to estimate actual weight of the subjects. This study aimed to validate the RAMA Ped Card in correctly identifying the actual weight of infants and young adults.METHODS: This study was a prospective study. We enrolled all consecutive patients under 15 years of age who visited the emergency department(ED). All eligible patients' actual weight and height were measured at the screening point of the ED. The weight of each patient was also measured using the unlabeled RAMA Ped Card. The Cohen's kappa values and agreement percentages were calculated.RESULTS: During the study period, there were 345 eligible patients. The RAMA Ped Card had a 61.16% agreement with the actual weight with a kappa of 0.54(P<0.01), while the agreement with the actual height had a kappa of 0.90 and 91.59% agreement. Sub-group analysis found kappa scores with good range in two categories: in cases of accidents and in the infant group(kappa of 0.68 and 0.65, respectively).CONCLUSION: The RAMA Ped Card had a fair correlation with the actual weight in child patients presenting at the ED. Weight estimation in infant patients and children who presented with accidents were more accurate.展开更多
基金The Ethics Committee of Faculty of Medicine,Ramathibodi Hospital,Mahidol University,Bangkok,Thailand,approved this study in terms of Human Rights Related to Research Involving Human Subjects(Ethics code:MURA2017/247,date of IRB approval 22 May 2017).
文摘Sepsis is the most common cause of death among critically ill patients.[1]Accordingly,most patients with sepsis are diagnosed and initially treated in the emergency department(ED).[2]Moreover,some studies have shown that early resuscitation is an important determinant of sepsis survival.[2,3]
基金supported by a grant of Faculty of Medicine,Khon Kaen University,Thailand(Grant Number:RG59301)
文摘BACKGROUND: In emergency conditions, the actual weight of infants and young children are essential for treatments. The RAMATHIBODI Pediatric Emergency Drug Card or RAMA Ped Card has also been developed to estimate actual weight of the subjects. This study aimed to validate the RAMA Ped Card in correctly identifying the actual weight of infants and young adults.METHODS: This study was a prospective study. We enrolled all consecutive patients under 15 years of age who visited the emergency department(ED). All eligible patients' actual weight and height were measured at the screening point of the ED. The weight of each patient was also measured using the unlabeled RAMA Ped Card. The Cohen's kappa values and agreement percentages were calculated.RESULTS: During the study period, there were 345 eligible patients. The RAMA Ped Card had a 61.16% agreement with the actual weight with a kappa of 0.54(P<0.01), while the agreement with the actual height had a kappa of 0.90 and 91.59% agreement. Sub-group analysis found kappa scores with good range in two categories: in cases of accidents and in the infant group(kappa of 0.68 and 0.65, respectively).CONCLUSION: The RAMA Ped Card had a fair correlation with the actual weight in child patients presenting at the ED. Weight estimation in infant patients and children who presented with accidents were more accurate.
