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The RAMA Ped Card: Does it work for actual weight estimation in child patients at the emergency department

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Thavinee Trainarongsakul1, Pitsucha Sanguanwit1, Supawan Rojcharoenchai1, Kittisak Sawanyawisuth2–4, Yuwares Sittichanbuncha1


1 Department of Emergency Medicine, Faculty of Medicine, Ramathibodi Hospital Mahidol University, Bangkok, Thailand


2 Department of Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand


3 Research Center in Back, Neck Other Joint Pain and Human Performance (BNOJPH), Khon Kaen University, Khon Kaen, Thailand


4 Ambulatory Medicine Research Group, Faculty of Medicine, Khon Kean University, Khon Kaen, Thailand


Corresponding Author: Yuwares Sittichanbuncha, Email: yuwares.sit@mahidol.ac.th


© 2017 World Journal of Emergency Medicine


DOI: 10.5847/wjem.j.1920–8642.2017.02.008


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.

(World J Emerg Med 2017;8(2):126–130)


KEY WORDS: Child; Weight estimation; Card; Kappa

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