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CORRESPONDENCE
Year : 2017  |  Volume : 146  |  Issue : 6  |  Page : 794-795

Authors' response


Department of Pediatrics, TN Medical College and BYL Nair Charitable Hospital, Mumbai Central, Mumbai 400 008, Maharashtra, India

Date of Submission19-Sep-2017
Date of Web Publication13-Apr-2018

Correspondence Address:
Sandeep B Bavdekar
Department of Pediatrics, TN Medical College and BYL Nair Charitable Hospital, Mumbai Central, Mumbai 400 008, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijmr.IJMR_1520_17

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How to cite this article:
Shah V, Bavdekar SB. Authors' response. Indian J Med Res 2017;146:794-5

How to cite this URL:
Shah V, Bavdekar SB. Authors' response. Indian J Med Res [serial online] 2017 [cited 2021 Jul 28];146:794-5. Available from: https://www.ijmr.org.in/text.asp?2017/146/6/794/230125

We thank Al-Mendalawi for his interest in our study [1]. Our study [2] was carried out in a public hospital in India, which mainly provides care to children from the disadvantaged sections of the society. Although obesity in children is an emerging problem worldwide, none of the study participants was obese.

Some studies have shown that the Pediatric Advanced Weight Prediction in the Emergency Room (PAWPER) tape is more accurate in predicting the correct weight as compared to Broselow tape [3],[4],[5]; others have suggested that the PAWPER tape has not been able to replicate its initial impressive performance [6] and that none of the currently available methods is optimum [5]. Adjusting the estimated weight based on body habitus seems to be theoretically advantageous, but Georgoulas and Wells [4] have stated that such adjustments have had only a minimal impact on the overall performance of the PAWPER tape.

We are unable to state equivocally if PAWPER tape provides more accurate estimation of children's weight than the Broselow tape in our population or in obese children, as we have not done a head-to-head comparison. It is a research question worth exploring in Indian paediatric population.



 
   References Top

1.
Al-Mendalawi MD. Validity of Broselow tape for estimating weight of Indian children. Indian J Med Res 2017; 146 : 794-5.  Back to cited text no. 1
    
2.
Shah V, Bavdekar SB. Validity of Broselow tape for estimating weight of Indian children. Indian J Med Res 2017; 145 : 339-46.  Back to cited text no. 2
[PUBMED]    
3.
O'Leary F, John-Denny B, McGarvey K, Hann A, Pegiazoglou I, Peat J, et al. Estimating the weight of ethnically diverse children attending an Australian emergency department: A prospective, blinded, comparison of age-based and length-based tools including Mercy, PAWPER and Broselow. Arch Dis Child 2017; 102 : 46-52.  Back to cited text no. 3
    
4.
Georgoulas VG, Wells M. The PAWPER tape and the Mercy method outperform other methods of weight estimation in children at a public hospital in South Africa. S Afr Med J 2016; 106 : 933-9.  Back to cited text no. 4
[PUBMED]    
5.
Chavez H, Peterson RE, Lo K, Arel M. Weight estimation in an inner-city pediatric ED: The effect of obesity. Am J Emerg Med 2015; 33 : 1364-7.  Back to cited text no. 5
[PUBMED]    
6.
Garcia CM, Meltzer JA, Chan KN, Cunningham SJ. A validation study of the PAWPER (Pediatric Advanced Weight Prediction in Emergency Room) tape - A new weight estimation tool. J Pediatr 2015; 167 : 173-7.e.1.  Back to cited text no. 6
    




 

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