Medicine dosing by weight in the home: can parents accurately weigh preschool children? A method comparison study

Arch Dis Child. 2011 Dec;96(12):1187-90. doi: 10.1136/archdischild-2011-300600. Epub 2011 Aug 10.

Abstract

Objective: To determine the accuracy with which parents can estimate preschool children's weight using home scales in order to calculate antipyretic dose.

Design: Cross-sectional, method comparison study.

Setting and participants: 156 preschool children aged 6 months to 6 years recruited from primary care and the community to an antipyretic strategies trial and managed at home. COMPARISON AND OUTCOME MEASURES: Research nurse weight estimate using Seca 835-2 digital paediatric scales compared with parental weight estimate using usual home scales.

Results: Parents of 62 (40%) preschool children had home scales. Research scale estimated weights were heavier than home scale weight estimates, with a mean difference of 0.41 kg (95% CI -0.24 to 0.74 kg), with 95% limits of agreement of -2.44 to 1.47 kg.

Conclusion: Weight can be estimated accurately enough to calculate antipyretic medicine doses by the minority of parents having scales that can be used to estimate their child's weight.

Publication types

  • Comparative Study
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acetaminophen / administration & dosage
  • Aging / physiology
  • Anthropometry / methods
  • Anti-Inflammatory Agents, Non-Steroidal / administration & dosage
  • Antipyretics / administration & dosage*
  • Body Weight*
  • Child
  • Child, Preschool
  • Cross-Sectional Studies
  • Drug Administration Schedule
  • Drug Therapy, Combination
  • Female
  • Home Nursing / methods
  • Home Nursing / standards*
  • Humans
  • Ibuprofen / administration & dosage
  • Infant
  • Male
  • Parents*
  • Pediatric Nursing / methods
  • Reproducibility of Results

Substances

  • Anti-Inflammatory Agents, Non-Steroidal
  • Antipyretics
  • Acetaminophen
  • Ibuprofen