몬테카를로 시뮬레이션을 이용한 finger counting method 정확도평가
Validation of the finger counting method using the Monte Carlo simulation
강현수, 조영석, 이진혁, 차현민, 이현정, 최대희, 조규종, 이동건, 안지윤, 손유동,
소속 상세정보
강현수 ( Khang Hyun-Su )
한림대학교 의과대학 강동성심병원 응급의학교실
조영석 ( Cho Young-Suk )
한림대학교 의과대학 강동성심병원 응급의학교실
이진혁 ( Lee Jin-Hyuck )
한림대학교 의과대학 강동성심병원 응급의학교실
차현민 ( Cha Hyun-Min )
한림대학교 의과대학 강동성심병원 응급의학교실
이현정 ( Lee Hyun-Jung )
한림대학교 의과대학 강동성심병원 응급의학교실
최대희 ( Choi Dae-Hee )
한림대학교 의과대학 강동성심병원 응급의학교실
조규종 ( Cho Gyu-Chong )
한림대학교 의과대학 강동성심병원 응급의학교실
이동건 ( Lee Dong-Keon )
한림대학교 성심병원 응급의학과
안지윤 ( Ahn Ji-Yun )
한림대학교 성심병원 응급의학과
손유동 ( Sohn You-Dong )
한림대학교 성심병원 응급의학과
Abstract
Purpose : The dose of drug and the size of instrument are determined based on children’s weight. We aimed to validate the finger counting method (FCM) for weight estimation in Korean children using the Monte Carlo simulation.
Methods: We estimated the weight of Korean children aged 1 to 9 years by the FCM. These measurements were compared with the weight extracted by the Monte Carlo simulation applied to the “2007 Korean Children and Adolescents Growth Standard.” Pearson correlation coefficients (r) were measured to assess the correlation between the weight extracted by the simulation and that estimated by FCM. Bland-Altman analyses were performed to assess the agreement between the weight extracted by the simulation and that estimated by FCM and 2 other well-known pediatric weight estimation formulas (the Advanced Pediatric Life Support and Luscombe formulas).
Results: Data regarding 9,000 children’s weight selected by age and gender was randomly extracted using the simulation. We found a positive correlation between the weight estimated by the FCM and the weight extracted (in boys, r = 0.896, P < 0.001; in girls, r = 0.899, P < 0.001). The FCM tended to underestimate weight in the children aged 7 years or old.
Conclusion: This article suggests the usefulness of FCM in weight estimation, particularly in children younger than 7 years. With appreciation of the limitation in older children, the FCM could be applied to emergency practice.
키워드
Body Weight; Child; Emergency Service; Hospital; Monte Carlo Method; Resuscitation
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