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Six commonly used empirical body surface area formulas disagreed in young children undergoing corrective heart surgery

Sigurdsson, Theodor Skuli LU and Lindberg, Lars LU (2020) In Acta Paediatrica, International Journal of Paediatrics 109(9). p.1838-1846
Abstract

Aim: Formulas for empirical body surface area (BSA), which is used to estimate body size and standardise physiological parameters, may disagree in children. We compared six commonly used BSA formulas—Du Bois, Boyd, Costeff, Haycock, Meban and Mosteller—in a surgical cohort. Methods: This retrospective single-centre cohort study comprised 68 children who had corrective heart surgery at Skåne University Children's Hospital, Lund, Sweden, from February 2010 to March 2017. Results: The children (51% female) underwent surgery at a mean weight of 7.0 kilograms (range 2.7-14.1 kg) and a mean age 11 months (range 0-43 months). All the BSA formulas showed good correlation with mean BSA, but there were considerable variations between them.... (More)

Aim: Formulas for empirical body surface area (BSA), which is used to estimate body size and standardise physiological parameters, may disagree in children. We compared six commonly used BSA formulas—Du Bois, Boyd, Costeff, Haycock, Meban and Mosteller—in a surgical cohort. Methods: This retrospective single-centre cohort study comprised 68 children who had corrective heart surgery at Skåne University Children's Hospital, Lund, Sweden, from February 2010 to March 2017. Results: The children (51% female) underwent surgery at a mean weight of 7.0 kilograms (range 2.7-14.1 kg) and a mean age 11 months (range 0-43 months). All the BSA formulas showed good correlation with mean BSA, but there were considerable variations between them. Mosteller's formula was exactly the same as the mean BSA (bias 0.000). The Du Bois and Boyd formulas had the largest mean BSA deviations (bias −0.012 and 0.015). Costeff's formula showed good agreement with mean BSA, Haycock's formula showed minimal overestimation and Meban's formula demonstrated a systemic error in older children. Conclusion: Commonly used BSA formulas did not agree in young children undergoing heart surgery, but they were all close to the overall mean of the six formulas, with the Mosteller formula producing the same value.

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author
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publishing date
type
Contribution to journal
publication status
published
subject
keywords
body surface area estimation, clinical treatment, empirical formulas, heart surgery, young children
in
Acta Paediatrica, International Journal of Paediatrics
volume
109
issue
9
pages
1838 - 1846
publisher
Wiley-Blackwell
external identifiers
  • pmid:32010999
  • scopus:85079711026
ISSN
0803-5253
DOI
10.1111/apa.15208
language
English
LU publication?
no
id
23526b85-9d04-4a84-801c-c935b6765d03
date added to LUP
2020-03-04 14:51:07
date last changed
2024-06-12 09:54:30
@article{23526b85-9d04-4a84-801c-c935b6765d03,
  abstract     = {{<p>Aim: Formulas for empirical body surface area (BSA), which is used to estimate body size and standardise physiological parameters, may disagree in children. We compared six commonly used BSA formulas—Du Bois, Boyd, Costeff, Haycock, Meban and Mosteller—in a surgical cohort. Methods: This retrospective single-centre cohort study comprised 68 children who had corrective heart surgery at Skåne University Children's Hospital, Lund, Sweden, from February 2010 to March 2017. Results: The children (51% female) underwent surgery at a mean weight of 7.0 kilograms (range 2.7-14.1 kg) and a mean age 11 months (range 0-43 months). All the BSA formulas showed good correlation with mean BSA, but there were considerable variations between them. Mosteller's formula was exactly the same as the mean BSA (bias 0.000). The Du Bois and Boyd formulas had the largest mean BSA deviations (bias −0.012 and 0.015). Costeff's formula showed good agreement with mean BSA, Haycock's formula showed minimal overestimation and Meban's formula demonstrated a systemic error in older children. Conclusion: Commonly used BSA formulas did not agree in young children undergoing heart surgery, but they were all close to the overall mean of the six formulas, with the Mosteller formula producing the same value.</p>}},
  author       = {{Sigurdsson, Theodor Skuli and Lindberg, Lars}},
  issn         = {{0803-5253}},
  keywords     = {{body surface area estimation; clinical treatment; empirical formulas; heart surgery; young children}},
  language     = {{eng}},
  month        = {{02}},
  number       = {{9}},
  pages        = {{1838--1846}},
  publisher    = {{Wiley-Blackwell}},
  series       = {{Acta Paediatrica, International Journal of Paediatrics}},
  title        = {{Six commonly used empirical body surface area formulas disagreed in young children undergoing corrective heart surgery}},
  url          = {{http://dx.doi.org/10.1111/apa.15208}},
  doi          = {{10.1111/apa.15208}},
  volume       = {{109}},
  year         = {{2020}},
}