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Precision and accuracy of body weight assessment in hospitalized adults

BACKGROUND: Body weight (BW) is widely used to evaluate and manage clinical situations therefore assessment errors can influence the ichosen therapies. OBJECTIVE: To assess the variability in values of BW obtained by using different equipment (weight scales). METHODS: A cross sectional study was performed to assess BW of 360 adult patients in eight units including clinical and surgical specialties Three types of scales were used: a portable domestic model and a fixed platform model, both from the units and a portable digital model previously calibrated and used as standard reference equipment. Self-reported weight (SRW) was also compared to weight assessed with the reference equipment. The values were compared trough paired-samples t-test using SPSS software. RESULTS: The difference between weights assessed by the reference equipment and SRW was 445±3.359g (P=0.015), it was -182±2.323g (P=0.140) for portable domestic scales and 137±2.412g (P=0.218) for platform fixed scales. Values obtained from SRW, portable domestic scales and fixed platform scales were strongly correlated to the mean value of weight assessed by the reference equipment (r=0.973, r=0.987 and r=0.986, respectively). Nevertheless, considering analyses of each patient, errors of magnitude greater than 500g occurred in 78.8% of SRW, 80.6% of the portable domestic scales and 40% of the fixed platform scales. CONCLUSION: In general, the scales tested were neither accurate nor precise for measuring BW, considering the percentage of error in the evaluation of each patient and the variability observed.

Body weight; Body weight and measures; Anthropometry; Assessment procedures; Equipment for body weight assessment; Standards


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