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VOLUME 19 , ISSUE 11 ( 2015 ) > List of Articles


Height measurement in the critically ill patient: A tall order in the critical care unit

Vipin Nirmal, J. Kameshwaran, C. V. Sheela, M. V. Renuka

Keywords : Arm span measurement, critically ill patients, four point measurement, height, height measurement, supine measurement

Citation Information : Nirmal V, Kameshwaran J, Sheela CV, Renuka MV. Height measurement in the critically ill patient: A tall order in the critical care unit. Indian J Crit Care Med 2015; 19 (11):665-668.

DOI: 10.4103/0972-5229.169342

License: CC BY-ND 3.0

Published Online: 01-02-2013

Copyright Statement:  Copyright © 2015; The Author(s).


Height measurement in the critical care unit is necessary for estimating ideal body weight and providing titrated patient care. In this study, we compare three methods of height assessment and evaluate their level of correlation and inter-observer reproducibility. Heights of 100 consecutive patients were assessed independently by two nurses by supine, four point, and arm span methods. Paired sample t-test, one-way analysis of variance, Tukey′s honestly significant difference post-hoc analysis and Bland-Altman plots were performed to assess agreement between measurements. Arm span method showed higher mean height compared to supine and four point methods. Mean heights derived by supine and four point measurements were similar to each other but were significantly different from that of arm span method (P < 0.001). Inter-observer correlation of the measured heights was very good among all three methods. The supine method seems to be easy, accurate, and reproducible in our study.

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  1. Sevransky JE, Levy MM, Marini JJ. Mechanical ventilation in sepsis-induced acute lung injury/acute respiratory distress syndrome: An evidence-based review. Crit Care Med 2004;32 11 Suppl: S548-53.
  2. Bloomfield R, Steel E, MacLennan G, Noble DW. Accuracy of weight and height estimation in an Intensive Care Unit: Implications for clinical practice and research. Crit Care Med 2006;34:2153-7.
  3. McClave SA, Martindale RG, Vanek VW, McCarthy M, Roberts P, Taylor B, et al. Guidelines for the provision and assessment of nutrition support therapy in the adult critically ill patient: Society of Critical Care Medicine (SCCM) and American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.). JPEN J Parenter Enteral Nutr 2009;33:277-316.
  4. Porter KA, Banks PA. Obesity as a predictor of severity in acute pancreatitis. Int J Pancreatol 1991;10:247-52.
  5. Leary TS, Milner QJ, Niblett DJ. The accuracy of the estimation of body weight and height in the intensive care unit. Eur J Anaesthesiol 2000;17:698-703.
  6. Chumlea WC, Guo SS, Steinbaugh ML. Prediction of stature from knee height for black and white adults and children with application to mobility-impaired or handicapped persons. J Am Diet Assoc 1994;94:1385-8, 1391.
  7. Kyle UG, Kossovsky MP, Karsegard VL, Pichard C. Comparison of tools for nutritional assessment and screening at hospital admission: A population study. Clin Nutr 2006;25:409-17.
  8. Hickson M, Frost G. A comparison of three methods for estimating height in the acutely ill elderly population. J Hum Nutr Diet 2003;16:13-20.
  9. Reeves SL, Varakamin C, Henry CJ. The relationship between arm-span measurement and height with special reference to gender and ethnicity. Eur J Clin Nutr 1996;50:398-400.
  10. Mifflin MD, St Jeor ST, Hill LA, Scott BJ, Daugherty SA, Koh YO. A new predictive equation for resting energy expenditure in healthy individuals. Am J Clin Nutr 1990;51:241-7.
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