Predicting the Insertion Distance for Placing Gastric Tubes
| Autor: | Joyce Flueckiger, Susan M. Perkins, Marsha L. Cirgin Ellett, Jan Beckstrand, Cynthia S. Johnson |
|---|---|
| Rok vydání: | 2005 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Manometry 030309 nutrition & dietetics medicine.medical_treatment Dentistry Clinical prediction rule Nose Statistics Nonparametric Midwestern United States 03 medical and health sciences Enteral Nutrition 0302 clinical medicine Predictive Value of Tests Humans Medicine Intubation Tube (container) Intubation Gastrointestinal Feeding tube Nursing Assessment General Nursing Aged Observer Variation Sex Characteristics 0303 health sciences Evidence-Based Medicine Anthropometry Umbilicus business.industry Body Weight Enteral tubes Linear model Middle Aged Nomogram Surgery Nomograms Cross-Sectional Studies Nursing Evaluation Research Linear Models Tube placement Female 030211 gastroenterology & hepatology business |
| Zdroj: | Clinical Nursing Research. 14:11-27 |
| ISSN: | 1552-3799 1054-7738 |
| DOI: | 10.1177/1054773804270919 |
| Popis: | Approximately 1 million enteral tubes are placed through the nose or mouth in adults and children in the United States annually. Previous studies found gastric tube placement errors to be common. A primary issue in ensuring safe and effective gastric feeding by tube is achieving optimal tube position on insertion. The purpose of this study is to use 24 variables to develop a clinical prediction rule for gastric tube insertion distance in adults, using the internal-nares-to-distallower esophageal-sphincter distance. A three-variable model using gender, weight, and nose-umbilicus-flat was selected. This new model, validated using nonparametric bootstrap cross-validation, correctly predicted gastric tube insertion distance 85.3% of the time. This new model is compared to two other methods, one evidence based and one commonly used in practice, and was found to be superior. Two nomograms, one for each gender, are drawn to make this new model easier to use. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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