Evidence map›Paper›PMID 24841699›Full record

Observational studyIntensive care medicine2014

Ultrasound assessment of gastric volume in critically ill patients.

S R Hamada, P Garcon, M Ronot, S Kerever, C Paugam-Burtz, J Mantz

Abstract readObservational StudyValidation Study
PubMed Publisher
In one paragraph

Observational study in Intensive care medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. Review
  5. Observational
  6. Review
  7. Gastric Insufflation with High Flow Nasal Oxygen Therapy in Adult Patients Admitted to Intensive Care Unit: An Observational Study.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2024
    Article
  8. Observational
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Serial Ultrasonographic-measurement of Gastric Residual Volume in Critically Ill Patients for Prediction of Gastric Tube Feed Intolerance.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2022
    Article
  15. Article
  16. Can Gastric Volume be Accurately Estimated by Ultrasound?Turkish journal of anaesthesiology and reanimation · 2022
    Article
  17. Observational
  18. Observational
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

S R HamadaCritical Care and Anesthesiology Department, AP-HP, Hôpital Beaujon, 100 boulevard du général Leclerc, 92110, Clichy, France, sophiehamada@hotmail.com.
P Garcon
M Ronot
S Kerever
C Paugam-Burtz
J Mantz

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo assess the feasibility and validity of ultrasonographic measurement of gastric antral cross-sectional area (usCSA) in critically ill patients to predict gastric volume and the use of computed tomography (CT) as a reference to measure gastric volume.

methodThis single-center, prospective, cross-sectional study included 55 critically ill patients who had an abdominal CT scan. usCSA measurements were performed within the hour preceding the CT scan. Gastric volumes were measured on the CT scan using semiautomatic software. The feasibility rate, performing conditions (% "good" and "poor"), internal and external validity of antral usCSA measurements, performed by an ICU physician, were assessed to predict gastric volume.

resultsAntral usCSA measurements were feasible in 95% of cases and were positively correlated with gastric volume measured by the CT scan when performed in "good" conditions (65%) (r = 0.43). There was good reproducibility of measurements (intraclass correlation coefficient of 0.97, CI 95% 0.96-0.99) and there was clinically acceptable agreement between measurements performed by radiologists and intensivists (bias -0.12 cm(2)). The receiver operating characteristic curve identified a cutoff value of 3.6 cm(2) that discriminated an "at-risk stomach" (volume >0.8 mL/kg) at a sensitivity of 76% and a specificity of 78%.

conclusionsUltrasonographic measurement of antral CSA is feasible and reliable in the majority of critically ill patients. This technique could be useful to manage critically ill patients at risk of aspiration or with enteral feeding.

Indexed as

Critical IllnessAdultCross-Sectional StudiesFeasibility StudiesFemaleGastric EmptyingHumansLogistic ModelsMaleMiddle AgedMultidetector Computed TomographyPredictive Value of TestsProspective StudiesPyloric AntrumReproducibility of ResultsSensitivity and Specificity

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.