Evidence map›Paper›PMID 31001901›Full record

ArticleJournal of veterinary internal medicine2019

Esophageal feeding tube placement and the associated complications in 248 cats.

Craig R Breheny, Alisdair Boag, Alice Le Gal, Sven-Erik Hõim, Matteo Cantatore, Davina Anderson, Tim Nuttall, Marjoie L Chandler, Danièlle A Gunn-Moore

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in Journal of veterinary internal medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 11% of its field
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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Inadvertent placement of an esophagostomy tube into the mediastinum of a cat.The Canadian veterinary journal = La revue veterinaire canadienne · 2022
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  4. Article
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  8. Transoral approach for mandibular and sublingual sialoadenectomy in a cat.The Canadian veterinary journal = La revue veterinaire canadienne · 2021
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 2 countries.

Craig R BrehenyDepartment of Internal Medicine, Royal (Dick) School of Veterinary Studies, Ringgold Standard Institution-Internal Medicine, University of Edinburgh, Easter Bush, United Kingdom.ORCID https://orcid.org/0000-0002-6933-723X
Alisdair BoagDepartment of Internal Medicine, Royal (Dick) School of Veterinary Studies, Ringgold Standard Institution-Internal Medicine, University of Edinburgh, Easter Bush, United Kingdom.
Alice Le GalDepartment of Internal Medicine, Royal (Dick) School of Veterinary Studies, Ringgold Standard Institution-Internal Medicine, University of Edinburgh, Easter Bush, United Kingdom.
Sven-Erik HõimSurgery Department, Anderson Moores, Winchester, United Kingdom.
Matteo CantatoreSurgery Department, Anderson Moores, Winchester, United Kingdom.
Davina AndersonSurgery Department, Anderson Moores, Winchester, United Kingdom.
Tim NuttallDepartment of Dermatology, Royal (Dick) School of Veterinary Studies, Ringgold Standard Institution-Internal Medicine, University of Edinburgh, Easter Bush, United Kingdom.
Marjoie L ChandlerNutrition Department, Vets Now-Nutrition, 11 Mavisbank Place, Lasswade, United Kingdom.
Danièlle A Gunn-MooreDepartment of Internal Medicine, Royal (Dick) School of Veterinary Studies, Ringgold Standard Institution-Internal Medicine, University of Edinburgh, Easter Bush, United Kingdom.
University of Edinburgh · GBAnderson University - Indiana · USNutrition 21 (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEsophageal feeding tubes are commonly used to provide enteral nutrition to cats, but their use is associated with adverse effects.

objectivesTo evaluate the complications associated with e-tube placement in cats and to identify factors predisposing to these complications. ANIMALS: Cats that had an esophageal feeding tube placed (n = 248).

methodsThis was a retrospective case review in which clinical records were interrogated across 2 referral centers to identify records of cats that had esophageal tubes placed. Clinical data were collected for signalment, clinical indication, method of placement, time of removal, and any complications. Logistic regression was then employed to assess the odds of an increase in complications, including infection and death.

resultsFor those cats that survived to discharge, tubes were in place for a median of 11 days, ranging from 1 to 93 days. Complications occurred in 35.8% of the cats, with the most common being tube dislodgement (14.5%), followed by stoma site infections (12.1%). Cats receiving glucocorticoids or oncolytic agents (OR = 3.91; 95% CI, 1.14-13.44) and with discharge at the stoma site (OR = 159.8; CI, 18.9-1351) were at an increased odds of developing a stoma site infection, whereas those with a lower weight (OR = 1.33; 95% CI, 1.02-1.75) or (pancreatic [OR = 4.33; 95% CI, 1.02-18.47], neoplastic [OR = 15.44; 95% CI, 3.67-65.07], respiratory [OR = 19.66; 95% CI, 2.81-137.48], urogenital [OR = 5.78; 95% CI, 1.15-28.99], and infectious diseases [OR = 11.57; 95% CI, 2.27-58.94]) had an increased odds of death. The duration of time in place and the cat being discharged with the tube in place were not associated with an increased risk of infection or death. CONCLUSIONS AND CLINICAL IMPORTANCE: Owners should be made aware of the potential risks involved and their predisposing factors.

Indexed as

AnimalsBody WeightCat DiseasesCatsEnteral NutritionEsophagostomyFemaleMalePostoperative ComplicationsRetrospective StudiesesophagostomyE-tubeO-tube

Identifiers

PMID31001901
PMCPMC6524112
OpenAlexW2938809136

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.