Evidence map›Paper›PMID 35854215›Full record

ReviewBMC anesthesiology2022

Bedside gastrointestinal ultrasound combined with acute gastrointestinal injury score to guide enteral nutrition therapy in critically patients.

Jiawei Lai, Shuhong Chen, Linli Chen, Daofeng Huang, Jinzhan Lin, Qingjiang Zheng

Open access · goldAbstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in BMC anesthesiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 27% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Article
  5. Review
  6. Article
  7. Article
  8. Observational
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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

6 authors at 2 institutions in 1 country.

Jiawei LaiDepartment of Critical Care Medicine, Zhangzhou Affiliated Hospital of Fujian Medical University, No 59, Shengli West Road, Zhangzhou, 363000, Fujian, China.
Shuhong ChenDepartment of Critical Care Medicine, Zhangzhou Affiliated Hospital of Fujian Medical University, No 59, Shengli West Road, Zhangzhou, 363000, Fujian, China.
Linli ChenDepartment of Critical Care Medicine, Zhangzhou Affiliated Hospital of Fujian Medical University, No 59, Shengli West Road, Zhangzhou, 363000, Fujian, China.
Daofeng HuangDepartment of Critical Care Medicine, Zhangzhou Affiliated Hospital of Fujian Medical University, No 59, Shengli West Road, Zhangzhou, 363000, Fujian, China.
Jinzhan LinDepartment of Critical Care Medicine, Zhangzhou Affiliated Hospital of Fujian Medical University, No 59, Shengli West Road, Zhangzhou, 363000, Fujian, China.
Qingjiang ZhengDepartment of Critical Care Medicine, Zhangzhou Affiliated Hospital of Fujian Medical University, No 59, Shengli West Road, Zhangzhou, 363000, Fujian, China. qingjiang233@126.com.
Fujian Medical University · CNZhangzhou Municipal Hospital of Fujian Province · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo use gastric ultrasound to evaluate function and to determine the start time of enteral nutrition (EN) in patients with acute gastrointestinal injury (AGI).

methodsWe reviewed records from 105 patients who suffered AGI levels two (AGI II). We recorded several data points, including ultrasonographic transverse area of gastric antrum (CSA), left descending colonic or right ascending colonic diameter (Diam), peristatic frequency (Peri), EN start time, EN dose, prealbumin (PA), and EN complications. The recovery of intestinal function after EN treatment was judged as success. If there was EN treatment complication, this was judged as failure. We analyzed the changes in gastrointestinal function after EN treatment, to determine feeding time.

resultsThere were 69 patients in the successful group, and 36 in the failure group. There were no significant differences between the two groups in age, intra abdominal pressure (IAP), APACHE II, PA and disease composition (p > 0.05).There were significant differences in terms of EN startup time, CSA, Diam, Peri, and PA, between the EN success and failure groups. We found IAP does not reflect gastrointestinal function;CSA ≤ 9cm2, Diam ≤ 2.9 cm, Peri > 3 bpm, indicated that the three indexes could reflect the recovery of gastrointestinal function. Receiver operating curve analysis showed that combined CSA, Diam, Peri evaluation determined the best time to start EN.

conclusionsMonitoring gastric antrum transversal area, colonic diameter, colonic peristatic frequency using ultrasound can guide the timing of initiation of enteral nutrition treatment.

Indexed as

Enteral NutritionIntensive Care UnitsAPACHECritical IllnessHumansUltrasonographyColon ultrasonicDistal gastric ultrasoundEnteral nutrition therapy

Identifiers

PMID35854215
PMCPMC9295482
OpenAlexW4285797334

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.