Evidence map›Paper›PMID 36138323›Full record

ArticlePediatric surgery international2022

The efficacy of the postnatal nasogastric tube position as a prognostic marker of left-sided isolated congenital diaphragmatic hernia.

Jun Kono, Kouji Nagata, Keita Terui, Shoichiro Amari, Katsuaki Toyoshima, Noboru Inamura, Yuhki Koike, Masaya Yamoto, Tadaharu Okazaki, Yuta Yazaki and 7 more

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Pediatric surgery international, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. Article
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

17 authors.

Jun KonoDepartment of Pediatric Surgery, Faculty of Medical Sciences, Kyushu University, Fukuoka, Japan.
Kouji NagataDepartment of Pediatric Surgery, Faculty of Medical Sciences, Kyushu University, Fukuoka, Japan. nagata.koji.318@m.kyushu-u.ac.jp.
Keita TeruiDepartment of Pediatric Surgery, Chiba University Graduate School of Medicine, Chiba, Japan.
Shoichiro AmariDivision of Neonatology, National Center for Child Health and Development, Setagaya-Ku, Japan.
Katsuaki ToyoshimaDepartment of Neonatology, Kanagawa Children's Medical Center, Yokohama, Japan.
Noboru InamuraDepartment of Pediatrics, Kinki University, Higashiosaka, Japan.
Yuhki KoikeDepartment of Gastrointestinal and Pediatric Surgery, Mie University Graduate School of Medicine, Tsu, Japan.
Masaya YamotoDepartment of Pediatric Surgery, Shizuoka Children's Hospital, Shizuoka, Japan.
Tadaharu OkazakiDepartment of Pediatric Surgery, Juntendo University Urayasu Hospital, Chiba, Japan.
Yuta YazakiDepartment of Pediatric General and Urogenital Surgery, Juntendo University School of Medicine, Bunkyo-ku, Japan.
Hiroomi OkuyamaDepartment of Pediatric Surgery, Osaka University Graduate School of Medicine, Osaka, Japan.
Masahiro HayakawaCenter for Maternal-Neonatal Care, Nagoya University Hospital, Nagoya, Japan.
Taizo FurukawaDepartment of Pediatric Surgery, Kyoto Prefectural University of Medicine, Kyoto, Japan.
Kouji MasumotoDepartment of Pediatric Surgery, Faculty of Medicine, University of Tsukuba, Tsukuba, Japan.
Akiko YokoiDepartment of Pediatric Surgery, Hyogo Children's Hospital, Hyogo, Japan.
Noriaki UsuiDepartment of Pediatric Surgery, Osaka Women's and Children's Hospital, Izumi, Japan.
Tatsuro TajiriDepartment of Pediatric Surgery, Faculty of Medical Sciences, Kyushu University, Fukuoka, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe prenatal diagnosis of the stomach position in congenital diaphragmatic hernia (CDH) has been a reliable prognostic factor, but few studies have focused on the postnatal position. We therefore evaluated the significance of the nasogastric (NG) tube position just after birth.

methodsThe Japanese CDH Study Group database enrolled 1037 CDH neonates over 15 years. In our multicenter retrospective study, 464 cases of left-sided isolated CDH with prenatal diagnoses were divided into two groups: NG tube below the diaphragm (BD; n = 190) or above the diaphragm (AD; n = 274). The primary outcome was the 90-day survival rate, and the secondary outcomes were mechanical ventilation duration, hospitalization duration, and recurrence rate.

resultsThe BD group had a significantly higher 90-day survival rate (98.4 vs. 89.4%, p < 0.001), shorter mechanical ventilation (11 vs. 19 days, p < 0.001), shorter hospitalization (38 vs. 59 days, p < 0.001), and lower recurrence rate (p = 0.002) than the AD group. A multivariate analysis showed that BD (adjusted odds ratio, 3.68; 95% confidence interval 1.02-13.30) was a favorable prognostic factor for the 90-day survival.

conclusionThe assessment of the NG tube position revealed it to be a reliable prognostic factor of left-sided isolated CDH. Therefore, it should be included as a routine assessment.

Indexed as

Hernias, Diaphragmatic, CongenitalFemaleGestational AgeHumansInfant, NewbornIntubation, GastrointestinalPregnancyPrenatal DiagnosisPrognosisRetrospective StudiesUltrasonography, PrenatalCongenital diaphragmatic herniaMortalityNasogastric tubePostnatal prognostic factorStomach position

Identifiers

PMID36138323

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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.