Evidence map›Paper›PMID 37823827›Full record

ArticleFlorence Nightingale journal of nursing2023

Agreement Between Epigastric Auscultation and pH Measurement in the Confirmation of Nasoenteral Tube Placement.

Joana Márcia Martins Duarte, Ariane Ranzani Rigotti, Mayara Carvalho Godinho Rigobello, Rosana Aparecida Pereira, Fernanda Raphael Escobar Gimenes

Open access · diamondAbstract read
In one paragraph

Article in Florence Nightingale journal of nursing, 2023. 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
0.6field-weighted citation impact, top 29% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  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

5 authors at 1 institution in 1 country.

Joana Márcia Martins DuarteUniversity of São Paulo at Ribeirão Preto College of Nursing, WHO Collaborating Centre for Nursing Research Development, SP, Brazil.
Ariane Ranzani RigottiUniversity of São Paulo at Ribeirão Preto College of Nursing, WHO Collaborating Centre for Nursing Research Development, SP, Brazil.
Mayara Carvalho Godinho RigobelloUniversity of São Paulo at Ribeirão Preto College of Nursing, WHO Collaborating Centre for Nursing Research Development, SP, Brazil.
Rosana Aparecida PereiraUniversity of São Paulo at Ribeirão Preto College of Nursing, WHO Collaborating Centre for Nursing Research Development, SP, Brazil.
Fernanda Raphael Escobar GimenesUniversity of São Paulo at Ribeirão Preto College of Nursing, WHO Collaborating Centre for Nursing Research Development, SP, Brazil.
Universidade de Ribeirão Preto · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimThis study aimed to evaluate the agreement between epigastric auscultation and pH measurement in the confirmation of nasoenteral tube placement.

methodA cross-sectional study carried out in a medium-sized private hospital in the interior of the state of São Paulo. Forty-nine patients who were submitted to ninety insertion procedures and confirmation of tube placement. aimed at evaluating the agreement of clinical methods used by nurses to confirm the positioning of a nasoenteral tube inserted blindly at the bedside, by measuring the parameters of sensitivity, specificity, positive predictive value, and negative predictive value.

resultsThe epigastric auscultation was the method that presented the highest sensitivity (100.0%), but lower specificity (2.0%). The measurement of the pH presented lower sensitivity (63.0%) than the auscultation, however, higher specificity (58%). Moreover, the positive predictive value of the pH measurement was 55% and the negative predictive value was 66%. There was no agreement between the epigastric auscultation and the pH measurement with the radiography.

conclusionThe pH measurement did not allow for distinguishing between gastric and enteric positioning, due to the similarity of the esophageal and pulmonary pH with the pH of the intestine. Furthermore, external factors such as the use of medication and reduced fasting time may interfere with the pH value.

Identifiers

PMID37823827
PMCPMC10724715
OpenAlexW4387531968

What OpenQuestion holds

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LicenceCC BY-NC
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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.