Evidence map›Paper›PMID 38335146›Full record

ArticleThe British journal of radiology2024

Mal-positioned nasogastric feeding tubes: are medical students safe to identify them?

Cindy Chew, Patrick J O'Dwyer, David Young, Carina Banziger, Sarah Hope, Sana Rodolfo, Anu E Obaro

Open access · hybridAbstract read
In one paragraph

Article in The British journal of radiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.1field-weighted citation impact, top 24% 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

3 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. Article
  3. 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

7 authors at 4 institutions in 1 country.

Cindy ChewUndergraduate School of Medicine, University of Glasgow, Glasgow, G12 8QQ, United Kingdom.ORCID 0000-0001-7121-3618
Patrick J O'DwyerUndergraduate School of Medicine, University of Glasgow, Glasgow, G12 8QQ, United Kingdom.
David YoungDepartment of Mathematics and Statistics, University of Strathclyde, Glasgow, G1 1XQ, United Kingdom.
Carina BanzigerDepartment of Radiology, University Hospital Hairmyres, NHS Lanarkshire, East Kilbride, G75 8RG, United Kingdom.
Sarah HopeOmelea Ltd, London, United Kingdom.
Sana RodolfoOmelea Ltd, London, United Kingdom.
Anu E ObaroOmelea Ltd, London, United Kingdom.
NHS Lanarkshire · GBSt Mark's Hospital · GBUniversity of Glasgow · GBUniversity of Strathclyde · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesNasogastric tube (NGT) placement is listed against Clinical Imaging in the upcoming Medical Licensing Assessment-compulsory for every graduating UK medical student from 2025. This study aims to establish the ability of medical students to correctly identify the position of an NGT on Chest X-ray (CXR) and to evaluate a learning tool to improve student outcome in this area.

methodsFourth-year (MB4) and fifth-year (MB5) medical students were invited to view 20 CXRs with 14 correctly sited and 6 mal-positioned NGT. MB5 students (Intervention) were exposed to an online interactive learning tool, with MB4 students kept as control. One week later, both groups of students were invited to view 20 more CXRs for NGT placement.

resultsOnly 12 (4.8%) of 249 MB5 students and 5 (3.1%) of 161 MB4 students correctly identified all the NGTs on CXRs. The number of students misidentifying 1 or more mal-positioned NGT as "safe to feed" was 129 (51.8%) for MB5 and 76 (47.2%) for MB4 students. This improved significantly (P < .001) following exposure to the learning tool with 58% scoring all CXRs correctly, while 28% scored 1 or more mal-positioned NGT incorrectly. Students struggled to determine if the NGT tip had adequately passed into the stomach. However, they failed to identify an NG tube in the lung ("never event") in just one out of 1,108 opportunities.

conclusionMedical students' ability to determine if the NGT was in the stomach remains suboptimal despite exposure to over 60 CXRs. Feeding NGT should be formally reported before use. ADVANCES IN KNOWLEDGE: This is the first attempt at quantifying graduating medical students', and by inference junior doctors', competence in safely identifying misplaced nasogastric feeding tubes. An online, experiential learning resource significantly improved their ability.

Indexed as

Students, MedicalEnteral NutritionHumansIntubation, GastrointestinalMedical ErrorsRadiographymedical studentsnasogastric tubesafety

Identifiers

PMID38335146
PMCPMC11027244
OpenAlexW4390849417

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.