Evidence map›Paper›PMID 39404922›Full record

ArticleJournal of ultrasound2025

Accuracy and costs of bedside methods for confirming nasoenteral feeding tube position: a diagnostic accuracy study.

Mayara Carvalho Godinho Rigobello, Claire Nierva Herrera, Carlos Alberto Grespan Bonacim, Rosana Aparecida Pereira, Roosevelt Santos Nunes, Jorge Elias Junior, Fernanda Raphael Escobar Gimenes

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In one paragraph

Article in Journal of ultrasound, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Review
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.

Mayara Carvalho Godinho RigobelloHospital das Clínicas da Faculdade de Medicina de Ribeirão Preto, University of São Paulo, Ribeirão Preto, São Paulo, Brazil. mayara.godinho@alumni.usp.br.ORCID http://orcid.org/0000-0002-3633-7225
Claire Nierva HerreraRibeirão Preto College of Nursing, University of São Paulo, Avenida dos Bandeirantes, 3900, Campus Universitário, Bairro Monte Alegre, Ribeirão Preto, São Paulo, Brazil.ORCID http://orcid.org/0000-0003-0290-2166
Carlos Alberto Grespan BonacimSchool of Economics, Business Administration and Accounting at Ribeirao Preto, University of São Paulo, Ribeirão Preto, São Paulo, Brazil.ORCID http://orcid.org/0000-0003-0347-9419
Rosana Aparecida PereiraRibeirão Preto College of Nursing, University of São Paulo, Avenida dos Bandeirantes, 3900, Campus Universitário, Bairro Monte Alegre, Ribeirão Preto, São Paulo, Brazil.ORCID http://orcid.org/0000-0001-9389-3300
Roosevelt Santos NunesRibeirão Preto Medical School, University of São Paulo, Ribeirão Preto, São Paulo, Brazil.ORCID http://orcid.org/0000-0002-3186-4659
Jorge Elias JuniorRibeirão Preto Medical School, University of São Paulo, Ribeirão Preto, São Paulo, Brazil.ORCID http://orcid.org/0000-0002-1158-1045
Fernanda Raphael Escobar GimenesRibeirão Preto College of Nursing, University of São Paulo, Avenida dos Bandeirantes, 3900, Campus Universitário, Bairro Monte Alegre, Ribeirão Preto, São Paulo, Brazil. fregimenes@eerp.usp.br.ORCID http://orcid.org/0000-0002-5174-112X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo analyze the accuracy and costs of bedside methods for confirming the position of a nasoenteral feeding tube newly inserted blindly by nurses.

designDiagnostic accuracy study of three clinical methods (ultrasound, epigastric auscultation, and pH measurement) compared to radiography. The direct costs of each method used to confirm the positioning of the nasoenteral tube were also measured.

methodsSeventy-six adult patients underwent a total of 87 nasoenteral tube insertion procedures in hospital units located within the Northeast region of the State of São Paulo, Brazil. The clinical methods were conducted on all study participants in the specified sequence: ultrasound (as index test), followed by epigastric auscultation and pH measurement (also index tests).

resultsThe outcomes regarding the confirmation of the accurate positioning of the nasoenteral tube are as follows: ultrasonography demonstrated sensitivity and specific of 79.0% and 66.7%, respectively. Epigastric auscultation exhibited a sensitivity of 81.3% and specificity of 83.3%. The pH measurement method displayed sensitivity and specificity of 89.3% and 100% respectively. Additionally, in terms of estimated direct costs, the pH measurement method incurred a higher cost (USD $8.31) compared to the other methods, with a difference of USD $6.68.

conclusionsBased on these results, X-ray examination remains the primary method for confirming the placement of nasoenteral tubes recently inserted blindly at the bedside. However, when considering the costs of the evaluated methods, it is advisable to consider the variations in expenses between non-radiological methods and X-ray examinations.

Indexed as

Enteral NutritionIntubation, GastrointestinalPoint-of-Care SystemsPoint-of-Care TestingAdultAgedAuscultationBrazilFemaleHumansHydrogen-Ion ConcentrationMaleMiddle AgedReproducibility of ResultsSensitivity and SpecificityUltrasonographyCostsEnteral feedingFeeding tube placementGastrointestinal intubationpH measurementUltrasonography

Identifiers

PMID39404922
PMCPMC11947409

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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.