Evidence map›Paper›PMID 40770366›Full record

Trial reportPediatric emergency care2025

Nurse-Performed Bladder Ultrasound Effect on Pediatric Bladder Catheterization Success.

Carrie Ng, Grace Promer, Brent Troy, Abby Lewis, Ashley Hoyos, Laura Covelo, Olivia Carlson, Naina R Reddy, Calvin Abdallah, Avnee Sarnaik and 4 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Pediatric emergency care, 2025. 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

14 authors.

Carrie NgDepartment of Pediatrics, Emory University School of Medicine.
Grace PromerDepartment of Pediatrics, Emory University School of Medicine.
Brent TroyDepartment of Pediatrics, The University of Texas at Austin Dell Medical School, Austin, TX.
Abby LewisDepartment of Pediatrics, Emory University School of Medicine.
Ashley HoyosDepartment of Pediatric Emergency Medicine, Children's Healthcare of Atlanta, Atlanta, GA.
Laura CoveloDepartment of Pediatric Emergency Medicine, Children's Healthcare of Atlanta, Atlanta, GA.
Olivia CarlsonDepartment of Pediatric Emergency Medicine, Children's Healthcare of Atlanta, Atlanta, GA.
Naina R ReddyDepartment of Pediatric Emergency Medicine, Children's Healthcare of Atlanta, Atlanta, GA.
Calvin AbdallahDepartment of Pediatric Emergency Medicine, Children's Healthcare of Atlanta, Atlanta, GA.
Avnee SarnaikDepartment of Pediatric Emergency Medicine, Children's Healthcare of Atlanta, Atlanta, GA.
Jeffrey LingDepartment of Pediatric Emergency Medicine, Children's Healthcare of Atlanta, Atlanta, GA.
Andrew JergelPediatric Biostatistics Core, Department of Pediatrics, Emory University School of Medicine, Atlanta, GA.
Claudia R MorrisDepartment of Pediatrics, Emory University School of Medicine.
Tal E BerkowitzDepartment of Pediatrics, Emory University School of Medicine.

Funding

Patient-Oriented Research in Arginine Deficiency SyndromesK24AT009893 · NCCIH · EMORY UNIVERSITY · PI Claudia R Morris · 2018 to 2026
$1.5M
NCCIH NIH HHS K24 AT009893
6 · The paper itself

Abstract

BACKGROUND AND

objectivesBladder catheterization (BC) is a routine procedure, but unsuccessful attempts due to inadequate bladder volume are common and stressful for children and caregivers. Physician-performed bladder point-of-care ultrasound (POCUS) improves BC success rates, but the effect of nurse-performed POCUS remains understudied.

methodsWe randomized children under 24 months of age to receive either nurse-performed POCUS before BC or standard blind BC in the pediatric emergency department to compare dry catheterization rates. A simplified POCUS technique using a single bladder measurement was employed to enhance efficiency and feasibility for nursing staff. We also compared caregiver satisfaction and procedural time between groups. Statistical comparisons used the Pearson χ 2 test for categorical variables and the Wilcoxon rank sum test for continuous variables. A P value of <0.05 was considered statistically significant. Univariate logistic regression estimated the odds of outcomes with POCUS versus standard care.

resultsIn the POCUS group, the dry catheterization rate was 5% compared with 17% in the standard group (odds ratio=0.24, 95% CI=[0.09, 0.72]), indicating fewer dry BCs in the POCUS group. Caregivers of children in the POCUS group reported higher satisfaction ( P =0.02). There was no significant difference in the time from BC orders to initial BC attempt between groups.

conclusionsNurse-performed POCUS before BC reduces dry BCs and improves caregiver satisfaction without causing procedural delays. Incorporating nurse-performed POCUS into standard BC workflows may enhance patient care.

Indexed as

Point-of-Care SystemsUrinary BladderUrinary CatheterizationEmergency Service, HospitalFemaleHumansInfantMaleUltrasonographybladder catheterizationpoint-of-care ultrasoundultrasound

Identifiers

PMID40770366
PMCPMC13289839

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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.