An Investigation of Ultrasonography as a Method for Determining Orogastric Tube Placement in Newborns

IF 0.4 4区医学 Q4 PEDIATRICS

Iranian Journal of Pediatrics Pub Date : 2024-04-07 DOI:10.5812/ijp-143559

Jun Chen, Lijun Liu, Chaomei Huang, Yiheng Dai

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引用次数: 0

Abstract

Objectives: This study seeks to evaluate the precision of ultrasonography in confirming orogastric tube placement among neonates in a Chinese neonatal intensive care unit (NICU). Methods: Radiological assessments initially gauged tube placement, followed by confirmation through ultrasonography. The agreement between the two methods was assessed using Cohen's kappa statistic, while diagnostic performance was analyzed through sensitivity and specificity calculations. Results: Out of 156 orogastric tubes, 85.3% were accurately placed in the stomach according to radiological assessment, with ultrasonography confirming 88.5% of stomach placements. Accuracy rates were 67.3% for radiological evaluation and 60.3% for ultrasonography in determining the accurate position. The agreement assessment demonstrated a sensitivity of 68.6% and a specificity of 46.3%. Conclusions: While ultrasonography shows promise in reliably verifying orogastric tube placement in newborns, it does not entirely substitute current radiological assessments. Further research is essential to discern the optimal clinical utility of ultrasonography.

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将超声波检查作为确定新生儿腹腔插管位置方法的研究

研究目的本研究旨在评估中国新生儿重症监护室（NICU）中超声波检查在确认新生儿口胃管置入时的精确度。方法首先通过放射学评估确定插管位置，然后通过超声波检查进行确认。使用科恩卡帕统计量评估两种方法之间的一致性，并通过灵敏度和特异性计算分析诊断效果。结果在 156 例胃管置入术中，根据放射学评估，85.3% 的胃管准确置入胃部，88.5% 的胃管置入术经超声波检查确认。在确定准确位置方面，放射学评估的准确率为 67.3%，超声波检查的准确率为 60.3%。一致性评估的灵敏度为 68.6%，特异性为 46.3%。结论是虽然超声波检查有望可靠地验证新生儿口胃管的位置，但它并不能完全替代目前的放射学评估。进一步的研究对确定超声波检查的最佳临床用途至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Iranian Journal of Pediatrics 医学-小儿科

CiteScore

0.90

自引率

20.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Iranian Journal of Pediatrics (Iran J Pediatr) is a peer-reviewed medical publication. The purpose of Iran J Pediatr is to increase knowledge, stimulate research in all fields of Pediatrics, and promote better management of pediatric patients. To achieve the goals, the journal publishes basic, biomedical, and clinical investigations on prevalent diseases relevant to pediatrics. The acceptance criteria for all papers are the quality and originality of the research and their significance to our readership. Except where otherwise stated, manuscripts are peer-reviewed by minimum three anonymous reviewers. The Editorial Board reserves the right to refuse any material for publication and advises that authors should retain copies of submitted manuscripts and correspondence as the material cannot be returned. Final acceptance or rejection rests with the Editors.