Predicting the insertion distance for placing gastric tubes

Marsha L. Cirgin Ellett, Jan Beckstrand, Joyce Flueckiger, Susan M. Perkins, Cynthia S. Johnson

Research output: Contribution to journalArticle

16 Citations (Scopus)

Abstract

Approximately 1 million enteral tubes are placed through the nose or mouth in adults and children in the United States annually. Previous studies found gastric tube placement errors to be common. A primary issue in ensuring safe and effective gastric feeding by tube is achieving optimal tube position on insertion. The purpose of this study is to use 24 variables to develop a clinical prediction rule for gastric tube insertion distance in adults, using the internal-nares-to-distallower-esophageal-sphincter distance. A three-variable model using gender, weight, and nose-umbilicus-flat was selected. This new model, validated using nonparametric bootstrap cross-validation, correctly predicted gastric tube insertion distance 85.3% of the time. This new model is compared to two other methods, one evidence based and one commonly used in practice, and was found to be superior. Two nomograms, one for each gender, are drawn to make this new model easier to use.

Original languageEnglish (US)
Pages (from-to)11-27
Number of pages17
JournalClinical Nursing Research
Volume14
Issue number1
DOIs
StatePublished - Feb 1 2005

Fingerprint

Stomach
Nose
Umbilicus
Nomograms
Decision Support Techniques
Enteral Nutrition
Small Intestine
Mouth
Weights and Measures

Keywords

  • Enteral nutrition
  • Feeding tube
  • Gastric tube placement
  • Nasogastric tube

ASJC Scopus subject areas

  • Nursing(all)

Cite this

Cirgin Ellett, M. L., Beckstrand, J., Flueckiger, J., Perkins, S. M., & Johnson, C. S. (2005). Predicting the insertion distance for placing gastric tubes. Clinical Nursing Research, 14(1), 11-27. https://doi.org/10.1177/1054773804270919

Predicting the insertion distance for placing gastric tubes. / Cirgin Ellett, Marsha L.; Beckstrand, Jan; Flueckiger, Joyce; Perkins, Susan M.; Johnson, Cynthia S.

In: Clinical Nursing Research, Vol. 14, No. 1, 01.02.2005, p. 11-27.

Research output: Contribution to journalArticle

Cirgin Ellett, ML, Beckstrand, J, Flueckiger, J, Perkins, SM & Johnson, CS 2005, 'Predicting the insertion distance for placing gastric tubes', Clinical Nursing Research, vol. 14, no. 1, pp. 11-27. https://doi.org/10.1177/1054773804270919
Cirgin Ellett, Marsha L. ; Beckstrand, Jan ; Flueckiger, Joyce ; Perkins, Susan M. ; Johnson, Cynthia S. / Predicting the insertion distance for placing gastric tubes. In: Clinical Nursing Research. 2005 ; Vol. 14, No. 1. pp. 11-27.
@article{fae15f822c9844f2940c5bac45114469,
title = "Predicting the insertion distance for placing gastric tubes",
abstract = "Approximately 1 million enteral tubes are placed through the nose or mouth in adults and children in the United States annually. Previous studies found gastric tube placement errors to be common. A primary issue in ensuring safe and effective gastric feeding by tube is achieving optimal tube position on insertion. The purpose of this study is to use 24 variables to develop a clinical prediction rule for gastric tube insertion distance in adults, using the internal-nares-to-distallower-esophageal-sphincter distance. A three-variable model using gender, weight, and nose-umbilicus-flat was selected. This new model, validated using nonparametric bootstrap cross-validation, correctly predicted gastric tube insertion distance 85.3{\%} of the time. This new model is compared to two other methods, one evidence based and one commonly used in practice, and was found to be superior. Two nomograms, one for each gender, are drawn to make this new model easier to use.",
keywords = "Enteral nutrition, Feeding tube, Gastric tube placement, Nasogastric tube",
author = "{Cirgin Ellett}, {Marsha L.} and Jan Beckstrand and Joyce Flueckiger and Perkins, {Susan M.} and Johnson, {Cynthia S.}",
year = "2005",
month = "2",
day = "1",
doi = "10.1177/1054773804270919",
language = "English (US)",
volume = "14",
pages = "11--27",
journal = "Clinical Nursing Research",
issn = "1054-7738",
publisher = "SAGE Publications Inc.",
number = "1",

}

TY - JOUR

T1 - Predicting the insertion distance for placing gastric tubes

AU - Cirgin Ellett, Marsha L.

AU - Beckstrand, Jan

AU - Flueckiger, Joyce

AU - Perkins, Susan M.

AU - Johnson, Cynthia S.

PY - 2005/2/1

Y1 - 2005/2/1

N2 - Approximately 1 million enteral tubes are placed through the nose or mouth in adults and children in the United States annually. Previous studies found gastric tube placement errors to be common. A primary issue in ensuring safe and effective gastric feeding by tube is achieving optimal tube position on insertion. The purpose of this study is to use 24 variables to develop a clinical prediction rule for gastric tube insertion distance in adults, using the internal-nares-to-distallower-esophageal-sphincter distance. A three-variable model using gender, weight, and nose-umbilicus-flat was selected. This new model, validated using nonparametric bootstrap cross-validation, correctly predicted gastric tube insertion distance 85.3% of the time. This new model is compared to two other methods, one evidence based and one commonly used in practice, and was found to be superior. Two nomograms, one for each gender, are drawn to make this new model easier to use.

AB - Approximately 1 million enteral tubes are placed through the nose or mouth in adults and children in the United States annually. Previous studies found gastric tube placement errors to be common. A primary issue in ensuring safe and effective gastric feeding by tube is achieving optimal tube position on insertion. The purpose of this study is to use 24 variables to develop a clinical prediction rule for gastric tube insertion distance in adults, using the internal-nares-to-distallower-esophageal-sphincter distance. A three-variable model using gender, weight, and nose-umbilicus-flat was selected. This new model, validated using nonparametric bootstrap cross-validation, correctly predicted gastric tube insertion distance 85.3% of the time. This new model is compared to two other methods, one evidence based and one commonly used in practice, and was found to be superior. Two nomograms, one for each gender, are drawn to make this new model easier to use.

KW - Enteral nutrition

KW - Feeding tube

KW - Gastric tube placement

KW - Nasogastric tube

UR - http://www.scopus.com/inward/record.url?scp=13144261715&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=13144261715&partnerID=8YFLogxK

U2 - 10.1177/1054773804270919

DO - 10.1177/1054773804270919

M3 - Article

C2 - 15604226

AN - SCOPUS:13144261715

VL - 14

SP - 11

EP - 27

JO - Clinical Nursing Research

JF - Clinical Nursing Research

SN - 1054-7738

IS - 1

ER -