Stomach position evaluated using computed tomography is related to successful post-pyloric enteral feeding tube placement in critically ill patients: a retrospective observational study
Authors' conclusion
Stomach position evaluated using CT images was associated with successful initial post-pyloric EFT placement. The best cut-off value of the greater curvature of the stomach to predict the success or failure of the first attempt was spinal level L2-L3.
Study context
- Population
- Patients aged ≥ 20 years undergoing blind post-pyloric enteral feeding tube placement in an ICU
- Participants
- 453 patients
- Exposure
- Stomach position on pre-placement computed tomography (CT) vs not
- Outcome
- Successful initial post-pyloric EFT placement
Methodological detailssingle-centre, logistic regression, backward stepwise variable selection (Akaike's Information Criterion)
- Single-centre
- Logistic regression
- Backward stepwise variable selection (Akaike's Information Criterion)
Main finding
As reported in the abstract
Successful initial EFT placement by CT-estimated stomach position
AOR for successful initial EFT placement (95% CI)
Stomach caudal to L1-L2previous-study cut-off
0.61(0.41–1.07)
Stomach caudal to L2-L3best cut-off by ROC; independent factor for failure of initial EFT placement
0.55(0.33–0.91)
- Success rate of initial enteral feeding tubes (EFT) placement, all patients
- 43.5%
Observational data: associations, not effects.
Original publication
Stomach position evaluated using computed tomography is related to successful post-pyloric enteral feeding tube placement in critically ill patients: a retrospective observational study. J Intensive Care. Published 30 May 2023. doi:10.
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