Lyman Beth, Kemper Carol, Northington LaDonna, Yaworski Jane Anne, Wilder Kerry, Moore Candice, Duesing Lori A, Irving Sharon
Children's Mercy Hospital, Kansas City, Missouri
Children's Mercy Hospital, Kansas City, Missouri.
JPEN J Parenter Enteral Nutr. 2016 May;40(4):574-80. doi: 10.1177/0148607114567712. Epub 2015 Jan 7.
Temporary enteral access devices (EADs), such as nasogastric (NG), orogastric (OG), and postpyloric (PP), are used in pediatric and neonatal patients to administer nutrition, fluids, and medications. While the use of these temporary EADs is common in pediatric care, it is not known how often these devices are used, what inpatient locations have the highest usage, what size tube is used for a given weight or age of patient, and how placement is verified per hospital policy.
This was a multicenter 1-day prevalence study. Participating hospitals counted the number of NG, OG, and PP tubes present in their pediatric and neonatal inpatient population. Additional data collected included age, weight and location of the patient, type of hospital, census for that day, and the method(s) used to verify initial tube placement.
Of the 63 participating hospitals, there was an overall prevalence of 1991 temporary EADs in a total pediatric and neonatal inpatient census of 8333 children (24% prevalence). There were 1316 NG (66%), 414 were OG (21%), and 261 PP (17%) EADs. The neonatal intensive care unit (NICU) had the highest prevalence (61%), followed by a medical/surgical unit (21%) and pediatric intensive care unit (18%). Verification of EAD placement was reported to be aspiration from the tube (n = 21), auscultation (n = 18), measurement (n = 8), pH (n = 10), and X-ray (n = 6).
The use of temporary EADs is common in pediatric care. There is wide variation in how placement of these tubes is verified.
临时肠内通路装置（EAD），如鼻胃管（NG）、口胃管（OG）和幽门后管（PP），用于儿科和新生儿患者，以给予营养、液体和药物。虽然这些临时EAD在儿科护理中使用普遍，但尚不清楚这些装置的使用频率、住院患者中使用量最高的科室、针对特定体重或年龄的患者使用的管的尺寸，以及根据医院政策如何确认放置情况。
这是一项多中心1天患病率研究。参与研究的医院统计其儿科和新生儿住院患者中存在的NG、OG和PP管的数量。收集的其他数据包括患者的年龄、体重和位置、医院类型、当日的普查人数，以及用于确认初始管放置的方法。
在63家参与研究的医院中，8333名儿科和新生儿住院患者的普查中，临时EAD的总体患病率为1991例（患病率为24%）。有1316根NG管（66%）、414根OG管（21%）和261根PP管（17%）。新生儿重症监护病房（NICU）的患病率最高（61%），其次是内科/外科病房（21%）和儿科重症监护病房（18%）。据报告，EAD放置的确认方法有从管内抽吸（n = 21）、听诊（n = 18）、测量（n = 8）、pH值检测（n = 10）和X线检查（n = 6）。
临时EAD在儿科护理中使用普遍。这些管放置的确认方法差异很大。
