Scholarlink

Background <p> <?tk 4?>The aspiration of gastric residual volume through the gastric tube increases the risk of feed interruption episodes, prolongs the time needed to achieve full enteral feeding and regain birth weight, and may potentially damage the gastric mucous. This study aimed to develop a point-of-care ultrasound-based model to calculate gastric residual volume in preterm infants.</p> Methods <p> <?tk 4?>This observational study enrolled 100 preterm infants who fed by gastric tube. The collected data included general characteristics of the preterm infants, the antral cross-sectional area in the right lateral position within 30&#xa0;min prior to feeding and the gastric residue volume measured through gastric tube. A linear regression analysis was conducted to assess the relationship between the antral cross-sectional area and the aspirated gastric residual volume, with the calculation of the Pearson correlation coefficient. A stepwise linear multiple regression was employed to model the relationship between the suctioned residual volume and the parameters under consideration. Subsequently, we utilized the Bland-Altman plot to assess the agreement between the gastric residual volume measured by aspiration and our model, respectively.</p> Results <p> <?tk 4?>Overall, 89 preterm infants were included in the final analysis. Pearson correlation analysis revealed a significant correlation between the gastric antral cross-sectional area in the right lateral decubitus position and the suctioned volume (<i>P</i> &lt; 0.001; correlation coefficient: 0.905). We developed an ultrasound calculation model as follows: Volume (ml)= -3.74 + 9.08 × Gastric Antral Cross-Sectional Area (measured in the right lateral decubitus position) (cm2). When comparing the ultrasound calculated volume and suctioned volume, the mean was 0.05&#xa0;ml kg-1 and the limit of consistency was − 1.59 to 1.69&#xa0;ml kg-1 between the ultrasound calculated volume and suctioned one.</p> Conclusion <p> <?tk 4?>The use of ultrasound to assess gastric residual volume (GRV) offers a promising alternative to gastric tube suction, potentially reducing associated complications and enhancing enteral nutrition management in preterm infants. Our study represents a pioneering effort in the development of a point-of-care ultrasound-based calculation model for non-invasive GRV assessment in this vulnerable population.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Point-of-care ultrasound estimation of gastric residual volume in preterm infants: development of a calculation model

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年4月17日

查看全文
  • Lulu Cui,
  • Meilin Sun,
  • Cancan Li,
  • Huixia Zhang,
  • Yajuan Lu,
  • Yifan Huang

摘要

Background

The aspiration of gastric residual volume through the gastric tube increases the risk of feed interruption episodes, prolongs the time needed to achieve full enteral feeding and regain birth weight, and may potentially damage the gastric mucous. This study aimed to develop a point-of-care ultrasound-based model to calculate gastric residual volume in preterm infants.

Methods

This observational study enrolled 100 preterm infants who fed by gastric tube. The collected data included general characteristics of the preterm infants, the antral cross-sectional area in the right lateral position within 30 min prior to feeding and the gastric residue volume measured through gastric tube. A linear regression analysis was conducted to assess the relationship between the antral cross-sectional area and the aspirated gastric residual volume, with the calculation of the Pearson correlation coefficient. A stepwise linear multiple regression was employed to model the relationship between the suctioned residual volume and the parameters under consideration. Subsequently, we utilized the Bland-Altman plot to assess the agreement between the gastric residual volume measured by aspiration and our model, respectively.

Results

Overall, 89 preterm infants were included in the final analysis. Pearson correlation analysis revealed a significant correlation between the gastric antral cross-sectional area in the right lateral decubitus position and the suctioned volume (P < 0.001; correlation coefficient: 0.905). We developed an ultrasound calculation model as follows: Volume (ml)= -3.74 + 9.08 × Gastric Antral Cross-Sectional Area (measured in the right lateral decubitus position) (cm2). When comparing the ultrasound calculated volume and suctioned volume, the mean was 0.05 ml kg-1 and the limit of consistency was − 1.59 to 1.69 ml kg-1 between the ultrasound calculated volume and suctioned one.

Conclusion

The use of ultrasound to assess gastric residual volume (GRV) offers a promising alternative to gastric tube suction, potentially reducing associated complications and enhancing enteral nutrition management in preterm infants. Our study represents a pioneering effort in the development of a point-of-care ultrasound-based calculation model for non-invasive GRV assessment in this vulnerable population.