Model to estimate abdominal wall thickness in children undergoing placement or replacement of gastrostomy devices

Choi, Young Mee; Campbell, Kristen; Hayes, Kari; Jacobson, Rebecca; Kobak, Gregory E.; Moulton, Steven L.

doi:10.1016/j.jpedsurg.2018.08.052

Cited by 2 publications

(3 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In the present study, we excluded patients over 25 kg to prevent inaccurate measurements of NIRS probes and we measured abdominal wall thickness by abdominal computed tomography in patients older than 6 years of age. In children, ultrasonography is used to measure abdominal wall thickness in various conditions [19][20][21]. We could also measure the abdominal wall thickness of our patients using ultrasonography.…”

Section: Resultsmentioning

confidence: 99%

Somatic regional oxygen saturation as an early marker of intra-abdominal hypertension in critically ill children: a pilot study

Horoz¹,

Aslan²,

Yıldızdaş³

et al. 2020

Turk J Med Sci

View full text Add to dashboard Cite

Intraabdominal hypertension is a common clinical condition with high mortality and morbidity in pediatric intensive care units. The aim of this study was to test the feasibility of regional tissue oxygenation (rSO 2) measurement using nearinfrared spectroscopy and to assess the correlation between rSO 2 and perfusion markers of intraabdominal hypertension in high-risk pediatric patients. Materials and methods: In this prospective observational cohort study in a tertiary pediatric intensive care unit in Çukurova University Faculty of Medicine, a total of 31 patients who were admitted between May 2017 and May 2018 with a risk of intraabdominal hypertension were included. Mesenteric and renal rSO 2 measurements were taken and correlations with other tissue perfusion markers including mean arterial pressure, pH, lactate, intraabdominal pressure, abdominal perfusion pressure, mixed venous oxygen saturation, vasoactive inotropic score were assessed. Intraabdominal pressure was measured as ≥10 mmHg in 15 patients (48.3%) and these patients were defined as the group with intraabdominal hypertension. Results: In the group with intraabdominal hypertension, mixed venous oxygen saturation was lower (P = 0.024), vasoactive inotropic score was higher (P = 0.024) and the mean abdominal perfusion pressure value was lower (P = 0.014). In the ROC analysis, the mesenteric rSO 2 measurement was the best parameter to predict intraabdominal hypertension with area under the curve of 0.812 (P = 0.003) 95% CI [0.652-0.973]. Conclusion: Monitoring of mesenteric rSO 2 is feasible in patients at risk for intraabdominal hypertension. Moreover, both mesenteric regional oxygen and perfusion markers may be used to identify pediatric patients at risk for intraabdominal hypertension.

show abstract

Section: Resultsmentioning

confidence: 99%

Somatic regional oxygen saturation as an early marker of intra-abdominal hypertension in critically ill children: a pilot study

Horoz¹,

Aslan²,

Yıldızdaş³

et al. 2020

Turk J Med Sci

View full text Add to dashboard Cite

show abstract

“…Regarding the AWT measurement method, in this study, the shaft length of the PEG tube, which is an approximation of AWT measured during PEG using a needle with a scale, was used for analysis. AWT measurement methods using CT and ultrasonography have also been reported [11,16]. Since AWT is a parameter that changes to reflect nutritional status [11], the shaft length of the PEG tube also changes according to these changes in AWT [16].…”

Section: Discussionmentioning

confidence: 99%

“…AWT measurement methods using CT and ultrasonography have also been reported [11,16]. Since AWT is a parameter that changes to reflect nutritional status [11], the shaft length of the PEG tube also changes according to these changes in AWT [16]. Therefore, checking the shaft length of the PEG tube may be useful as one of the subsequent follow-ups on nutritional status of patients with PEG.…”

Section: Discussionmentioning

confidence: 99%

Nutritional and prognostic significance of abdominal wall thickness measured during percutaneous endoscopic gastrostomy in older individuals with dysphagia

Masaki

Kimura

2021

Clinical Nutrition ESPEN

View full text Add to dashboard Cite

Background & aims: The significance of abdominal wall thickness (AWT) for nutritional assessment remains unclear. This study aimed to evaluate the nutritional and prognostic significance of AWT measured during percutaneous endoscopic gastrostomy (PEG) in older patients with dysphagia. Methods: This single-center retrospective cohort study enrolled older adults with dysphagia who underwent PEG for enteral nutrition using the introducer technique between February 2010 and January 2019. We examined the association between AWT measured during PEG and nutritional status items, including body mass index (BMI), serum albumin (Alb), total lymphocyte count (TLC), total cholesterol (TC), hemoglobin (Hb), and C-reactive protein (CRP). The shaft length of the PEG tube inserted, which is an approximation value of the AWT, was used for statistical analysis. Patients were divided into three groups: low-AWT group (shaft length 2.5 cm), medium-AWT group (shaft length 3.0e3.5 cm), and high-AWT group (shaft length !4.0 cm). We performed the KruskaleWallis test and multiple linear regression analysis with multiple imputation. We performed survival analysis using the KaplaneMeier method, log-rank test, and Cox regression analysis. Results: A total of 520 patients were identified: 115, 258, and 147 patients in the low-AWT, medium-AWT, and high-AWT groups, respectively. Higher AWT was significantly associated with higher BMI, Alb, TLC, TC, Hb, and lower CRP levels. Multiple linear regression analysis revealed that BMI and TLC were significant predictors of AWT (BMI: coefficient 1.16E-01, 95% confidence interval [CI], 9.77E-02e1.33E-01, P < 0.001; TLC: coefficient 1.18E-04, 95% CI, 2.72E-05e2.09E-04, P ¼ 0.011). The median survival time was the longest in the high-AWT group (low-AWT, 359 days; medium-AWT, 851 days; high-AWT, 1662 days; P < 0.001). The hazard ratio for the high-AWT group relative to the medium-AWT group was 0.59 (95% CI, 0.41e0.85, P ¼ 0.004), and that relative to the low-AWT group was 0.34 (95% CI, 0.24e0.51, P < 0.001). Conclusions: Higher AWT was associated with better nutritional status and survival. AWT may help assess nutritional status and predict survival in older dysphagic patients with PEG.

show abstract

Model to estimate abdominal wall thickness in children undergoing placement or replacement of gastrostomy devices

Cited by 2 publications

References 22 publications

Somatic regional oxygen saturation as an early marker of intra-abdominal hypertension in critically ill children: a pilot study

Somatic regional oxygen saturation as an early marker of intra-abdominal hypertension in critically ill children: a pilot study

Nutritional and prognostic significance of abdominal wall thickness measured during percutaneous endoscopic gastrostomy in older individuals with dysphagia

Contact Info

Product

Resources

About