{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T22:02:32Z","timestamp":1792015352466,"version":"4.4.0"},"reference-count":25,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2020,2,6]],"date-time":"2020-02-06T00:00:00Z","timestamp":1580947200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aspenjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Parenter Enteral Nutr"],"published-print":{"date-parts":[[2020,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>The selection of a method for measuring the insertion length of nasogastric tubes in newborns is an important factor in establishing the safe use of this device.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>The objective was to verify whether there is a difference in the proportion of correctly placed nasogastric tubes when using the nose, earlobe, mid\u2010umbilicus (NEMU) method and the weight\u2010based equation for measuring the insertion length.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This study is a randomized, controlled, blinded study comparing 2 methods of nasogastric insertion at a neonatal unit, with intensive and intermediate care, on 162 randomized individuals. Radiological assessment and pH test were conducted to verify tube placement. Data were collected on sex, birth weight, gestational age, and days of life. A log\u2010binomial model was used to verify whether there were placement differences between investigated methods.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of the patients, 56.1% were male, who had a mean birth weight of 1886.8 g and gestational age of 32.9 weeks and were 10.8 days old. Radiological images demonstrated that tubes were properly placed in the gastric body in 67.5% of patients using the NEMU method and in 91.5% using the weight\u2010based equation: the weight\u2010based equation was superior to the NEMU method, with a prevalence ratio of 1.36 (95% CI, 1.15\u20131.44). There was no difference between the 2 methods, according to pH test (<jats:italic>P<\/jats:italic>\u2010value: .7179).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Based on radiographic confirmation, the weight\u2010based equation for measuring the insertion length of the nasogastric tube in newborns resulted in significantly more nasogastric tubes being placed in the correct intragastric location.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jpen.1786","type":"journal-article","created":{"date-parts":[[2020,2,6]],"date-time":"2020-02-06T04:45:33Z","timestamp":1580964333000},"page":"912-919","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["Randomized Clinical Trial Comparing Two Methods of Measuring Insertion Length of Nasogastric Tubes in Newborns"],"prefix":"10.1002","volume":"44","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0191-9724","authenticated-orcid":false,"given":"Fl\u00e1via de Souza Barbosa","family":"Dias","sequence":"first","affiliation":[{"name":"School of Nursing University of Campinas  S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rodrigo Menezes","family":"Jales","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology School of Medical Sciences University of Campinas  S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beatriz Regina","family":"Alvares","sequence":"additional","affiliation":[{"name":"Department of Radiology School of Medical Sciences University of Campinas  S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jamil Pedro de Siqueira","family":"Caldas","sequence":"additional","affiliation":[{"name":"Department of Pediatrics School of Medical Sciences University of Campinas  S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9976-3603","authenticated-orcid":false,"given":"Elenice Valentim","family":"Carmona","sequence":"additional","affiliation":[{"name":"School of Nursing University of Campinas  S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,2,6]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/0148607114567712"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.4037\/ccn2014606"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/0884533612462239"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/ANC.0b013e3181c1fc2f"},{"issue":"2","key":"e_1_2_9_6_1","first-page":"CD003487","article-title":"Transpyloric versus gastric tube feeding for preterm infants","author":"Watson J","year":"2013","journal-title":"Cochrane Database Syst Rev"},{"issue":"9","key":"e_1_2_9_7_1","first-page":"1543","article-title":"Infant gavage reconsidered","volume":"78","author":"Ziemer M","year":"1978","journal-title":"Am J Nurs"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005721-198701000-00009"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1552-6909.2011.01255.x"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1744-6155.2011.00302.x"},{"issue":"2","key":"e_1_2_9_11_1","first-page":"128","article-title":"Orogastric tube insertion length in very low birth weight infants","volume":"13","author":"Gallaher KJ","year":"1993","journal-title":"J Perinatol"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/ANC.0b013e318256bb13"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/JPN.0000000000000104"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1590\/1518-8345.1841.2908"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/ANC.0000000000000261"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2648.2007.04296.x"},{"key":"e_1_2_9_17_1","volume-title":"Statistical Power Analysis for the Behavioral Sciences","author":"Cohen J","year":"1988"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12098-012-0924-4"},{"key":"e_1_2_9_19_1","unstructured":"National Patient Safety Agency.Reducing the harm caused by misplaced naso and orogastric feeding tubes in babies under the care of neonatal units.London:National Patient Safety Agency;2005."},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1097\/MPG.0b013e31818c52a8"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1136\/archdischild-2011-301158"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.2307\/2288652"},{"key":"e_1_2_9_23_1","unstructured":"PaganoM GauvreauK.Princ\u00edpios de bioestat\u00edstica. 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