{rfName}
Ef

Indexed in

License and use

Citations

204

Altmetrics

Impact on the Sustainable Development Goals (SDGs)

Analysis of institutional authors

Ferrer, MAuthorTorres, ACorresponding AuthorHernandez, CAuthor

Share

January 14, 2025
Publications
>
Article
No

Effect of nasogastric tube size on gastroesophageal reflux and microaspiration in intubated patients

Publicated to:Annals Of Internal Medicine. 130 (12): 991-994 - 1999-06-15 130(12), DOI: 10.7326/0003-4819-130-12-199906150-00007

Authors: Ferrer, M; Bauer, TT; Torres, A; Hernández, C; Piera, C

Affiliations

- Author

Abstract

Background: Little evidence exists to support the theory that small-bore nasogastric tubes prevent gastroesophageal reflux and microaspiration in intubated patients. Objective: To determine whether gastroesophageal reflux and microaspiration in intubated patients can be reduced by the use of a small-bore nasogastric tube. Design: Randomized, two-period crossover trial. Setting: Respiratory intensive care unit of a university hospital. Patients: 17 patients intubated for more than 72 hours. Interventions: Radioactive technetium colloid was instilled in each patient's stomach. Patients were studied with two nasogastric tubes (one tube with a 6.0-mm external bore and one tube with a 2.85-mm external bore) in randomized order; measurements of radioactive counts with the alternate size of nasogastric tube were repeated 72 hours after original measurements were taken. Sequential samples of serum, gastric juice, and pharyngeal and tracheal secretions were obtained. Measurements: Comparison of the time course of radioactive counting in all samples (obtained during the use of each nasogastric tube size in each patient). Results: The mean radioactive count of pharyngeal aspirates (P = 0.004) was greater than the baseline count at all time points, as was the cumulative radioactive count of pharyngeal aspirates 17 hours after the first dose of technetium colloid was administered (P = 0.001); however, the count of tracheal aspirates was never greater than the count at baseline. No differences were found between tube types when the time course and cumulative counts of pharyngeal and tracheal samples were compared. Conclusion: Small-bore nasogastric tubes in intubated patients do not reduce gastroesophageal reflux or microaspiration.

Keywords

Enteral nutritionGastric colonizationGood health and well-beingIntensive-care unitNosocomial pneumoniaPositionPulmonary aspirationReceiving mechanical ventilationRespiratory-tractStomachTria

Quality index

Bibliometric impact. Analysis of the contribution and dissemination channel

The work has been published in the journal Annals Of Internal Medicine due to its progression and the good impact it has achieved in recent years, according to the agency WoS (JCR), it has become a reference in its field. In the year of publication of the work, 1999, it was in position 4/110, thus managing to position itself as a Q1 (Primer Cuartil), in the category Medicine, General & Internal.

Independientemente del impacto esperado determinado por el canal de difusión, es importante destacar el impacto real observado de la propia aportación.

Según las diferentes agencias de indexación, el número de citas acumuladas por esta publicación hasta la fecha 2025-08-31:

  • Open Alex: 131
  • WoS: 59
  • Scopus: 86
  • Europe PMC: 48

Impact and social visibility

From the perspective of influence or social adoption, and based on metrics associated with mentions and interactions provided by agencies specializing in calculating the so-called "Alternative or Social Metrics," we can highlight as of 2025-08-31:

  • The use, from an academic perspective evidenced by the Altmetric agency indicator referring to aggregations made by the personal bibliographic manager Mendeley, gives us a total of: 44.
  • The use of this contribution in bookmarks, code forks, additions to favorite lists for recurrent reading, as well as general views, indicates that someone is using the publication as a basis for their current work. This may be a notable indicator of future more formal and academic citations. This claim is supported by the result of the "Capture" indicator, which yields a total of: 44 (PlumX).

With a more dissemination-oriented intent and targeting more general audiences, we can observe other more global scores such as:

  • The Total Score from Altmetric: 6.
Continuing with the social impact of the work, it is important to emphasize that, due to its content, it can be assigned to the area of interest of ODS 3 - Good Health And Well-being, with a probability of 44% according to the mBERT algorithm developed by Aurora University.

Leadership analysis of institutional authors

There is a significant leadership presence as some of the institution’s authors appear as the first or last signer, detailed as follows: First Author (Ferrer Monreal, Miquel) .

the author responsible for correspondence tasks has been Torres Martí, Antoni.