Cochrane · systematic review · CD013335
Monitoring of gastric residual volume during enteral nutrition
Yasuda, H, Kondo, N, Yamamoto, R, et al. · Cochrane Database of Systematic Reviews · 2021 · Cochrane Library
GutAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
12
current version
GRADE rated
9
No studies
3
Included studies
NR
No studies 3 · 25%Ungraded 0 · 0%Very low 9 · 75%Low 0 · 0%Moderate 0 · 0%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
More frequent (less than eight hours) versus less frequent (eight hours or greater) monitoring of gastric residual volume
Population: adults receiving EN via nasogastric tube or gastrostomy tube
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Mortality (at the end of More frequent (less than eight hours) vs less frequent (eight hours or greater) monitoring of gastric residual volume | RR 0.91 [0.6, 1.37] | 2 studies · 417 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Pneumonia (until discontinued or up to 28 days) More frequent (less than eight hours) vs less frequent (eight hours or greater) monitoring of gastric residual volume | RR 1.08 [0.64, 1.83] | 1 study · 357 participants | Very low Downgraded: risk of bias, imprecision |
Length of hospital stay (days) (at the end of More frequent (less than eight hours) vs less frequent (eight hours or greater) monitoring of gastric residual volume | no estimate extracted | 1 study · 357 participants | Very low Downgraded: risk of bias, imprecision |
No monitoring versus frequent monitoring (12 hours or less) of gastric residual volume
Population: adults receiving EN via nasogastric or gastrostomy tube
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Mortality (at the end of No monitoring vs frequent monitoring (12 hours or less) of gastric residual volume | RR 0.87 [0.62, 1.23] | 2 studies · 500 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Pneumonia (until discontinued or up to 28 days) No monitoring vs frequent monitoring (12 hours or less) of gastric residual volume | RR 0.7 [0.43, 1.13] | 1 study · 449 participants | Very low Downgraded: risk of bias, imprecision |
Length of hospital stay (days) (at the end of No monitoring vs frequent monitoring (12 hours or less) of gastric residual volume | no estimate extracted | 2 studies · 500 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Higher threshold (500 mL per six hours or greater) versus lower threshold (less than 500 mL per six hours) at time of aspiration
Population: adults receiving EN via nasogastric or gastrostomy tube
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Mortality (at the end of Higher threshold (500 mL per six hours or greater) vs lower threshold (less than 500 mL per six hours) at time of aspiration | RR 1.01 [0.74, 1.38] | 1 study · 322 participants | Very low Downgraded: imprecision |
Pneumonia (until discontinued or up to 28 days) Higher threshold (500 mL per six hours or greater) vs lower threshold (less than 500 mL per six hours) at time of aspiration | RR 1.03 [0.72, 1.46] | 1 study · 322 participants | Very low Downgraded: imprecision |
Length of hospital stay (days) (at the end of Higher threshold (500 mL per six hours or greater) vs lower threshold (less than 500 mL per six hours) at time of aspiration | no estimate extracted | 1 study · 322 participants | Very low Downgraded: imprecision |
Returning versus discarding the aspirated/drained gastric residual volume
Population: adults receiving EN via nasogastric or gastrostomy tube
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Mortality (at the end of Returning vs discarding the aspirated/drained gastric residual volume | no estimate extracted | NR | No studies |
Pneumonia (at the end of Returning vs discarding the aspirated/drained gastric residual volume | no estimate extracted | NR | No studies |
Length of hospital stay (days) (at the end of Returning vs discarding the aspirated/drained gastric residual volume | no estimate extracted | NR | No studies |