Klinische Pädiatrie: Offener Zugang
Offener Zugang

Abstrakt

The Incidence of Unplanned Orogastric Tube Removal (UROGT) and Associated Risk Factors in a Chinese NICU: A Study Before Quality Improvement Initiative

Jun Chen, Xiaoling Fang, Chaomei Huang, Yiheng Dai

Background: New-borns in particular, are at higher risk for Unplanned Removal of Orogastric Tube (UROGT). However, there is a lack of studies identifying the incidence and risk factors for UROGT in China.

Purpose: The objective of this study is to examine the current incident of UROGT in our NICU and risk factors that contribute to it.

Methods: This observational study was conducted in a single NICU, including 111 new-borns who received orogastric tubes between October 2022 and February 2023. The proportion and incidence rate of UROGT was analysed, subsequently the univariate and multivariate logistic models were employed for risk factor investigation.

Results: The proportion of UROGT was 56.8% and the incidence was 7.2 per 100 tube days. An increased risk of UROGT was associated with higher agitation scores Odds Ratio (OR=17.82, P=0.001), absence of oral feeding (OR=0.02, P=0.007), fixation tape loosening (OR=22.75, P=0.027) and tape wetting (OR=12.6, P=0.021).

Conclusions: The incidence of UROGT was found to be significantly higher in our NICU. New-borns with higher agitation scores, absence of oral feeding and fixation tape loosening and wetness were more likely to be at risk of UROGT.