Summary of evidence on preventing unplanned extubation of adult gastric and nasointestinal tubes
Why this work is in the frame
A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.
Bibliographic record
Abstract
Objective The aim of this study is to extract and summarize the best evidence for the prevention of unplanned extubation of adult gastric tubes and nasointestinal tubes through evidence-based research, in order to guide clinical practice. Methods Studies related to the prevention of unplanned extubation of adult gastric tubes and nasointestinal tubes were retrieved in the literature database including UpToDate, BMJ Best Practice, National Institute for Health and Clinical Excellence(NICE), The Registered Nurses’ Association of Ontario(RNAO), Guidelines International Network(GIN), National Guideline Clearinghouse(NGC), New Zealand Guideline Group, JBIJBI EBP Database, Cochrane Library, PubMed, Embase, Web of science, CNKI, Wanfang Data, VIP and CBM. The search period is from the establishment of the database to February 5, 2024. The types of literature include guidelines, clinical decisions, evidence summaries, systematic reviews, expert consensuses, etc. Researchers conduct duplicate checks, screenings, and quality evaluations of the literature, and ultimately extract and integrate the relevant evidence from the included literature. Results A total of 18 literatures were included, including 4 guidelines, 2 systematic reviews, 2 expert consensuses, and 10 evidence summaries. Eventually, 37 best pieces of evidence were summarized on five themes: catheter fixation, determination of catheter placement position, catheter maintenance, restraint and alternative measures, and catheter blockage and recanalization. Conclusion The best evidence selected in this study can guide clinical prevention of unplanned extubation of adult gastric tubes and nasointestinal tubes, ensuring patient safety. (目的 通过循证提炼并总结成人胃管与鼻肠管非计划性拔管预防的最佳证据, 以指导临床实践。方法 检索UpToDate、BMJ Best Practice、英国国家卫生与临床优化研究所(NICE)、加拿大安大略注册护士协会(RNAO)、国际指南协作网(GIN)、美国国立指南库(NGC)、新西兰指南协作网、JBI循证卫生保健中心数据库、Cochrane Library、PubMed、Embase、Web of science、中国知网(CNKI)、万方(Wanfang Data)、维普中文科技期刊数据库(VIP)、中国生物医学文献数据库(CBM)等文献数据库中有关成人胃管、鼻肠管非计划性拔管预防的文献。检索时限为建库至2024年2月5日, 文献类型包括指南、临床决策、证据总结、系统评价、专家共识等, 由研究人员进行文献查重、筛选和质量评价, 最终提取纳入文献中的相关证据并整合。结果 共纳入18篇文献, 其中指南4篇, 系统评价2篇, 专家共识2篇, 证据总结10篇, 最终总结出导管固定、置管位置的判断、导管维护、约束及替代措施、堵管复通5个主题, 共37条最佳证据。结论 该研究选取的最佳证据可指导临床预防成人胃管与鼻肠管非计划性拔管, 保障患者安全。)
Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.013 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.000 | 0.001 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.001 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it