Nasal Bridle Devices for the Securement of Nasoenteric Feeding Tubes in Adult Patients: Comparative Clinical Effectiveness, Safety, and Cost-Effectiveness


( Last Updated : December 20, 2016)
Project Line:
Health Technology Review
Project Sub Line:
Summary with Critical Appraisal
Project Number:
RC0835-000

Details


Question

  1. What is the comparative clinical effectiveness of nasal bridle devices versus adhesive for the securement of nasoenteric feeding tubes?
  2. What is the clinical evidence regarding the safety of nasal bridle devices for the securement of nasoenteric feeding tubes?
  3. What is the cost-effectiveness of nasal bridle devices for the securement of nasoenteric feeding tubes?

Key Message

A meta-analysis by Bechtold et al.4 and a systematic review by Brugnolli et al.2 found that the dislodgement rate of nasoenteric tubes is significantly lower when secured with nasal bridles than when secured with an adhesive tape technique. The meta-analysis4 evaluated one randomized controlled trial (RCT) and four prospective cohort studies (n=544) and reported an odds ratio (OR) with 95% confidence interval (CI) of 0.16 (0.10, 0.27; P