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. 2000 Nov 4;321(7269):1103. doi: 10.1136/bmj.321.7269.1103

Table 3.

Meta-analysis A: rates of gastrointestinal bleeding in patients treated with ranitidine or placebo (five randomised studies)

Reference Bleeding rate
Odds ratio (95% CI) Definition of bleeding
Ranitidine Placebo
Ruiz-Santana et al, 199111 2/19 1/30 2.81 (0.41 to 28.1) Acute upper gastrointestinal bleeding
Apte et al, 199212 5/16 6/18 0.92 (0.23 to 3.65) Gross gastric bleeding
Metz et al, 199313 0/86 1/81 0.31 (0.00 to 2.83) Bright red blood per nasogastric tube (without including cases with persistent blood occult positive and “coffee grounds” nasogastric tube aspirates)
Burgess et al, 199514 0/16 5/18 0.10 (0.00 to 0.86) 5% decrease from baseline in haematocrit occurring at least 8 h after study drug initiation and haematemesis, haematochezia, bright red blood per nasogastric tube, or “coffee grounds” nasogastric tube aspirates
Hanisch et al, 199815 3/57 2/57 1.43 (0.29 to 8.08) Bright red blood per gastric tube or melaena combined with haemodynamic changes (systolic blood pressure <100 mm Hg, tachycardia >100 beats/min) and requirement of blood transfusion (fall in haemoglobin concentration >20 g/l within 24 hours) and endoscopic identification of bleeding site and activity
Total 10/194 (5%) 15/204 (7%)