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. 2018 Jun 4;2018(6):CD008687. doi: 10.1002/14651858.CD008687.pub2

Comparison 3. Proton pump inhibitors versus placebo or no prophylaxis.

Outcome or subgroup title No. of studies No. of participants Statistical method Effect size
1 Clinically important upper GI bleeding 3 237 Risk Ratio (M‐H, Fixed, 95% CI) 0.63 [0.18, 2.22]
1.1 Omeprazole vs placebo 1 147 Risk Ratio (M‐H, Fixed, 95% CI) 1.04 [0.07, 16.34]
1.2 Omeprazole vs no prophylaxis 1 80 Risk Ratio (M‐H, Fixed, 95% CI) 0.74 [0.13, 4.18]
1.3 Pantoprazole vs placebo 1 10 Risk Ratio (M‐H, Fixed, 95% CI) 0.28 [0.02, 4.66]
2 Nosocomial pneumonia 2 227 Risk Ratio (M‐H, Fixed, 95% CI) 1.24 [0.77, 1.98]
2.1 Omeprazole vs placebo 1 147 Risk Ratio (M‐H, Fixed, 95% CI) 1.67 [0.57, 4.86]
2.2 Omeprazole vs no prophylaxis 1 80 Risk Ratio (M‐H, Fixed, 95% CI) 1.11 [0.66, 1.84]
3 All‐cause mortality in ICU 3 258 Risk Ratio (M‐H, Fixed, 95% CI) 1.09 [0.60, 1.99]
3.1 Omeprazole vs placebo 2 178 Risk Ratio (M‐H, Fixed, 95% CI) 1.20 [0.51, 2.83]
3.2 Omeprazole vs no prophylaxis 1 80 Risk Ratio (M‐H, Fixed, 95% CI) 0.98 [0.42, 2.29]
4 All‐cause mortality in hospital 1 150 Risk Ratio (M‐H, Fixed, 95% CI) 1.08 [0.54, 2.13]
4.1 Omeprazole vs placebo 1 150 Risk Ratio (M‐H, Fixed, 95% CI) 1.08 [0.54, 2.13]
5 Duration of ICU stay 2 227 Mean Difference (IV, Fixed, 95% CI) ‐0.03 [‐1.63, 1.58]
5.1 Omeprazole vs placebo 1 147 Mean Difference (IV, Fixed, 95% CI) ‐0.90 [‐3.96, 2.16]
5.2 Omeprazole vs no prophylaxis 1 80 Mean Difference (IV, Fixed, 95% CI) 0.30 [‐1.58, 2.18]
6 Duration of intubation 2 227 Mean Difference (IV, Fixed, 95% CI) 0.36 [‐1.43, 2.15]
6.1 Omeprazole vs placebo 1 147 Mean Difference (IV, Fixed, 95% CI) 0.5 [‐2.72, 3.72]
6.2 Omeprazole vs no prophylaxis 1 80 Mean Difference (IV, Fixed, 95% CI) 0.30 [‐1.85, 2.45]