Skip to main content
. 2018 Jun 4;2018(6):CD008687. doi: 10.1002/14651858.CD008687.pub2

Comparison 19. Antacids versus sucralfate.

Outcome or subgroup title No. of studies No. of participants Statistical method Effect size
1 Clinically important upper GI bleeding 16 1772 Risk Ratio (M‐H, Fixed, 95% CI) 1.00 [0.72, 1.39]
1.1 Antacids vs sucralfate 15 1705 Risk Ratio (M‐H, Fixed, 95% CI) 0.96 [0.69, 1.35]
1.2 Antacid + pirenzepine vs sucralfate + pirenzepine 1 67 Risk Ratio (M‐H, Fixed, 95% CI) 5.15 [0.26, 103.33]
2 Nosocomial pneumonia 7   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
2.1 Antacids vs sucralfate 7 996 Risk Ratio (M‐H, Fixed, 95% CI) 1.04 [0.84, 1.30]
3 All‐cause mortality in ICU 11 1249 Risk Ratio (M‐H, Fixed, 95% CI) 1.15 [0.93, 1.40]
3.1 Antacid vs sucralfate 10 1182 Risk Ratio (M‐H, Fixed, 95% CI) 1.15 [0.94, 1.41]
3.2 Antacid + pirenzepine vs sucralfate + pirenzepine 1 67 Risk Ratio (M‐H, Fixed, 95% CI) 1.03 [0.28, 3.78]
4 All‐cause mortality in hospital 3 450 Risk Ratio (M‐H, Random, 95% CI) 0.98 [0.69, 1.39]
5 Duration of ICU stay 2   Mean Difference (IV, Fixed, 95% CI) Subtotals only
5.1 Antacids vs sucralfate 2 227 Mean Difference (IV, Fixed, 95% CI) ‐2.50 [‐6.61, 1.61]
6 Duration of intubation 4   Std. Mean Difference (IV, Fixed, 95% CI) Subtotals only
6.1 Antacids vs sucralfate 4 281 Std. Mean Difference (IV, Fixed, 95% CI) ‐0.18 [‐0.41, 0.06]
7 Number of participants requiring blood transfusion 6 667 Risk Ratio (M‐H, Fixed, 95% CI) 0.73 [0.40, 1.34]
8 Adverse events of interventions 9   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
8.1 Diarrhoea 6 599 Risk Ratio (M‐H, Fixed, 95% CI) 12.40 [3.88, 39.64]
8.2 Hypermagnesaemia 4 317 Risk Ratio (M‐H, Fixed, 95% CI) 4.72 [1.24, 17.95]
8.3 Nausea and vomiting 3 223 Risk Ratio (M‐H, Fixed, 95% CI) 0.63 [0.28, 1.41]
8.4 Thrombocytopaenia 1 38 Risk Ratio (M‐H, Fixed, 95% CI) 5.0 [0.26, 97.70]
8.5 Severe alkalosis 1 100 Risk Ratio (M‐H, Fixed, 95% CI) 3.0 [0.13, 71.92]
8.6 Allergic reactions 1 100 Risk Ratio (M‐H, Fixed, 95% CI) 0.2 [0.01, 4.06]