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

Wee 2013.

Methods Parallel‐group randomised controlled trial
Participants Baseline characteristics
Number randomised: ‐
Number analysed: ‐
Famotidine
  • Age (median for both groups; years): 72

  • Number of participants at baseline (n): 61

  • Gender (male/female; n): ‐


Pantoprazole
  • Age (median for both groups; years): 72

  • Number of participants at baseline (n): 68

  • Gender (male/female; n): ‐


Inclusion criteria: each patient admitted to ICU/CCM
Exclusion criteria:
Baseline imbalances: Both groups had similar baseline characteristics including risk factors for SRMB (2.7 vs 2.7, P = 0.50); however, the pantoprazole group had higher APACHE‐II scores (23.9 vs 20.1; :P < 0.01)
Interventions Famotidine
  • Dose (total/d): 40 mg

  • Duration of treatment (days): ‐

  • Route: IV

  • Intervention: famotidine 20 mg IVPB Q12H

  • Concomitant medications: ‐


Pantoprazole
  • Dose (total/d): 40 mg

  • Duration of treatment (days): ‐

  • Route: IV

  • Intervention: pantoprazole 40 mg IVPB QAM

  • Concomitant medications: ‐


Adherence to regimen:
Duration of trial: December 2012 to April 2013
Duration of follow‐up: until discharge
Outcomes Outcomes sought in review and reported in trial
  • GI bleeding

  • Duration of ICU stay

  • Duration of mechanical ventilation

  • Any other adverse events


Outcomes sought in review and not reported in trial
  • Ventilator‐associated pneumonia

  • Mortality

  • Blood transfusion


Outcomes reported in trial, but not used in review
Notes Setting: ICU/CCU, Kingsbrook Jewish Medical Center, Brooklyn, NY 11203, USA, Arnold & Marie Schwartz College of Pharmacy and Health Sciences, Long Island University, Brooklyn, NY 11201, USA
Sponsorship source:
Conflicts of interest:
Comments: 2 conference abstracts reporting on 1 study
Ethical approval: Quote: "Expedited IRB approval was granted"
Informed consent: Quote: "Informed consent was not required"
Sample size calculation:
Clinical trials registration:
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Quote: "Randomized"
Comment: not enough details reported
Allocation concealment (selection bias) Unclear risk Comment: no information reported
Blinding of participants and personnel (performance bias) 
 All outcomes Low risk Comment: no information on blinding reported. Lack of blinding is unlikely to introduce bias to outcome measures and outcomes
Blinding (detection bias) 
 Clinically important upper GI bleeding Unclear risk Comment: not enough details described
Blinding (detection bias) 
 Nosocomial pneumonia Unclear risk Comment: Study did not address this outcome
Blinding of outcome assessment (detection bias) 
 Adverse reactions of interventions Unclear risk Comment: no information on blinding of outcome assessors reported. Lack of blinding might potentially introduce bias
Incomplete outcome data (attrition bias) 
 All outcomes Unclear risk Comment: conference abstracts. Not enough information reported to assess incomplete outcome data
Selective reporting (reporting bias) Unclear risk Comment: Secondary outcomes listed in the Methods sections of the two abstracts differ slightly. Not enough information reported to assess selective outcome reporting
Other bias Unclear risk Comment: not enough information reported to assess other sources of bias