Table 4.
Outcomes of interest | No. of patients | Effect estimate | herogeneity | ||||
---|---|---|---|---|---|---|---|
No. of studies | Experimental | Control | WMD/OR (95% CI) | P -value | I2 (%) | P -value | |
Analgesics vs. Controls | |||||||
Pain related outcome | |||||||
Need for rescue analgesia | 3 | 132 | 130 | 0.36 (0.21, 0.60) | 0.0001 | 0 | 0.38 |
Initial VAS (0–100) | 4 | 147 | 147 | 0.93 (-8.15, 10.01) | 0.84 | 83 | 0.0006 |
Δ-VAS at 24 h | 2 | 118 | 114 | 18.46 (0.84, 36.07) | 0.04 | 94 | <0.0001 |
Δ-VAS on 3–7d | 3 | 132 | 130 | 11.57 (0.87, 22.28) | 0.03 | 98 | <0.00001 |
AP related outcome | |||||||
Any complication | 2 | 118 | 114 | 0.36 (0.11, 1.16) | 0.09 | 58 | 0.12 |
Mortality | 2 | 109 | 109 | 1.06 (0.22, 5.19) | 0.94 | 0 | 0.45 |
Length of hospital stay (d) | 2 | 110 | 110 | −4.76 (-11.46, 1.95) | 0.16 | 99 | <0.00001 |
Opioids vs. Non-opioids | |||||||
Pain related outcome | |||||||
Need for rescue analgesia | 6 | 153 | 185 | 0.25 (0.07, 0.86) | 0.03 | 68 | 0.005 |
Initial VAS (0–100) | 5 | 129 | 159 | 3.28 (-0.07, 6.63) | 0.06 | 34 | 0.18 |
Δ-VAS within 24 h | 4 | 109 | 139 | 6.06 (-18.10, 30.22) | 0.62 | 98 | <0.00001 |
AP related outcome | |||||||
Any complication | 5 | 123 | 125 | 1.16 (0.61, 2.20) | 0.66 | 0 | 0.41 |
Local complication | 2 | 32 | 34 | 0.62 (0.05, 7.80) | 0.71 | 48 | 0.16 |
Organ failure | 4 | 73 | 74 | 1.74 (0.41, 7.36) | 0.45 | 39 | 0.19 |
Mortality | 3 | 65 | 66 | 0.69 (0.11, 4.52) | 0.70 | 0 | 0.56 |
Length of hospital stay (d) | 2 | 44 | 46 | −3.03 (-7.34, 1.28) | 0.17 | 74 | 0.05 |
Drug safety outcome | |||||||
Adverse events | 5 | 132 | 165 | 1.52 (0.55, 4.21) | 0.42 | 25 | 0.25 |
WMD, weighted mean difference; OR, odds ratio; CI, confidence interval; NSAID, non-steroidal anti-inflammatory drug; VAS, visual analogue scale; AP, acute pancreatitis.