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. 2021 Dec 17;8:782151. doi: 10.3389/fmed.2021.782151

Table 4.

Results of meta-analyses.

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.