Cochrane · systematic review · CD007999

Comparison of different regimens of proton pump inhibitors for acute peptic ulcer bleeding

Neumann, I, Letelier, LM, Rada, G, et al. · Cochrane Database of Systematic Reviews · 2013 · Cochrane Library

GutAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
6
current version
GRADE rated
6
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 4 · 66.7%Moderate 2 · 33.3%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

High compared to non‐high (medium or low) dose regimen for acute peptic ulcer bleeding

Population: patients with acute peptic ulcer bleeding
6 questions
OutcomeEffectEvidenceStatus / GRADE
Mortality
High vs non‐high (medium or low) dose regimen
RR 0.85 [0.47, 1.54]12 studies · 1667 participantsLow
Downgraded: risk of bias
Rebleeding
High vs non‐high (medium or low) dose regimen
RR 1.27 [0.96, 1.67]13 studies · 1716 participantsLow
Downgraded: risk of bias
Surgery
High vs non‐high (medium or low) dose regimen
RR 1.33 [0.63, 2.77]9 studies · 1270 participantsLow
Downgraded: risk of bias
Further EHT
High vs non‐high (medium or low) dose regimen
RR 1.39 [0.88, 2.18]6 studies · 902 participantsLow
Downgraded: risk of bias
Length of hospital stay
High vs non‐high (medium or low) dose regimen
no estimate extracted6 studies · 1069 participantsModerate
Downgraded: risk of bias
Blood transfusions
High vs non‐high (medium or low) dose regimen
no estimate extracted6 studies · 1069 participantsModerate
Downgraded: risk of bias