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Table 3 Further subgroup analysis and sensitivity analyses on primary outcome of gastrointestinal bleeding rate

From: Stress ulcer prophylaxis in intensive care unit patients receiving enteral nutrition: a systematic review and meta-analysis

 

Studies, number

Patients, number

Event in SUP group

Event in control group

Risk ratio (95% CI)

I 2

p

Subgroup analyses

 Type of SUP

PPI

4

527

8 of 270

16 of 257

0.49 (0.21, 1.10)

4%

0.08

H2RA

3

262

20 of 130

13 of 132

1.60 (0.86, 3.05)

16%

0.15

Sucralfate

1

200

5 of 100

6 of 100

0.83 (0.26, 2.64)

-

0.76

 Published year

After 2000

4

527

8 of 270

16 of 257

0.49 (0.21, 1.10)

4%

0.08

Before 2000

3

362

20 of 230

13 of 132

0.75 (0.30, 1.86)

0%

0.53

 Sample size

<100

3

153

14 of 79

10 of 74

1.42 (0.68, 2.94)

12%

0.35

>100

4

736

14 of 421

19 of 315

0.52 (0.26, 1.04)

0%

0.07

 Study designed

Blinded

4

435

13 of 224

11 of 211

1.12 (0.52, 2.44)

0%

0.77

Unblinded

3

454

15 of 276

18 of 178

0.62 (0.32, 1.19)

35%

0.15

 Setting

MICU

3

436

16 of 271

13 of 165

0.87 (0.44, 1.73)

0%

0.70

Mixed ICU

4

453

12 of 229

16 of 224

0.73 (0.36, 1.50)

0%

0.73

 Administration route

Oral

2

669

23 of 340

23 of 329

1.0 (0.58, 1.72)

0%

1.00

Intravenous

6

320

5 of 160

12 of 160

0.35 (0.03, 3.84)

62%

0.39

Sensitivity analyses

 GI bleeding

Overt GI bleeding

6

589

18 of 300

23 of 289

0.79 (0.44, 1.39)

24%

0.41

Clinical important GI bleeding

4

725

13 of 415

13 of 310

0.63 (0.29, 1.37)

25%

0.25

Randomized-effects models

7

889

28 of 500

29 of 389

0.87 (0.50, 1.53)

8%

0.63

Early enteral nutrition

6

798

24 of 451

26 of 347

0.76 (0.49, 1.29)

22%

0.31

  1. CIB clinical important bleeding, SUP stress ulcer prophylaxis, H 2 RA histamine 2 receptor antagonist, GI gastrointestinal, MICU medical intensive care unit, Mixed medical-surgical intensive care unit, PPI proton pump inhibitor