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Antiemetics for reducing vomiting related to acute ... - Update Software

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Analysis 1.5. Comparison 1 Oral ondansetron (weight dependent dose) vs placebo, Outcome 5 Rate of<br />

intravenous rehydration (up <strong>to</strong> 72 hrs following discharge from the ED stay), best-worst case scenario.<br />

Review: <strong>Antiemetics</strong> <strong>for</strong> <strong>reducing</strong> <strong>vomiting</strong> <strong>related</strong> <strong>to</strong> <strong>acute</strong> gastroenteritis in children and adolescents<br />

Comparison: 1 Oral ondansetron (weight dependent dose) vs placebo<br />

Outcome: 5 Rate of intravenous rehydration (up <strong>to</strong> 72 hrs following discharge from the ED stay), best-worst case scenario<br />

Study or subgroup Ondansetron Placebo Risk Ratio Weight Risk Ratio<br />

n/N n/N M-H,Fixed,95% CI M-H,Fixed,95% CI<br />

Freedman 2006 26/107 39/103 46.3 % 0.64 [ 0.42, 0.97 ]<br />

Ramsook 2002 6/74 16/71 19.0 % 0.36 [ 0.15, 0.87 ]<br />

Roslund 2008 13/51 31/55 34.7 % 0.45 [ 0.27, 0.76 ]<br />

Total (95% CI) 232 229 100.0 % 0.52 [ 0.38, 0.71 ]<br />

Total events: 45 (Ondansetron), 86 (Placebo)<br />

Heterogeneity: Chi 2 = 1.92, df = 2 (P = 0.38); I 2 =0.0%<br />

Test <strong>for</strong> overall effect: Z = 4.16 (P = 0.000031)<br />

Test <strong>for</strong> subgroup differences: Not applicable<br />

0.01 0.1 1 10 100<br />

Favours ondansetron Favours placebo<br />

<strong>Antiemetics</strong> <strong>for</strong> <strong>reducing</strong> <strong>vomiting</strong> <strong>related</strong> <strong>to</strong> <strong>acute</strong> gastroenteritis in children and adolescents (Review)<br />

Copyright © 2011 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd.<br />

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