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

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Analysis 1.8. Comparison 1 Oral ondansetron (weight dependent dose) vs placebo, Outcome 8 Revisit rate.<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: 8 Revisit rate<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 20/105 22/101 90.2 % 0.87 [ 0.51, 1.50 ]<br />

Ramsook 2002 4/74 0/71 2.1 % 8.64 [ 0.47, 157.62 ]<br />

Roslund 2008 3/51 2/55 7.7 % 1.62 [ 0.28, 9.29 ]<br />

Total (95% CI) 230 227 100.0 % 1.09 [ 0.66, 1.79 ]<br />

Total events: 27 (Ondansetron), 24 (Placebo)<br />

Heterogeneity: Chi 2 = 2.79, df = 2 (P = 0.25); I 2 =28%<br />

Test <strong>for</strong> overall effect: Z = 0.35 (P = 0.73)<br />

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

A D D I T I O N A L T A B L E S<br />

0.01 0.1 1 10 100<br />

Favours ondansetron Favours placebo<br />

Table 1. Admission, IV rehydration, and revisit rates (Freedman 2006)<br />

Ondansetron Placebo<br />

Admission rate (during ED stay) 4/107 5/107<br />

Admission rate (Day 3) 10/107 11/103<br />

IV rehydration rate (during ED stay) 15/107 33/107<br />

IV rehydration (Day 3) 26/107 39/103<br />

Revisit rate 20/105 22/101<br />

Table 2. Admission, IV rehydration, and revisit rates (Ramsook 2002)<br />

Ondansetron Placebo<br />

Admission rate (during ED stay) 2/74 11/71<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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