Proton-Pump Inhibitors to Prevent Gastrointestinal Bleeding - An Updated Meta-Analysis.
Ying WangSameer ParpiaLong GeDiane Heels-AnsdellHonghao LaiMeisam Abdar EsfahaniBei PanWaleed AlhazzaniStefan SchandelmaierFrancois LauzierYaseen ArabiJeffrey BarlettaAdam DeaneSimon FinferDavid WilliamsonSalmaan KanjiMorten H MøllerAnders PernerMette KragPaul J YoungJoanna C DionneNaomi HammondZhikang YeQuazi IbrahimDeborah CookPublished in: NEJM evidence (2024)
High certainty evidence supports the association of proton-pump inhibitors with decreased upper gastrointestinal bleeding. Proton-pump inhibitors may have little or no effect on mortality, although a decrease in mortality in less severely ill patients and an increase in mortality in more severely ill patients remain possible. (PROSPERO number CRD42023461695.).