Evidence map›Paper›PMID 27920416›Full record

Trial reportAnnals of Saudi medicine

Re-evaluating the Inhibition of Stress Erosions (REVISE): a protocol for pilot randomized controlled trial.

Waleed Alhazzani, Gordon Guyatt, John C Marshall, Richard Hall, John Muscedere, Francois Lauzier, Lehana Thabane, Mohammed Alshahrani, Shane W English, Yaseen M Arabi and 9 more

Registry-linked trialOpen access · diamondAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Annals of Saudi medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02290327 (Re-Evaluating the Inhibition of Stress Erosions), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
5.2field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02290327 phase3completednot on this map

Re-Evaluating the Inhibition of Stress Erosions: Gastrointestinal Bleeding Prophylaxis In ICU

TypeinterventionalSponsorMcMaster UniversityRan2015Enrolled91ConditionsStress Ulcer ProphylaxisArmsPantoprazole, Placebo
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 12 citations in OpenAlex.

  1. Trial
  2. [What is confirmed in the treatment of sepsis? : An update].Innere Medizin (Heidelberg, Germany) · 2024
    Review
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

19 authors at 11 institutions in 3 countries.

Waleed AlhazzaniDr. Waleed Alhazzani, Critical Care Medicine, McMaster University,, 50 Charlton Avenue East,, Hamilton, Ontario,, L8N 4A6, Canada, T: +1905-522-1155 ext 32800, F: +1905-521-6068 waleed.al-hazzani@medportal.ca, ORCID: http://orcid.org/0000-0001-8076-9626.
Gordon Guyatt
John C Marshall
Richard Hall
John Muscedere
Francois Lauzier
Lehana Thabane
Mohammed Alshahrani
Shane W English
Yaseen M Arabi
Adam M Deane
Tim Karachi
Bram Rochwerg
Simon Finfer
Nick Daneman
Nicole Zytaruk
Diane Heel-Ansdell
Deborah Cook
On Behalf Of
McMaster University · CAUniversity of Toronto · CADalhousie University · CAImam Abdulrahman Bin Faisal University · SAKing Abdullah International Medical Research Center · SAOttawa Hospital Research InstituteQueen's University · CASt. Joseph’s Healthcare Hamilton · CAUniversité Laval · CAUniversity of Adelaide · AUUniversity of Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionClinicians routinely administer stress ulcer prophylaxis to mechanically ventilated patients in the intensive care unit (ICU), most commonly prescribing proton pump inhibitors (PPIs). However, the incidence of gastrointestinal (GI) bleeding from stress ulceration is low and recent observational studies suggest these agents may increase infections. Therefore, a large randomized clinical trial (RCT) is needed to inform modern practice. The aim of this multicenter pilot trial is to determine the feasibility of performing a large RCT to investigate the efficacy and safety of withholding intravenous pantoprazole. METHODS AND ANALYSIS: We will include adult critically ill patients who have an anticipated duration of ventilation of >=48 hours. We will exclude patients with acute or recent GI bleeding, pregnancy, dual antiplatelet therapy, poor prognosis or intent to withdraw life support, or previous enrolment in this or a confounding trial. Following informed consent, patients will be randomized to receive the intervention of placebo (0.9% NaCl) or intravenous pantoprazole 40 mg daily. Patients, families, clinicians, data collectors, adjudicators of outcome and statisticians will be blind to allocation. The three primary feasibility outcomes are the informed consent rate, recruitment rate, and protocol adherence. Clinical outcomes include clinically important upper GI bleeding, ventilator-associated pneumonia (VAP), Clostridium difficile infection, length of stay and mortality in ICU and hospital. ETHICS AND APPROVAL: This study has been approved by Health Canada, and research ethics board (REB) at each of the participating centers. TRIAL REGISTRATION NUMBER: This trial was registered on 31 October 2014. The trial registration number is NCT02290327.

fundingREVISE Pilot Trial is funded by Research Grant awarded by Physicians Services Incorporated, Dammam University Research Funds, Capital Health Authority Research Award Halifax, and Royal Adelaide Hospital Project Committee Grant.

Indexed as

Withholding Treatment2-PyridinylmethylsulfinylbenzimidazolesAdultAnti-Ulcer AgentsClinical ProtocolsFeasibility StudiesFemaleHumansIntensive Care UnitsMaleMiddle AgedPantoprazolePeptic UlcerPeptic Ulcer HemorrhagePilot ProjectsRespiration, Artificial2-PyridinylmethylsulfinylbenzimidazolesAnti-Ulcer AgentsPantoprazole

Identifiers

PMID27920416
PMCPMC6074211
OpenAlexW2563918269

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.