Table 1.
Rec. | Table | S-Tablea | Population | Intervention(s) | Comparator | Outcome | Method |
Ischemic stroke: acute management | |||||||
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2.1.1 | 2, 3, 4 | 1, 2, 3, 4 | Patients with acute ischemic stroke | IV r-tPA | No IV r-tPA | Mortality, good functional outcome | R |
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2.1.2 | |||||||
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2.1.3 | |||||||
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2.2.1 | 5 | 5, 6 | Patients with acute ischemic stroke | Intraarterial r-tPA | No IA r-tPA | Same as above | R |
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2.2.2 | 6 | 5, 7 | Patients with acute ischemic stroke | Intraarterial+IV r-tPA | IV r-tPA | Same as above | C |
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2.3 | 8, 9, 10 | Patients with acute ischemic stroke | Mechanical thrombectomy | No mechanical thrombectomy | Same as above | C | |
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2.4 | 7 | 11, 12 | Patients with acute ischemic stroke or TIA | Aspirin | No aspirin | Mortality, good functional outcome, nonfatal major extracranial bleed | R |
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2.5 | 8 | 13, 14 | Patients with acute ischemic stroke or TIA | Therapeutic anticoagulation | Aspirin | Same as above | R |
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VTE prevention in stroke patients | |||||||
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3.1.1 | 9 | 15, 16 | Patients with acute ischemic stroke and restricted mobility | Prophylactic-dose heparin | No prophylactic-dose heparin | Mortality, PE, symptomatic DVT, symptomatic intracranial hemorrhage, major extracranial hemorrhage | R |
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3.1.2 | 10 | 15, 17 | Patients with acute stroke (ischemic or hemorrhagic) and restricted mobility | Prophylactic-dose unfractionated heparin | Prophylactic-dose LMWH | Same as above | R |
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3.2.2 | |||||||
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3.1.1 | 11 | 15, 18 | Patients with acute stroke (ischemic or hemorrhagic) and restricted mobility | Intermittent pneumatic compression stockings | No intermittent pneumatic compression stockings | Mortality, PE, symptomatic DVT | R |
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3.2.1 | |||||||
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3.1.3 | 12 | 15, 19 | Patients with acute stroke (ischemic or hemorrhagic) and restricted mobility | Elastic compression stockings | No elastic compression stockings | Mortality, PE, symptomatic DVT, skin complications | R |
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3.2.3 | |||||||
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3.2.1 | 13 | 15, 20 | Patients with primary ICH and restricted mobility | Prophylactic-dose heparin | No prophylactic-dose heparin | Mortality, PE, symptomatic DVT, rebleeding | R |
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3.2.1 | 14 | 15, 21 | Patients with primary ICH and restricted mobility | Early (day 2) prophylactic-dose heparin | Late (day 4) prophylactic-dose heparin | Same as above | R |
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Secondary stroke prevention | |||||||
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4.1.1 | 15 | 22, 23 | Patients with a history of noncardioembolic ischemic stroke or TIA | Aspirin | No aspirin | Mortality, nonfatal recurrent stroke, nonfatal MI, nonfatal major extracranial bleeding | R |
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4.1.1 | 16 | 22, 24 | Patients with a history of noncardioembolic ischemic stroke or TIA | Clopidogrel | Aspirin | Same as above | R |
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4.1.2 | |||||||
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4.1.1 | 17 | 22, 25 | Patients with a history of noncardioembolic ischemic stroke or TIA | Aspirin plus dipyridamole | Aspirin | Same as above | R |
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4.1.2 | |||||||
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4.1.1 | 18 | 22, 26 | Patients with a history of noncardioembolic ischemic stroke or TIA | Aspirin plus dipyridamole | Clopidogrel | Same as above | R |
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4.1.2 | |||||||
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4.1.1 | 19 | 22, 27 | Patients with a history of noncardioembolic ischemic stroke or TIA | Aspirin plus clopidogrel | Clopidogrel | Same as above | R |
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4.1.1 | 20 | 22, 28 | Patients with a history of noncardioembolic ischemic stroke or TIA | Cilostazol | Aspirin | Same as above | R |
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4.1.2 | |||||||
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4.1.1 | 21 | 22, 29 | Patients with a history of noncardioembolic ischemic stroke or TIA | Triflusal | Aspirin | Same as above | R |
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4.1.1 | 22 | 30, 31 | Patients with a history of noncardioembolic ischemic stroke or TIA | Oral anticoagulation | Aspirin | Same as above | R |
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4.2.1 | 23 | Patients with AF and a history of stroke or TIA | Oral anticoagulation | No Oral anticoagulation | Same as above | R | |
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4.2.2 | See You et al3 | Patients with AF and a history of stroke or TIA | Dabigatran | No antiplatelets | Same as above | R | |
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4.2.3 | Patients with AF and a history of stroke or TIA | Aspirin and clopidogrel | Aspirin | Same as above | R | ||
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4.3 | Patients with a history of a primary ICH and an indication for Coumadin for ischemic stroke prevention | Antithrombotic therapy | No antithrombotic therapy | QALY | D | ||
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Cerebral venous sinus thrombosis | |||||||
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5.1 | 24 | 32, 33 | Patients with cerebral venous sinus thrombosis | Therapeutic anticoagulation | No therapeutic anticoagulation | Mortality, good functional outcome, nonfatal major bleeding | R |
AF=atrial fibrillation; C=cohort study; D=decision model; ICH=intracerebral hemorrhage; MI=myocardial infarction; PE=pulmonary embolism; QALY=quality-adjusted life-year; Rec.=recommendation; R=randomized controlled trial; r-tPA=recombinant tissue plasminogen activator; TIA=transient ischemic attack.
See supplemental tables in the online supplement.