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. 2016 Oct 4;2016(10):CD009622. doi: 10.1002/14651858.CD009622.pub4

Summary of findings 2.

Diazepam compared with placebo for acute stroke

Diazepam compared with placebo for acute stroke
Patient or population: people with acute stroke
Settings: inpatients
Intervention: diazepam
Comparison: placebo
Outcomes Illustrative comparative risks* (95% CI) Relative effect (95% CI) No of participants (studies) Quality of the evidence (GRADE) Comments
Assumed risk Corresponding risk
Placebo Diazepam
Death or dependency 513 per 1000 481 per 1000 RR 0.94 (0.82 to 1.07) 849 (1) ⊕⊕⊕⊝ Moderate1
Adverse events 357 per 1000 355 per 1000 RR 0.99 (0.75 to 1.31) 865 (1) ⊕⊕⊕⊝ Moderate1
Functional independence 487 per 1000 519 per 1000 RR 1.07 (0.93 to 1.22) 849 (1) ⊕⊕⊕⊝ Moderate1
Other stroke scales Not reported Not reported
*The basis for the assumed risk (e.g. the median control group risk across studies) is provided in footnotes. The corresponding risk (and its 95% confidence interval) is based on the assumed risk in the comparison group and the relative effect of the intervention (and its 95% CI). CI: Confidence interval; RR: Risk Ratio
GRADE Working Group grades of evidence High quality: Further research is very unlikely to change our confidence in the estimate of effect. Moderate quality: Further research is likely to have an important impact on our confidence in the estimate of effect and may change the estimate. Low quality: Further research is very likely to have an important impact on our confidence in the estimate of effect and is likely to change the estimate. Very low quality: We are very uncertain about the estimate.

1Downgraded one level: one study with small sample size

Functional independence, defined as a BI score higher than 60 or a mRS score less than 3