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. 2016 Nov 10;2016(11):CD002783. doi: 10.1002/14651858.CD002783.pub4

Common 1976.

Methods Allocation: random
Single blind
Exclusions after randomisation: nil
Losses to follow‐up: 23 at 7 months
Participants Country: USA
Participants: 50
Age: > 18 years
Sex: Male and female
Inclusion criteria: venographically confirmed DVT duration < 14 days
Exclusion criteria: pregnancy; surgery or childbirth < 10 days; bleeding dysfunction; peptic ulcer; recent streptococcal infection; active TB; carotid bruit; stroke < 6 months; diastolic BP > 100 mmHg; atrial fibrillation; hypertensive retinopathy grade 3/4; hepatic/renal biopsy aortography < 14 days
Interventions Treatment: hydrocortisone 100 mg IV then streptokinase IV 250,000 U over 30 minutes, then 100,000 U/hour titrated for 72 hours. Followed by IV heparin titrated over 7 days
Control: IV heparin 150 U/kg loading dose then titrated for 10 days
Co‐treatment: warfarin given from day 6 ‐ 7
Outcomes 3 ‐ 10 days: clot lysis; bleeding; stroke; mortality
7 months: clot lysis
Notes Did not specify whether arm vein thrombosis included or not
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk stated "randomized" but no further details given
Allocation concealment (selection bias) Unclear risk not described
Blinding of participants and personnel (performance bias) 
 All outcomes Low risk not described but judged as low risk of bias as outcome assessment blinding described
Blinding of outcome assessment (detection bias) 
 All outcomes Low risk "..two radiologists who were unaware of the patient's treatment were evaluated the venograms..."
Incomplete outcome data (attrition bias) 
 All outcomes Low risk no missing data
Selective reporting (reporting bias) Low risk all outcomes reported
Other bias Low risk none