Common 1976.
| Methods | Allocation: random Single blind Exclusions after randomisation: nil Losses to follow‐up: 23 at 7 months |
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| 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 |
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| 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 |
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| Outcomes | 3 ‐ 10 days: clot lysis; bleeding; stroke; mortality 7 months: clot lysis |
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| 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 |