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. 2017 Apr 4;2017(4):CD000119. doi: 10.1002/14651858.CD000119.pub4

Comparison 1. LMWH/heparinoid versus standard UFH in acute ischaemic stroke.

Outcome or subgroup title No. of studies No. of participants Statistical method Effect size
1 Dead or dependent at the end of follow‐up 0 0 Odds Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
2 Death from all causes during treatment period 8 3102 Peto Odds Ratio (Peto, Fixed, 95% CI) 1.06 [0.78, 1.46]
2.1 Heparinoid versus standard UFH 4 493 Peto Odds Ratio (Peto, Fixed, 95% CI) 1.19 [0.62, 2.26]
2.2 LMWH versus standard UFH 4 2609 Peto Odds Ratio (Peto, Fixed, 95% CI) 1.03 [0.72, 1.47]
3 Death from all causes during follow‐up 8 3102 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.98 [0.79, 1.23]
3.1 Heparinoid versus standard UFH 4 493 Peto Odds Ratio (Peto, Fixed, 95% CI) 1.16 [0.69, 1.94]
3.2 LMWH versus standard UFH 4 2609 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.95 [0.74, 1.21]
4 Vascular death during follow‐up 5 1038 Peto Odds Ratio (Peto, Fixed, 95% CI) 1.15 [0.72, 1.85]
4.1 Heparinoid versus standard UFH 4 493 Peto Odds Ratio (Peto, Fixed, 95% CI) 1.15 [0.68, 1.94]
4.2 LMWH versus standard UFH 1 545 Peto Odds Ratio (Peto, Fixed, 95% CI) 1.17 [0.39, 3.53]
5 Deep venous thrombosis during treatment period 7 2585 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.55 [0.44, 0.70]
5.1 Heparinoid versus standard UFH 4 493 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.52 [0.31, 0.86]
5.2 LMWH versus standard UFH 3 2092 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.56 [0.44, 0.73]
6 Pulmonary embolism during follow‐up 6 1250 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.57 [0.23, 1.41]
6.1 Heparinoid versus standard UFH 4 493 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.64 [0.18, 2.21]
6.2 LMWH versus standard UFH 2 757 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.51 [0.13, 1.90]
7 Any intracranial haemorrhage/haemorrhagic transformation of the cerebral infarct during treatment period 9 3137 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.75 [0.46, 1.23]
7.1 Heparinoid versus standard UFH 4 493 Peto Odds Ratio (Peto, Fixed, 95% CI) 1.12 [0.43, 2.94]
7.2 LMWH versus standard UFH 5 2644 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.66 [0.37, 1.15]
8 Symptomatic intracranial haemorrhage/haemorrhagic transformation of the infarct during treatment period 8 3102 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.73 [0.35, 1.54]
8.1 Heparinoid versus standard UFH 4 493 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.90 [0.19, 4.40]
8.2 LMWH versus standard UFH 4 2609 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.69 [0.30, 1.60]
9 Extracranial haemorrhage during treatment period 7   Peto Odds Ratio (Peto, Fixed, 95% CI) Subtotals only
9.1 Major extracranial haemorrhage 7 3012 Peto Odds Ratio (Peto, Fixed, 95% CI) 3.79 [1.30, 11.06]
9.2 Minor extracranial haemorrhage 7 3012 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.91 [0.67, 1.24]
10 Effect of recurrent ischaemic stroke or recurrent stroke of unknown pathological type during treatment period 2 1839 Peto Odds Ratio (Peto, Fixed, 95% CI) 1.94 [0.61, 6.11]
10.1 LMWH versus UFH 2 1839 Peto Odds Ratio (Peto, Fixed, 95% CI) 1.94 [0.61, 6.11]
11 Deep venous thrombosis according to heparinoid dosage regimen 4   Peto Odds Ratio (Peto, Fixed, 95% CI) Subtotals only
11.1 350 anti‐Xa units 24‐hourly versus 5000 IU UFH 12‐hourly 1 60 Peto Odds Ratio (Peto, Fixed, 95% CI) 2.11 [0.67, 6.59]
11.2 750 anti‐Xa units 24‐hourly versus 5000 IU UFH 12‐hourly 1 72 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.54 [0.14, 2.14]
11.3 1250 anti‐Xa units 24‐hourly versus 5000 IU UFH 12‐hourly 2 246 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.63 [0.32, 1.26]
11.4 750 anti‐Xa units 12‐hourly versus 5000 IU UFH 12‐hourly 2 140 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.30 [0.13, 0.71]
11.5 1250 anti‐Xa units 12‐hourly versus 5000 IU UFH 12‐hourly 1 55 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.28 [0.06, 1.23]
12 Intracranial and extracranial haemorrhage during treatment according to dosage regimen 4   Peto Odds Ratio (Peto, Fixed, 95% CI) Subtotals only
12.1 350 anti‐Xa units 24‐hourly versus 5000 IU UFH 12‐hourly 1 60 Peto Odds Ratio (Peto, Fixed, 95% CI) 1.29 [0.45, 3.68]
12.2 750 anti‐Xa units 24‐hourly versus 5000 IU UFH 12‐hourly 1 72 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.90 [0.33, 2.50]
12.3 1250 anti‐Xa units 24‐hourly versus 5000 IU UFH 12‐hourly 2 246 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.69 [0.38, 1.25]
12.4 750 anti‐Xa units 12‐hourly versus 5000 IU UFH 12‐hourly 2 138 Peto Odds Ratio (Peto, Fixed, 95% CI) 2.73 [1.03, 7.24]
12.5 1250 anti‐Xa units 12‐hourly versus 5000 IU UFH 12‐hourly 1 53 Peto Odds Ratio (Peto, Fixed, 95% CI) 1.71 [0.31, 9.25]