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. 2017 May 25;2017(5):CD012144. doi: 10.1002/14651858.CD012144.pub2

Summary of findings for the main comparison. Antithrombotic treatment compared to no antithrombotic treatment for intracerebral haemorrhage.

Short‐term antithrombotic treatment
Patient or population: people with intracerebral haemorrhage
 Setting: any
 Intervention: antithrombotic treatment (parenteral anticoagulation)
 Comparison: no antithrombotic treatment
Outcomes Anticipated absolute effects* (95% CI) Relative effect
 (95% CI) № of participants
 (studies) Quality of the evidence
 (GRADE) Comments
Risk with no antithrombotic treatment Risk with Antithrombotic treatment
Composite vascular endpoint Study population not estimable (0 studies) We were unable to calculate the composite endpoint because no included study reported all component endpoints.
   
Death Study population RR 1.25
 (0.38 to 4.07) 46
 (1 RCT) ⊕⊕⊝⊝
 LOW 1 2
174 per 1,000 217 per 1,000
 (66 to 708)
Growth of ICH Study population RR 1.64
 (0.51 to 5.29) 121
 (2 RCTs) ⊕⊕⊝⊝
 LOW 1 2
51 per 1,000 83 per 1,000
 (26 to 269)
ICH Study population not estimable 75
 (1 RCT) ⊕⊕⊝⊝
 LOW 1 2
0 per 1,000 0 per 1,000
 (0 to 0)
Major extracerebral haemorrhage Study population not estimable 75
 (1 RCT) ⊕⊕⊝⊝
 LOW 1 2
0 per 1,000 0 per 1,000
 (0 to 0)
Deep vein thrombosis Study population RR 0.99
 (0.46 to 1.96) 121
 (2 RCTs) ⊕⊕⊝⊝
 LOW 1 2
186 per 1,000 185 per 1,000
 (86 to 365)
Other major ischaemic events Study population RR 0.54
 (0.23 to 1.28) 121
 (2 RCTs) ⊕⊕⊝⊝
 LOW 1 2
186 per 1,000 101 per 1,000
 (43 to 239)
*The risk in the intervention group (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; OR: Odds ratio;
GRADE Working Group grades of evidenceHigh quality: We are very confident that the true effect lies close to that of the estimate of the effect
 Moderate quality: We are moderately confident in the effect estimate: The true effect is likely to be close to the estimate of the effect, but there is a possibility that it is substantially different
 Low quality: Our confidence in the effect estimate is limited: The true effect may be substantially different from the estimate of the effect
 Very low quality: We have very little confidence in the effect estimate: The true effect is likely to be substantially different from the estimate of effect

1This included RCT/s has serious risk of bias due to it not describing random sequence generation or allocation concealment, as well as lack of blinding.

2The optimal information size (OIS) criterion is not met. The sample size of this study is probably lower than the minimum number of participants required for a trial adequately powered to identify a statistically significant difference for this outcome.