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. 2018 May 7;2018(5):CD009103. doi: 10.1002/14651858.CD009103.pub3

Ranta 2015.

Study characteristics
Methods RCT
Unit of randomisation: primary care practice/clinic
Participants Place of recruitment: from local directories ‐ participants were selected if GP practices were involved
Numbers randomised: total: 56 (I: 29; C: 27)
% Completing final follow‐up: 100%
Inclusion criteria: any TIA or stroke, never been exposed to this tool before, access to an organised TIA pathway consistent with the New Zealand TIA guideline
Exclusion criteria: did not present to a participating primary or secondary health care providers during the study period or presented without neurologic/ophthalmologic symptoms
Mean age years (SD): I: 69.8 (13.3) C: 72.3 (14.0)
Gender (men): I: 67, C: 55
Ethnicity: I: European 156/172; C: European 101/119
Interventions Intervention details (components, length, frequency): the tool is a Web‐based software program accessed via a GP computer desktop icon. Clicking the icon opens a single page of tick boxes asking for relevant aspects of the presenting illness. Depending on diagnosis and risk estimation, the tool recommends a guideline‐based management strategy.
Location: primary care practice/clinic
Mode of delivery: face‐to‐face
Personnel responsible for delivery: primary care doctor
Timing post‐stroke: after initial event
Control: usual care
Outcomes Stroke at 90 days, stroke and TIA at 90 days or vascular event/death
General Information Funding: the New Zealand Health Research Council funded this trial
Country of origin: New Zealand
Publication language: English
Notes Analysis method: generalised linear models
Risk of bias: unclear
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk The clusters were general practices randomised one‐to‐one to intervention and control groups using a computer‐generated simple randomisation schedule
Allocation concealment (selection bias) Low risk Central allocation
Incomplete outcome data (attrition bias)
All outcomes Unclear risk Low number of GP practices agreed to join in the study and none were excluded
Selective reporting (reporting bias) Low risk Outcomes were recorded electronically by individual GPs/from GP records
Other bias Low risk The study appears to be free of other sources of bias