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. 2019 Nov 26;2019(11):CD009286. doi: 10.1002/14651858.CD009286.pub3

Comparison 1. SSRI versus control at end of treatment, by SSRI.

Outcome or subgroup title No. of studies No. of participants Statistical method Effect size
1 Disability (primary analysis) 2 2829 Std. Mean Difference (IV, Fixed, 95% CI) ‐0.01 [‐0.09, 0.06]
1.1 Fluoxetine 2 2829 Std. Mean Difference (IV, Fixed, 95% CI) ‐0.01 [‐0.09, 0.06]
2 Independent on modified Rankin score (mRS 0 to 2) (primary analysis) 3 3249 Risk Ratio (M‐H, Fixed, 95% CI) 1.00 [0.91, 1.09]
3 Neurological deficit score 2 142 Std. Mean Difference (IV, Fixed, 95% CI) ‐0.30 [‐0.63, 0.04]
3.1 Fluoxetine 2 142 Std. Mean Difference (IV, Fixed, 95% CI) ‐0.30 [‐0.63, 0.04]
4 Depression (continuous data) 2 2861 Std. Mean Difference (IV, Fixed, 95% CI) ‐0.11 [‐0.19, ‐0.04]
4.1 Fluoxetine 2 2861 Std. Mean Difference (IV, Fixed, 95% CI) ‐0.11 [‐0.19, ‐0.04]
5 Depression (dichotomous data) 1   Risk Ratio (M‐H, Fixed, 95% CI) Totals not selected
5.1 Fluoxetine 1   Risk Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
6 Death 3 3254 Risk Ratio (M‐H, Fixed, 95% CI) 0.99 [0.79, 1.25]
6.1 Fluoxetine 3 3254 Risk Ratio (M‐H, Fixed, 95% CI) 0.99 [0.79, 1.25]
7 Seizures 3 3275 Risk Ratio (M‐H, Fixed, 95% CI) 1.47 [0.99, 2.18]
7.1 Fluoxetine 3 3275 Risk Ratio (M‐H, Fixed, 95% CI) 1.47 [0.99, 2.18]
8 Gastrointestinal side effects 2 148 Risk Ratio (M‐H, Fixed, 95% CI) 2.19 [1.00, 4.76]
8.1 Fluoxetine 2 148 Risk Ratio (M‐H, Fixed, 95% CI) 2.19 [1.00, 4.76]
9 Bleeding 1   Risk Ratio (M‐H, Fixed, 95% CI) Totals not selected
9.1 Fluoxetine 1   Risk Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
10 Leaving the trial before the end of scheduled follow‐up 3 3277 Risk Ratio (M‐H, Fixed, 95% CI) 1.01 [0.48, 2.10]
10.1 Fluoxetine 3 3277 Risk Ratio (M‐H, Fixed, 95% CI) 1.01 [0.48, 2.10]
11 Motor deficits 3 2936 Std. Mean Difference (IV, Fixed, 95% CI) 0.02 [‐0.05, 0.09]
11.1 Fluoxetine 3 2936 Std. Mean Difference (IV, Fixed, 95% CI) 0.02 [‐0.05, 0.09]
12 Disability (sensitivity analyses all studies regardless of RoB) 26 5334 Std. Mean Difference (IV, Fixed, 95% CI) 0.23 [0.18, 0.29]
12.1 Fluoxetine 15 3919 Std. Mean Difference (IV, Fixed, 95% CI) 0.14 [0.08, 0.20]
12.2 Sertraline 1 130 Std. Mean Difference (IV, Fixed, 95% CI) 1.38 [0.99, 1.76]
12.3 Paroxetine 5 293 Std. Mean Difference (IV, Fixed, 95% CI) 1.29 [1.03, 1.55]
12.4 Citalopram 5 992 Std. Mean Difference (IV, Fixed, 95% CI) 0.24 [0.11, 0.37]
13 Independent on modified Rankin score (mRS 0 to 2) (sensitivity analysis) 5 4002 Risk Ratio (M‐H, Fixed, 95% CI) 0.97 [0.91, 1.03]
13.1 Fluoxetine 3 3249 Risk Ratio (M‐H, Fixed, 95% CI) 1.00 [0.91, 1.09]
13.2 Sertraline 1 111 Risk Ratio (M‐H, Fixed, 95% CI) 1.0 [0.97, 1.04]
13.3 Citalopram 1 642 Risk Ratio (M‐H, Fixed, 95% CI) 0.90 [0.82, 0.98]