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

Fruehwald 2003.

Methods Parallel design
Analysis: per protocol:
Withdrawals: death (1 treatment), withdrawn owing to AEs (1 treatment, 2 control), all excluded from analysis
Participants Location: Austria
Setting: inpatients
Treatment: 28 people, mean ± SD age 65 ± 14 years, 46% men
Control: 26 people, mean ± SD age 64 ± 14 years, 71% men
Stroke criteria: ischaemic stroke and PICH; diagnosis via clinical signs and CT (100%); stroke on average 11 days prior to randomisation
Depression criteria: psychiatric interviews, HDRS score > 15
Other entry criteria: not stated
Comparability of treatment groups: non‐significant trend towards more women and right‐sided strokes in treatment group
Exclusion criteria: MMSE < 20, more than mild communication deficit, diseases of the central nervous system and previous neurodegenerative or expansive neurological disorders
Interventions Treatment: fluoxetine 20 mg daily, dose escalation at 4 weeks if HDRS score > 13
Control: matched placebo
Duration of treatment: 12 weeks
Duration of follow‐up (end of treatment to study end): 15 months
Outcomes Depression: change in scores from baseline to end of treatment of HDRS, BDI and CGI (item 1)
Proportion of responders (< 13 HDRS)
Additional: SSS
Death
AEs (selected data)
Unable to use: RS, BI, MMSE (data not presented at follow‐up)
AEs data on dizziness, nausea and cephalalgia (data not presented by group)
Funding source The medication was supplied by Lannacher Heilmittel, Lannach, Austria
Notes Recruitment 1 June 1998 to 31 Decmeber 1998. Conflicts of interest not stated
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Computerised randomisation, using random permutated block design
Allocation concealment (selection bias) Low risk Centralised concealment
Blinding of participants and personnel (performance bias) 
 All outcomes Low risk States blinded, used matching placebo
Blinding of outcome assessment (detection bias) 
 All outcomes Low risk States blinded
Incomplete outcome data (attrition bias) 
 All outcomes High risk 4/54, per protocol analysis
Selective reporting (reporting bias) Unclear risk No protocol
Other bias Unclear risk Baseline balanced
All participants were randomly assigned to either fluoxetine or placebo treatment by the drug company independently of the research teams and the study centres