Fruehwald 2003.
Methods | Parallel design Analysis: per protocol: Withdrawals: death (1 treatment), withdrawn owing to AEs (1 treatment, 2 control), all excluded from analysis |
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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 |
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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 |
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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) |
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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 |