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

Guo 2009.

Methods Parallel group, 3‐arm trial, comparing sertraline plus routine care versus routine care versus acupuncture plus routine care. We are using the sertraline plus routine care versus routine care in this review
Aim: to treat depression
Analysis: according to allocated treatment
Participants Country: China
Setting: unknown
Stroke criteria: first ever stroke, clinical diagnosis plus relevant lesion on imaging, age ≥ 60 years old
Depression criteria: HAMD score ≥ 8, no depression prior to stroke
Treatment: 40 people, mean age 67.6 ± 12.43 years, 23 men
Control: 40 people, mean age 64.5 ± 12.07 years, 22 men
Exclusions: psychiatric disorders or family psychiatric disorders, severe cognitive impairment, global aphasia, sensory aphasia, apraxia, severe cardiac, hepatic, renal, lung or other severe somatic disorder, consciousness disturbance, severe deafness, family or patient unable to comply
Interventions Treatment: sertraline 50 mg daily plus stroke care (acute, secondary prevention, rehabilitation and psychotherapy)
Control: stroke care (acute, secondary prevention, rehabilitation and psychotherapy)
Duration of treatment: 6 weeks
Duration of follow‐up: (treatment end to study end): 6 months
Outcomes HAMD
NIHSS
FIM (reported cognition and mobility scores only)
SF‐36
AEs not reported
Funding source Funded by a local scientific academic fund
Notes
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Random‐number table
Allocation concealment (selection bias) Unclear risk Not described
Blinding of participants and personnel (performance bias) 
 All outcomes High risk No placebo
Blinding of outcome assessment (detection bias) 
 All outcomes Low risk Outcome assessor blind
Incomplete outcome data (attrition bias) 
 All outcomes Low risk No dropouts, analysed by allocated treatment
Selective reporting (reporting bias) Unclear risk No protocol
Other bias Low risk No obvious risk, balance baseline