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. 2004 Jul 19;2004(3):CD000177. doi: 10.1002/14651858.CD000177.pub2

Pokrupa 1986.

Methods Randomisation by sealed numbered opaque envelope 
 Double‐blind, placebo‐controlled, single‐centre trial 
 Intention‐to‐treat 
 No loss to FU
Participants Canada 
 11 male, 12 female 
 Mean age 63 years 
 100% CT pre‐entry 
 Enrolment within 48 hours of ictus
Interventions Rx: PGI2 ("Cycloprostin", Upjohn Co., USA) 5 daily 8 hour consecutive infusions weaned up from 2 to 10 ng/kg/min and tapered over last hour 
 Pl: sterile diluent buffer (NaCl 0.147 w/v, glycine 0.188 w/v, NaOH, pH 10.5 +/‐ 0.3) 
 Duration: 5 days
Outcomes Death at 5 days, and 1, 2 and 4 weeks 
 Neurological impairment rating at 5 days, and 1, 2 and 4 weeks 
 CT and PET at 5 to 9 days
Notes Ex: coma, complicating neurological conditions, heparin, malignant hypertension, uncontrolled diabetes mellitus, heart attack within 2 months, recent surgery 
 FU: 5 days, and 1, 2, and 4 weeks 
 Original data available
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment? Low risk A ‐ Adequate

CI: cerebral infarction 
 Ex: exclusion 
 FU: follow up 
 PICH: primary intracerebral haemorrhage 
 iv: intravenous 
 PGI2: prostacyclin 
 Pl: placebo 
 Rx: treatment