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. 2009 Jan 21;2009(1):CD001247. doi: 10.1002/14651858.CD001247.pub2

Krieger 2001.

Methods Eligible patients screened during the study period who were not enrolled served as concurrent controls 
 Blinding: none 
 Losses to follow up: none 
 Intention to treat: unknown
Participants Patients with a clinical diagnosis of acute ischaemic middle cerebral artery territory stroke 
 Eligible for intravenous thrombolysis or intra‐arterial thrombolysis/thrombectomy and the initiation of moderate hypothermia within 5 hours of symptom onset (for patients treated with intravenous thrombolysis) or 8 hours after symptom onset (for patients treated with intra‐arterial thrombolysis) 
 Mean age (SD) cooling blanket 71.1 years (14.3 years), control 68.2 years (12.3 years) 
 19 participants 
 10 male (53%) 
 Stroke severity: (NIHSS) mean (SD) cooling blanket 19.8 (3.3), control 19.6 (2.6) 
 Body temperature was measured in the bladder
Interventions Cooling blanket (Aquamatic K‐Thermia EC600); ice water and whole body alcohol rubs were applied concurrently 
 Control: none 
 Duration: 12 to 72 hours
Outcomes Body temperature 
 Death or dependency (mRS ≥ 3) at 3 months 
 Death at 3 months 
 Intracranial/extracranial haemorrhage/haemorrhagic transformation of infarction 
 Infections 
 Other side effects: cardiac arrhythmias and hypotension
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment? High risk C ‐ Inadequate

SD: standard deviation 
 SSS: Scandinavian Stroke Scale 
 mRS: modified Rankin Scale 
 NIHSS: National Institutes of Health Stroke Scale