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. 2010 Jul 7;2010(7):CD002839. doi: 10.1002/14651858.CD002839.pub2

Kaste 1994/120 mg.

Methods Multicentre, double‐blind, placebo‐controlled 
 Randomisation used sealed envelopes, stratified by onset of therapy, age and stroke severity 
 Tablets provided in identical numbered vials 
 ITT analysis
Participants Finland, 3 centres 
 350 patients: T: 176, C: 174 
 Mean age: T: 57 years, C: 58 years 
 Males: T: 122, C: 113 
 Inclusion: acute ischaemic hemispheric stroke 
 100% CT 
 Enrolment within 48 hours
Interventions T: 30 mg nimodipine qid 
 C: matching placebo 
 Rx: 21 days
Outcomes Neurological evaluation (own score) at baseline, day 1, 7, 21 and months 3 and 12; mobility at 12 months 
 Functional outcome, Rankin at 3 and 12 months ‐ grades 1 and 2 representing independence were considered good outcome 
 Primary end points: Rankin at 12 months, neurological scale and death 
 Used Rankin > 3 for dependence in this review 
 Rankin scale missing 2 living patients in control and 1 living patient in treatment group 
 Method of BP measurement unknown
Notes Ex: unconsciousness, dysphagia, TIA, dependence in ADL before stroke, brain stem infarction, complicated migraine, pregnancy, renal or hepatic or cardiac failure, severe systemic infection, serious psychiatric disturbance, terminal malignancy 
 Data from published paper and author
Risk of bias
Bias Authors' judgement Support for judgement
Adequate sequence generation? Low risk Randomisation used sealed envelopes, stratified by onset of therapy, age and stroke severity
Allocation concealment? Low risk Probably done
Blinding? Low risk Probably done
Completeness of follow‐up Unclear risk Unclear from the publication