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

Pokrupa 1986.

Methods Single centre, double‐blind, placebo‐controlled 
 Randomisation by sealed numbered opaque envelope 
 ITT analysis
Participants Canada 
 23 patients: T: 11, C: 12 
 Mean age: 63 years 
 Males: T: 5, C: 6 
 Inclusion: completed cerebrovascular accidents 
 100% CT pre‐entry 
 Enrolment within 48 hours of ictus 
 5 patients enrolled > 48 hours
Interventions T: PGI2 ("Cycloprostin", Upjohn Co, USA) 5 daily 8‐hour consecutive infusions weaned up from 2 to 10 mg/kg/min and tapered over last hour 
 C: sterile diluent buffer (NaCl 0.147 w/v, glycine 0.188 w/v, NaOH, pH 10.5 +/‐ 0.3) 
 Rx: 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.) 
 Method for measuring BP not known
Notes Ex: coma, complicating neurological conditions, heparin, malignant hypertension, uncontrolled DM, heart attack within 2 months, recent surgery 
 Mixture of data used
Risk of bias
Bias Authors' judgement Support for judgement
Adequate sequence generation? Low risk Randomisation by sealed numbered opaque envelope
Allocation concealment? Unclear risk Unclear from the publication
Blinding? Low risk Probably done
Completeness of follow‐up Unclear risk Unclear from the publication