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. 2013 Aug 30;2013(8):CD001245. doi: 10.1002/14651858.CD001245.pub2

Chandra 1978.

Methods Single centre study
Random allocation (method of randomisation not described)
 Double‐blind treatment
 ITT analysis
Participants Clinical diagnosis of aneurysmal SAH confirmed in CSF and on angiography
Male:female: treatment group 11:9; placebo group 10:9
 Mean age 51 years (range 20 to 65)
 Excluded: SAH > 7 days, 'relevant associated illness'
Interventions Tranexamic acid (6 g per day iv in 6 doses) versus identical‐appearing placebo treatment for a treatment duration of 3 weeks
No report on surgical interventions
Outcomes Outcome: deaths from all causes at 3‐week follow‐up
 Events: rebleeding: reported, not defined; cerebral ischaemia: not reported; hydrocephalus: not reported
Notes No report on how many rebleeding were established on CT scan or at necropsy
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk In the text, participants were reported to be randomly allocated, but how this was achieved is not reported
Allocation concealment (selection bias) Low risk Identical medication; however, unclear how medication was coded
Blinding of participants and personnel (performance bias) 
 All outcomes Low risk "Neither the investigators nor the patients knew which subjects received which substance"
Blinding of outcome assessment (detection bias) 
 All outcomes Unclear risk Not described in text
Incomplete outcome data (attrition bias) 
 All outcomes Low risk No missing data
Selective reporting (reporting bias) Unclear risk Unclear
Other bias Unclear risk More male than female participants included, which could point to some form of bias since people with SAH are more often female