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. 2021 Oct 22;2021(10):CD000024. doi: 10.1002/14651858.CD000024.pub5

Comparison 1. Anticoagulant vs control in acute presumed ischaemic stroke.

Outcome or subgroup title No. of studies No. of participants Statistical method Effect size
1.1 Dead or dependent at end of follow‐up (if > 1 month) 12 22428 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.98 [0.92, 1.03]
1.2 Death from all causes during treatment period 22 22602 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.99 [0.90, 1.09]
1.3 Death from all causes at final follow‐up (if > 1 month) 15 23079 Peto Odds Ratio (Peto, Fixed, 95% CI) 1.05 [0.98, 1.12]
1.4 Deep vein thrombosis during treatment period 10 916 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.21 [0.15, 0.29]
1.5 Recurrent ischaemic or unknown stroke during treatment period 12 21665 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.75 [0.65, 0.88]
1.6 Symptomatic intracranial haemorrhage during treatment period 20 23221 Peto Odds Ratio (Peto, Fixed, 95% CI) 2.47 [1.90, 3.21]
1.7 Any recurrent stroke or symptomatic intracranial haemorrhage during treatment period or follow‐up (> 1 month) 12 21665 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.97 [0.84, 1.11]
1.8 Symptomatic pulmonary embolism during treatment period 14 22544 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.60 [0.44, 0.81]
1.9 Major extracranial haemorrhage during treatment period 18 22255 Peto Odds Ratio (Peto, Fixed, 95% CI) 2.99 [2.24, 3.99]
1.10 Subgroup analysis by type of anticoagulant agent used: effect on death or dependency 12 22428 Odds Ratio (M‐H, Fixed, 95% CI) 0.98 [0.92, 1.03]
1.10.1 Unfractionated heparin (subcutaneous) versus control 1 19435 Odds Ratio (M‐H, Fixed, 95% CI) 1.00 [0.94, 1.06]
1.10.2 Low‐molecular‐weight heparin versus control 6 1328 Odds Ratio (M‐H, Fixed, 95% CI) 0.74 [0.59, 0.93]
1.10.3 Heparinoid (subcutaneous) versus control 1 57 Odds Ratio (M‐H, Fixed, 95% CI) 0.81 [0.29, 2.29]
1.10.4 Heparinoid (intravenous) versus control 2 1329 Odds Ratio (M‐H, Fixed, 95% CI) 0.88 [0.69, 1.12]
1.10.5 Direct thrombin inhibitor versus control (intravenous) 3 279 Odds Ratio (M‐H, Fixed, 95% CI) 0.90 [0.55, 1.48]
1.11 Subgroup analysis by anticoagulant dose: effect on death or dependency 11 22339 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.98 [0.93, 1.03]
1.11.1 Adjusted full‐dose intravenous anticoagulant 4 1522 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.88 [0.70, 1.11]
1.11.2 Medium fixed‐dose anticoagulant 4 10361 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.98 [0.91, 1.06]
1.11.3 Low fixed‐dose anticoagulant 7 10456 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.99 [0.91, 1.07]
1.12 Sensitivity analysis: dead or dependent at end of follow‐up (if > 1 month) in trials with adequate concealment of treatment allocation 6 21286 Odds Ratio (M‐H, Fixed, 95% CI) 0.98 [0.92, 1.03]
1.13 Sensitivity analysis: dead or dependent at end of follow‐up (if > 1 month) for patients within 48 hours of stroke onset 11 22298 Odds Ratio (M‐H, Fixed, 95% CI) 0.94 [0.89, 1.00]
1.14 Sensitivity analysis: dead or dependent at end of follow‐up (if > 1 month) excluding IST3 trial 11 2993 Odds Ratio (M‐H, Fixed, 95% CI) 0.81 [0.69, 0.95]
1.15 Sensitivity analysis: dead or dependent at end of follow‐up (if > 1 month) excluding trial with assessment of primary outcome after only 1 month 11 22371 Odds Ratio (M‐H, Fixed, 95% CI) 0.98 [0.92, 1.03]
1.16 Sensitivity analysis: deep vein thrombosis during treatment period restricted to trials where concealment of allocation was secure 3 282 Odds Ratio (M‐H, Fixed, 95% CI) 0.33 [0.16, 0.71]
1.17 Sensitivity analysis: deep vein thrombosis during treatment period restricted to trials where radiographic assessment was blinded 6 499 Odds Ratio (M‐H, Fixed, 95% CI) 0.44 [0.27, 0.72]