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Cochrane Database of Systematic Reviews

درمان ضدپلاکتی خوراکی برای سکته مغزی ایسکمیک حاد

Esta versión no es la más reciente

Información

DOI:
https://doi.org/10.1002/14651858.CD000029.pub3Copiar DOI
Base de datos:
  1. Cochrane Database of Systematic Reviews
Versión publicada:
  1. 25 marzo 2014see what's new
Tipo:
  1. Intervention
Etapa:
  1. Review
Grupo Editorial Cochrane:
  1. Grupo Cochrane de Accidentes cerebrovasculares

Copyright:
  1. Copyright © 2019 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd.

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Autores

  • Peter AG Sandercock

    Correspondencia a: Centre for Clinical Brain Sciences (CCBS), University of Edinburgh, Edinburgh, UK

    [email protected]

  • Carl Counsell

    Division of Applied Health Sciences, University of Aberdeen, Aberdeen, UK

  • Mei‐Chiun Tseng

    Department of Business Management, National Sun Yat‐Sen University, Kaohsiung, Taiwan, China

  • Emanuela Cecconi

    Division of Clinical Neurosciences, University of Edinburgh, Edinburgh, UK

Contributions of authors

Carl Counsell prepared the original version of this Cochrane review, and has checked the analyses and commented on each subsequent revision. Gord Gubitz performed the literature searches, extracted the data, performed the statistical analyses and re‐redrafted the text for the 1999 update. Mei‐Chiun Tseng did the searches, extracted data, updated the analyses and commented on the text for the 2007 update. Peter Sandercock designed and performed a pre‐Cochrane systematic review in 1993 of trials of antiplatelet agents versus control, which became the basis for this review; for each subsequent update he helped with searches, data extraction, data checking, analysis and drafting of the text, and is the guarantor of the review. For this update Emanuela Cecconi did the searches, updated the text and analyses, and commented on the review.

Sources of support

Internal sources

  • University of Edinburgh, UK.

  • University of Aberdeen, UK.

External sources

  • Wellcome Trust, UK.

  • Medical Research Council, UK.

Declarations of interest

Peter Sandercock was the principal investigator of the International Stroke Trial (IST 1997).

Carl Counsell was on the Steering Committee of IST. He has received from a variety of manufacturers of antiplatelet and anticoagulant drugs (Sanofi, Bristol Meyer Squibb, Sanofi‐Synthelabo, Organon, Boehringer Ingelheim, Janssen) lecture fees and travel expenses for lectures delivered at conferences; consultancy fees; has in the past received research grants from Glaxo‐Wellcome and Boehringer Ingelheim; and the drug supply for the start‐up phase of the IST‐3 trial was donated to his department by Boehringer Ingelheim. However, he does not have any contractual consultancy arrangements with any company, or any current research grants from any company, nor does he hold stock (or hold any other financial interests) in any pharmaceutical company.

Gordon Gubitz: randomised participants in the IST.

Mei‐Chiun Tseng: none known.

Acknowledgements

We would like to thank Professor Bernard Boneu for providing us with Dr Pince's thesis; Dr Helen Massey (Syntex, UK) for providing us with unpublished data from the ticlopidine trials; Boehringer Ingelheim for providing information on the Kaye 1989 trial; Professor Livia Candelise for providing additional data from MAST‐I 1995; Dr Zheng‐Ming Chen and Dr Hongchao Pan for providing additional data from CAST 1997; Dr Colin Baigent and Dr Cathie Sudlow at the Clinical Trials Service Unit in Oxford for providing data from the Antiplatelet Trialists' Collaboration; Hazel Fraser for sending us regular lists of trials identified by the Cochrane Stroke Review Group's search strategy, and Brenda Thomas for help with trial searching.

Ongoing trials

Any clinician who knows of additional trials that we have omitted please write to Peter Sandercock.

Version history

Published

Title

Stage

Authors

Version

2022 Jan 14

Oral antiplatelet therapy for acute ischaemic stroke

Review

Jatinder S Minhas, Tamara Chithiramohan, Xia Wang, Sam C Barnes, Rebecca H Clough, Meeriam Kadicheeni, Lucy C Beishon, Thompson Robinson

https://doi.org/10.1002/14651858.CD000029.pub4

2014 Mar 25

Oral antiplatelet therapy for acute ischaemic stroke

Review

Peter AG Sandercock, Carl Counsell, Mei‐Chiun Tseng, Emanuela Cecconi

https://doi.org/10.1002/14651858.CD000029.pub3

2008 Jul 16

Antiplatelet therapy for acute ischaemic stroke

Review

Peter AG Sandercock, Carl Counsell, Gordon J Gubitz, Mei‐Chiun Tseng

https://doi.org/10.1002/14651858.CD000029.pub2

2003 Apr 22

Antiplatelet therapy for acute ischaemic stroke

Review

Peter Sandercock, Gordon J Gubitz, Peter Foley, Carl Counsell

https://doi.org/10.1002/14651858.CD000029

Differences between protocol and review

For this update we changed the title of the review to 'Oral antiplatelet therapy for acute ischaemic stroke'. We decided to exclude parenterally administrated antiplatelet agents since some of them, GP IIb/IIIa receptor inhibitors, are the focus of a separate review (Ciccone 2006) which is being updated.

Moreover, we planned to assess the methodological quality of any new trials in the following domains: random sequence generation; allocation concealment; blinding of participants, personnel and outcome assessment; incomplete outcome data; and selective outcome reporting. However, since no new trials were identified we have retained the original assessment of risk of bias and no new sensitivity analyses were performed.

PICO

Population
Intervention
Comparison
Outcome

El uso y la enseñanza del modelo PICO están muy extendidos en el ámbito de la atención sanitaria basada en la evidencia para formular preguntas y estrategias de búsqueda y para caracterizar estudios o metanálisis clínicos. PICO son las siglas en inglés de cuatro posibles componentes de una pregunta de investigación: paciente, población o problema; intervención; comparación; desenlace (outcome).

Para saber más sobre el uso del modelo PICO, puede consultar el Manual Cochrane.