Scolaris Content Display Scolaris Content Display

Comparison 1 Any thrombolytic agent versus control, Outcome 1 Deaths from all causes within 7 to 10 days.
Figuras y tablas -
Analysis 1.1

Comparison 1 Any thrombolytic agent versus control, Outcome 1 Deaths from all causes within 7 to 10 days.

Comparison 1 Any thrombolytic agent versus control, Outcome 2 Fatal intracranial haemorrhage within 7 to 10 days.
Figuras y tablas -
Analysis 1.2

Comparison 1 Any thrombolytic agent versus control, Outcome 2 Fatal intracranial haemorrhage within 7 to 10 days.

Comparison 1 Any thrombolytic agent versus control, Outcome 3 Deaths within the first 7 to 10 days from causes other than fatal intracranial haemorrhage.
Figuras y tablas -
Analysis 1.3

Comparison 1 Any thrombolytic agent versus control, Outcome 3 Deaths within the first 7 to 10 days from causes other than fatal intracranial haemorrhage.

Comparison 1 Any thrombolytic agent versus control, Outcome 4 Symptomatic (including fatal) intracranial haemorrhage within 7 to 10 days.
Figuras y tablas -
Analysis 1.4

Comparison 1 Any thrombolytic agent versus control, Outcome 4 Symptomatic (including fatal) intracranial haemorrhage within 7 to 10 days.

Comparison 1 Any thrombolytic agent versus control, Outcome 5 Symptomatic (including fatal) cerebral oedema.
Figuras y tablas -
Analysis 1.5

Comparison 1 Any thrombolytic agent versus control, Outcome 5 Symptomatic (including fatal) cerebral oedema.

Comparison 1 Any thrombolytic agent versus control, Outcome 6 Deaths from all causes during follow up.
Figuras y tablas -
Analysis 1.6

Comparison 1 Any thrombolytic agent versus control, Outcome 6 Deaths from all causes during follow up.

Comparison 1 Any thrombolytic agent versus control, Outcome 7 Deaths occurring between 7 and 10 days and the end of follow up.
Figuras y tablas -
Analysis 1.7

Comparison 1 Any thrombolytic agent versus control, Outcome 7 Deaths occurring between 7 and 10 days and the end of follow up.

Comparison 1 Any thrombolytic agent versus control, Outcome 8 Death or dependency at the end of follow up.
Figuras y tablas -
Analysis 1.8

Comparison 1 Any thrombolytic agent versus control, Outcome 8 Death or dependency at the end of follow up.

Comparison 1 Any thrombolytic agent versus control, Outcome 9 Death or dependency defined as mRS 2‐6.
Figuras y tablas -
Analysis 1.9

Comparison 1 Any thrombolytic agent versus control, Outcome 9 Death or dependency defined as mRS 2‐6.

Comparison 1 Any thrombolytic agent versus control, Outcome 10 Death or dependency defined as mRS 3‐6.
Figuras y tablas -
Analysis 1.10

Comparison 1 Any thrombolytic agent versus control, Outcome 10 Death or dependency defined as mRS 3‐6.

Comparison 1 Any thrombolytic agent versus control, Outcome 11 Dependency at the end of follow up defined as mRS 3‐5.
Figuras y tablas -
Analysis 1.11

Comparison 1 Any thrombolytic agent versus control, Outcome 11 Dependency at the end of follow up defined as mRS 3‐5.

Comparison 1 Any thrombolytic agent versus control, Outcome 12 Deaths from all causes ordered by antithrombotic drug use.
Figuras y tablas -
Analysis 1.12

Comparison 1 Any thrombolytic agent versus control, Outcome 12 Deaths from all causes ordered by antithrombotic drug use.

Comparison 1 Any thrombolytic agent versus control, Outcome 13 Deaths from all causes ordered by stroke severity.
Figuras y tablas -
Analysis 1.13

Comparison 1 Any thrombolytic agent versus control, Outcome 13 Deaths from all causes ordered by stroke severity.

Comparison 1 Any thrombolytic agent versus control, Outcome 14 Death or dependency at the end of follow up: patients randomised within 3 hours of stroke.
Figuras y tablas -
Analysis 1.14

Comparison 1 Any thrombolytic agent versus control, Outcome 14 Death or dependency at the end of follow up: patients randomised within 3 hours of stroke.

Comparison 1 Any thrombolytic agent versus control, Outcome 15 Death or dependency by time to treatment up to 6 hours: all agents: only trials randomising in both 0‐3 and 3‐6 hour time windows.
Figuras y tablas -
Analysis 1.15

Comparison 1 Any thrombolytic agent versus control, Outcome 15 Death or dependency by time to treatment up to 6 hours: all agents: only trials randomising in both 0‐3 and 3‐6 hour time windows.

Comparison 1 Any thrombolytic agent versus control, Outcome 16 Death or dependency by time to treatment up to 6 hours: rt‐PA: only trials randomising in 0‐3 and 3‐6 hour windows.
Figuras y tablas -
Analysis 1.16

Comparison 1 Any thrombolytic agent versus control, Outcome 16 Death or dependency by time to treatment up to 6 hours: rt‐PA: only trials randomising in 0‐3 and 3‐6 hour windows.

Comparison 1 Any thrombolytic agent versus control, Outcome 17 Death or dependency by time to treatment up to 6 hours: rt‐PA: all trials regardless of time window.
Figuras y tablas -
Analysis 1.17

Comparison 1 Any thrombolytic agent versus control, Outcome 17 Death or dependency by time to treatment up to 6 hours: rt‐PA: all trials regardless of time window.

Comparison 1 Any thrombolytic agent versus control, Outcome 18 Death or dependency by latest time to randomisation.
Figuras y tablas -
Analysis 1.18

Comparison 1 Any thrombolytic agent versus control, Outcome 18 Death or dependency by latest time to randomisation.

Comparison 1 Any thrombolytic agent versus control, Outcome 19 Deaths from all causes during follow up: patients randomised within 3 hours of stroke.
Figuras y tablas -
Analysis 1.19

Comparison 1 Any thrombolytic agent versus control, Outcome 19 Deaths from all causes during follow up: patients randomised within 3 hours of stroke.

Comparison 1 Any thrombolytic agent versus control, Outcome 20 Deaths by time to treatment up to 6 hours: all agents: only trials randomising in both 0‐3 and 3‐6 hour time windows.
Figuras y tablas -
Analysis 1.20

Comparison 1 Any thrombolytic agent versus control, Outcome 20 Deaths by time to treatment up to 6 hours: all agents: only trials randomising in both 0‐3 and 3‐6 hour time windows.

Comparison 1 Any thrombolytic agent versus control, Outcome 21 Deaths by time to treatment up to 6 hours: rt‐PA: only trials randomising in both 0‐3 and 3‐6 hour time windows.
Figuras y tablas -
Analysis 1.21

Comparison 1 Any thrombolytic agent versus control, Outcome 21 Deaths by time to treatment up to 6 hours: rt‐PA: only trials randomising in both 0‐3 and 3‐6 hour time windows.

Comparison 1 Any thrombolytic agent versus control, Outcome 22 Deaths by time to treatment up to 6 hours: rt‐PA: all trials regardless of time window.
Figuras y tablas -
Analysis 1.22

Comparison 1 Any thrombolytic agent versus control, Outcome 22 Deaths by time to treatment up to 6 hours: rt‐PA: all trials regardless of time window.

Comparison 1 Any thrombolytic agent versus control, Outcome 23 Death by latest time to treatment.
Figuras y tablas -
Analysis 1.23

Comparison 1 Any thrombolytic agent versus control, Outcome 23 Death by latest time to treatment.

Comparison 1 Any thrombolytic agent versus control, Outcome 24 Symptomatic intracranial haemorrhage by time to treatment up to 6 hours: rt‐PA: only trials randomising in both 0‐3 and 3‐6 hour time windows..
Figuras y tablas -
Analysis 1.24

Comparison 1 Any thrombolytic agent versus control, Outcome 24 Symptomatic intracranial haemorrhage by time to treatment up to 6 hours: rt‐PA: only trials randomising in both 0‐3 and 3‐6 hour time windows..

Comparison 1 Any thrombolytic agent versus control, Outcome 25 Symptomatic intracranial haemorrhage by time to treatment up to 6 hours: rt‐PA: all trials regardless of time window.
Figuras y tablas -
Analysis 1.25

Comparison 1 Any thrombolytic agent versus control, Outcome 25 Symptomatic intracranial haemorrhage by time to treatment up to 6 hours: rt‐PA: all trials regardless of time window.

Comparison 1 Any thrombolytic agent versus control, Outcome 26 Symptomatic intracranial haemorrhage by latest time to treatment.
Figuras y tablas -
Analysis 1.26

Comparison 1 Any thrombolytic agent versus control, Outcome 26 Symptomatic intracranial haemorrhage by latest time to treatment.

Comparison 1 Any thrombolytic agent versus control, Outcome 27 Death: selection by MR DWI/PWI or CT.
Figuras y tablas -
Analysis 1.27

Comparison 1 Any thrombolytic agent versus control, Outcome 27 Death: selection by MR DWI/PWI or CT.

Comparison 1 Any thrombolytic agent versus control, Outcome 28 Death or dependency: selection with MR DWI/PWI versus plain CT.
Figuras y tablas -
Analysis 1.28

Comparison 1 Any thrombolytic agent versus control, Outcome 28 Death or dependency: selection with MR DWI/PWI versus plain CT.

Comparison 1 Any thrombolytic agent versus control, Outcome 29 Symptomatic intracranial haemorrhage: selection with MR DWI/PWI or CT.
Figuras y tablas -
Analysis 1.29

Comparison 1 Any thrombolytic agent versus control, Outcome 29 Symptomatic intracranial haemorrhage: selection with MR DWI/PWI or CT.

Comparison 1 Any thrombolytic agent versus control, Outcome 30 Death or dependency at the end of follow up:intra‐arterial thrombolysis versus control.
Figuras y tablas -
Analysis 1.30

Comparison 1 Any thrombolytic agent versus control, Outcome 30 Death or dependency at the end of follow up:intra‐arterial thrombolysis versus control.

Comparison 1. Any thrombolytic agent versus control

Outcome or subgroup title

No. of studies

No. of participants

Statistical method

Effect size

1 Deaths from all causes within 7 to 10 days Show forest plot

12

4423

Peto Odds Ratio (Peto, Fixed, 95% CI)

1.76 [1.44, 2.16]

1.1 Intravenous urokinase versus control

1

465

Peto Odds Ratio (Peto, Fixed, 95% CI)

1.35 [0.62, 2.94]

1.2 Intravenous streptokinase versus control

3

963

Peto Odds Ratio (Peto, Fixed, 95% CI)

1.90 [1.37, 2.63]

1.3 Intravenous tPA versus control

7

2500

Peto Odds Ratio (Peto, Fixed, 95% CI)

1.23 [0.88, 1.71]

1.4 Intravenous streptokinase plus oral aspirin versus oral aspirin

1

309

Peto Odds Ratio (Peto, Fixed, 95% CI)

3.86 [2.26, 6.59]

1.5 Intravenous desmoteplase versus control

1

186

Peto Odds Ratio (Peto, Fixed, 95% CI)

4.73 [0.85, 26.26]

2 Fatal intracranial haemorrhage within 7 to 10 days Show forest plot

16

6031

Peto Odds Ratio (Peto, Fixed, 95% CI)

4.40 [3.21, 6.03]

2.1 Intravenous urokinase versus control

2

751

Peto Odds Ratio (Peto, Fixed, 95% CI)

4.43 [1.08, 18.18]

2.2 Intravenous streptokinase versus control

4

983

Peto Odds Ratio (Peto, Fixed, 95% CI)

6.03 [3.47, 10.47]

2.3 Intravenous tPA versus control

7

3648

Peto Odds Ratio (Peto, Fixed, 95% CI)

3.70 [2.36, 5.79]

2.4 Intravenous streptokinase plus oral aspirin versus oral aspirin

1

309

Peto Odds Ratio (Peto, Fixed, 95% CI)

4.56 [1.62, 12.84]

2.5 Intra‐arterial pro‐urokinase plus intravenous heparin versus intravenous heparin

1

40

Peto Odds Ratio (Peto, Fixed, 95% CI)

0.51 [0.03, 9.65]

2.6 Intra‐arterial urokinase versus control

1

114

Peto Odds Ratio (Peto, Fixed, 95% CI)

7.39 [0.15, 372.38]

2.7 Intravenous desmoteplase versus control

1

186

Peto Odds Ratio (Peto, Fixed, 95% CI)

4.65 [0.58, 37.52]

3 Deaths within the first 7 to 10 days from causes other than fatal intracranial haemorrhage Show forest plot

9

4191

Peto Odds Ratio (Peto, Fixed, 95% CI)

1.08 [0.85, 1.38]

3.1 Intravenous urokinase versus control

1

465

Peto Odds Ratio (Peto, Fixed, 95% CI)

0.87 [0.35, 2.13]

3.2 Intravenous streptokinase versus control

3

963

Peto Odds Ratio (Peto, Fixed, 95% CI)

1.05 [0.72, 1.53]

3.3 Intravenous rtPA versus control

4

2268

Peto Odds Ratio (Peto, Fixed, 95% CI)

0.63 [0.41, 0.98]

3.4 Intravenous streptokinase plus oral aspirin versus oral aspirin

1

309

Peto Odds Ratio (Peto, Fixed, 95% CI)

3.13 [1.74, 5.62]

3.5 Intravenous desmoteplase versus control

1

186

Peto Odds Ratio (Peto, Fixed, 95% CI)

4.57 [0.24, 86.20]

4 Symptomatic (including fatal) intracranial haemorrhage within 7 to 10 days Show forest plot

26

7152

Peto Odds Ratio (Peto, Fixed, 95% CI)

3.49 [2.81, 4.33]

4.1 Intravenous urokinase versus control

4

1208

Peto Odds Ratio (Peto, Fixed, 95% CI)

1.28 [0.47, 3.48]

4.2 Intravenous streptokinase versus control

4

983

Peto Odds Ratio (Peto, Fixed, 95% CI)

5.20 [3.25, 8.32]

4.3 Intravenous tPA versus control

11

3977

Peto Odds Ratio (Peto, Fixed, 95% CI)

3.28 [2.48, 4.33]

4.4 Intravenous streptokinase plus oral aspirin versus oral aspirin

1

309

Peto Odds Ratio (Peto, Fixed, 95% CI)

4.02 [1.55, 10.40]

4.5 Intra‐arterial pro‐urokinase plus intravenous heparin versus intravenous heparin

2

220

Peto Odds Ratio (Peto, Fixed, 95% CI)

2.39 [0.88, 6.47]

4.6 Intra‐arterial urokinase versus control

2

130

Peto Odds Ratio (Peto, Fixed, 95% CI)

4.04 [0.79, 20.74]

4.7 Intravenous desmoteplase versus control

3

325

Peto Odds Ratio (Peto, Fixed, 95% CI)

4.50 [1.37, 14.81]

5 Symptomatic (including fatal) cerebral oedema Show forest plot

6

3040

Odds Ratio (Peto, Fixed, 95% CI)

0.79 [0.62, 1.01]

6 Deaths from all causes during follow up Show forest plot

26

7152

Peto Odds Ratio (Peto, Fixed, 95% CI)

1.31 [1.14, 1.50]

6.1 Intravenous urokinase versus control

4

1208

Peto Odds Ratio (Peto, Fixed, 95% CI)

1.15 [0.68, 1.97]

6.2 Intravenous streptokinase versus control

4

983

Peto Odds Ratio (Peto, Fixed, 95% CI)

1.43 [1.10, 1.88]

6.3 Intravenous tPA versus control

11

3977

Peto Odds Ratio (Peto, Fixed, 95% CI)

1.14 [0.95, 1.38]

6.4 Intravenous streptokinase plus oral aspirin versus oral aspirin

1

309

Peto Odds Ratio (Peto, Fixed, 95% CI)

3.02 [1.87, 4.87]

6.5 Intra‐arterial pro‐urokinase plus intravenous heparin versus intravenous heparin

2

220

Peto Odds Ratio (Peto, Fixed, 95% CI)

0.75 [0.40, 1.42]

6.6 Intra‐arterial urokinase versus control

2

130

Peto Odds Ratio (Peto, Fixed, 95% CI)

1.25 [0.34, 4.57]

6.7 Intravenous desmoteplase versus control

3

325

Peto Odds Ratio (Peto, Fixed, 95% CI)

2.17 [0.97, 4.84]

7 Deaths occurring between 7 and 10 days and the end of follow up Show forest plot

12

4423

Peto Odds Ratio (Peto, Fixed, 95% CI)

1.05 [0.84, 1.31]

7.1 Intravenous urokinase versus control

1

465

Peto Odds Ratio (Peto, Fixed, 95% CI)

2.05 [0.60, 6.99]

7.2 Intravenous streptokinase versus control

3

963

Peto Odds Ratio (Peto, Fixed, 95% CI)

0.88 [0.61, 1.26]

7.3 Intravenous rt‐PA versus control

7

2500

Peto Odds Ratio (Peto, Fixed, 95% CI)

1.04 [0.75, 1.45]

7.4 Intravenous streptokinase plus oral aspirin versus control

1

309

Peto Odds Ratio (Peto, Fixed, 95% CI)

1.06 [0.49, 2.27]

7.5 Intravenous desmoteplase versus control

1

186

Peto Odds Ratio (Peto, Fixed, 95% CI)

4.95 [1.37, 17.86]

8 Death or dependency at the end of follow up Show forest plot

21

6283

Peto Odds Ratio (Peto, Fixed, 95% CI)

0.81 [0.73, 0.90]

8.1 Intravenous urokinase versus control

1

465

Peto Odds Ratio (Peto, Fixed, 95% CI)

0.95 [0.64, 1.42]

8.2 Intravenous streptokinase versus control

4

983

Peto Odds Ratio (Peto, Fixed, 95% CI)

0.94 [0.72, 1.24]

8.3 Intravenous tPA versus control

9

3851

Peto Odds Ratio (Peto, Fixed, 95% CI)

0.78 [0.68, 0.88]

8.4 Intravenous streptokinase plus oral aspirin versus oral aspirin

1

309

Peto Odds Ratio (Peto, Fixed, 95% CI)

1.09 [0.69, 1.73]

8.5 Intra‐arterial pro‐urokinase plus intravenous heparin versus intravenous heparin

2

220

Peto Odds Ratio (Peto, Fixed, 95% CI)

0.55 [0.31, 1.00]

8.6 Intra‐arterial urokinase versus control

2

130

Peto Odds Ratio (Peto, Fixed, 95% CI)

0.57 [0.28, 1.14]

8.7 Intravenous desmoteplase versus control

3

325

Peto Odds Ratio (Peto, Fixed, 95% CI)

0.86 [0.53, 1.40]

9 Death or dependency defined as mRS 2‐6 Show forest plot

20

5789

Odds Ratio (Peto, Fixed, 95% CI)

0.73 [0.65, 0.82]

9.1 Intravenous urokinase versus control

1

465

Odds Ratio (Peto, Fixed, 95% CI)

0.56 [0.37, 0.84]

9.2 Intravenous streptokinase versus control

4

983

Odds Ratio (Peto, Fixed, 95% CI)

0.82 [0.61, 1.10]

9.3 Intravenous rt‐PA versus control

9

3852

Odds Ratio (Peto, Fixed, 95% CI)

0.76 [0.66, 0.87]

9.4 Intravenous desmoteplase versus control

2

139

Odds Ratio (Peto, Fixed, 95% CI)

0.64 [0.27, 1.54]

9.5 Intra‐arterial pro‐urokinase versus control

2

220

Odds Ratio (Peto, Fixed, 95% CI)

0.60 [0.30, 1.21]

9.6 Intra‐arterial urokinase versus control

2

130

Odds Ratio (Peto, Fixed, 95% CI)

0.37 [0.17, 0.81]

10 Death or dependency defined as mRS 3‐6 Show forest plot

20

5789

Odds Ratio (Peto, Fixed, 95% CI)

0.81 [0.72, 0.90]

10.1 Intravenous urokinase versus control

1

465

Odds Ratio (Peto, Fixed, 95% CI)

0.99 [0.67, 1.47]

10.2 Intravenous streptokinase versus control

4

983

Odds Ratio (Peto, Fixed, 95% CI)

0.94 [0.72, 1.24]

10.3 Intravenous rt‐PA versus control

9

3852

Odds Ratio (Peto, Fixed, 95% CI)

0.79 [0.69, 0.90]

10.4 Intravenous desmoteplase versus control

2

139

Odds Ratio (Peto, Fixed, 95% CI)

0.46 [0.20, 1.09]

10.5 Intra‐arterial pro‐urokinase versus control

2

220

Odds Ratio (Peto, Fixed, 95% CI)

0.53 [0.28, 1.00]

10.6 Intra‐arterial urokinase versus control

2

130

Odds Ratio (Peto, Fixed, 95% CI)

0.58 [0.28, 1.18]

11 Dependency at the end of follow up defined as mRS 3‐5 Show forest plot

21

6283

Peto Odds Ratio (Peto, Fixed, 95% CI)

0.67 [0.61, 0.75]

11.1 Intravenous urokinase versus control

1

465

Peto Odds Ratio (Peto, Fixed, 95% CI)

0.80 [0.53, 1.22]

11.2 Intravenous streptokinase versus control

4

983

Peto Odds Ratio (Peto, Fixed, 95% CI)

0.64 [0.49, 0.85]

11.3 Intravenous tPA versus control

9

3851

Peto Odds Ratio (Peto, Fixed, 95% CI)

0.71 [0.62, 0.81]

11.4 Intravenous streptokinase plus oral aspirin versus oral aspirin

1

309

Peto Odds Ratio (Peto, Fixed, 95% CI)

0.36 [0.22, 0.58]

11.5 Intra‐arterial pro‐urokinase plus intravenous heparin versus intravenous heparin

2

220

Peto Odds Ratio (Peto, Fixed, 95% CI)

0.72 [0.41, 1.28]

11.6 Intra‐arterial urokinase versus control

2

130

Peto Odds Ratio (Peto, Fixed, 95% CI)

0.53 [0.26, 1.06]

11.7 Intravenous desmoteplase versus control

3

325

Peto Odds Ratio (Peto, Fixed, 95% CI)

0.66 [0.41, 1.06]

12 Deaths from all causes ordered by antithrombotic drug use Show forest plot

23

6934

Peto Odds Ratio (Peto, Fixed, 95% CI)

1.33 [1.16, 1.52]

12.1 All patients received antithrombotic drugs < 24 hours

5

885

Peto Odds Ratio (Peto, Fixed, 95% CI)

1.92 [1.43, 2.57]

12.2 Some patients received antithrombotic drugs < 24 hours

4

1757

Peto Odds Ratio (Peto, Fixed, 95% CI)

1.27 [0.99, 1.63]

12.3 Some patients received antithrombotics but not < 24 hours

11

3236

Peto Odds Ratio (Peto, Fixed, 95% CI)

1.23 [0.98, 1.54]

12.4 No patients received antithrombotic drugs < 10 days

4

1056

Peto Odds Ratio (Peto, Fixed, 95% CI)

0.89 [0.58, 1.37]

13 Deaths from all causes ordered by stroke severity Show forest plot

26

6843

Peto Odds Ratio (Peto, Fixed, 95% CI)

1.22 [1.06, 1.40]

13.1 Case fatality 0% to 19% in the control group

17

4973

Peto Odds Ratio (Peto, Fixed, 95% CI)

1.31 [1.08, 1.58]

13.2 Case fatality 20% or greater in the control group

9

1870

Peto Odds Ratio (Peto, Fixed, 95% CI)

1.13 [0.91, 1.39]

14 Death or dependency at the end of follow up: patients randomised within 3 hours of stroke Show forest plot

9

1311

Peto Odds Ratio (Peto, Fixed, 95% CI)

0.66 [0.53, 0.83]

14.1 Intravenous urokinase versus control

1

82

Peto Odds Ratio (Peto, Fixed, 95% CI)

0.79 [0.31, 2.00]

14.2 Intravenous streptokinase versus control

3

209

Peto Odds Ratio (Peto, Fixed, 95% CI)

0.62 [0.35, 1.09]

14.3 Intravenous tPA versus control

5

930

Peto Odds Ratio (Peto, Fixed, 95% CI)

0.64 [0.50, 0.83]

14.4 Intravenous streptokinase plus oral aspirin versus oral aspirin

1

90

Peto Odds Ratio (Peto, Fixed, 95% CI)

0.93 [0.40, 2.18]

15 Death or dependency by time to treatment up to 6 hours: all agents: only trials randomising in both 0‐3 and 3‐6 hour time windows Show forest plot

8

3908

Peto Odds Ratio (Peto, Fixed, 95% CI)

0.90 [0.79, 1.03]

15.1 Treatment within 3 hours

8

687

Peto Odds Ratio (Peto, Fixed, 95% CI)

0.71 [0.52, 0.96]

15.2 Treatment between 3‐6 hours

8

3221

Peto Odds Ratio (Peto, Fixed, 95% CI)

0.95 [0.82, 1.10]

16 Death or dependency by time to treatment up to 6 hours: rt‐PA: only trials randomising in 0‐3 and 3‐6 hour windows Show forest plot

4

2171

Peto Odds Ratio (Peto, Fixed, 95% CI)

0.85 [0.72, 1.01]

16.1 Treatment within 3 hours

4

306

Peto Odds Ratio (Peto, Fixed, 95% CI)

0.69 [0.44, 1.09]

16.2 Treatment between 3‐6 hours

4

1865

Peto Odds Ratio (Peto, Fixed, 95% CI)

0.88 [0.73, 1.06]

17 Death or dependency by time to treatment up to 6 hours: rt‐PA: all trials regardless of time window Show forest plot

7

3696

Peto Odds Ratio (Peto, Fixed, 95% CI)

0.79 [0.69, 0.90]

17.1 Treatment within 3 hours

5

930

Peto Odds Ratio (Peto, Fixed, 95% CI)

0.64 [0.50, 0.83]

17.2 Treatment between 3‐6 hours

6

2766

Peto Odds Ratio (Peto, Fixed, 95% CI)

0.85 [0.73, 0.99]

18 Death or dependency by latest time to randomisation Show forest plot

21

5974

Odds Ratio (Peto, Fixed, 95% CI)

0.81 [0.72, 0.90]

18.1 3 hours

1

624

Odds Ratio (Peto, Fixed, 95% CI)

0.62 [0.45, 0.85]

18.2 4.5 hours

2

1161

Odds Ratio (Peto, Fixed, 95% CI)

0.90 [0.71, 1.14]

18.3 6 hours

14

3848

Odds Ratio (Peto, Fixed, 95% CI)

0.81 [0.71, 0.93]

18.4 9 hours

3

325

Odds Ratio (Peto, Fixed, 95% CI)

0.87 [0.53, 1.44]

18.5 24 hours

1

16

Odds Ratio (Peto, Fixed, 95% CI)

0.14 [0.01, 1.76]

19 Deaths from all causes during follow up: patients randomised within 3 hours of stroke Show forest plot

10

1338

Peto Odds Ratio (Peto, Fixed, 95% CI)

1.13 [0.86, 1.48]

19.1 Intravenous streptokinase versus control

3

209

Peto Odds Ratio (Peto, Fixed, 95% CI)

1.18 [0.66, 2.14]

19.2 Intravenous tPA versus control

6

957

Peto Odds Ratio (Peto, Fixed, 95% CI)

0.97 [0.69, 1.36]

19.3 Intravenous streptokinase plus oral aspirin versus oral aspirin

1

90

Peto Odds Ratio (Peto, Fixed, 95% CI)

3.37 [1.37, 8.26]

19.4 Intravenous urokinase versus control

1

82

Peto Odds Ratio (Peto, Fixed, 95% CI)

0.70 [0.14, 3.51]

20 Deaths by time to treatment up to 6 hours: all agents: only trials randomising in both 0‐3 and 3‐6 hour time windows Show forest plot

8

3896

Peto Odds Ratio (Peto, Fixed, 95% CI)

1.59 [1.34, 1.88]

20.1 Treatment within 3 hours

8

687

Peto Odds Ratio (Peto, Fixed, 95% CI)

1.58 [1.08, 2.31]

20.2 Treatment between 3‐6 hours

8

3209

Peto Odds Ratio (Peto, Fixed, 95% CI)

1.59 [1.32, 1.92]

21 Deaths by time to treatment up to 6 hours: rt‐PA: only trials randomising in both 0‐3 and 3‐6 hour time windows Show forest plot

4

2159

Peto Odds Ratio (Peto, Fixed, 95% CI)

1.43 [1.11, 1.85]

21.1 Treatment within 3 hours

4

306

Peto Odds Ratio (Peto, Fixed, 95% CI)

1.75 [0.91, 3.36]

21.2 Treatment between 3‐6 hours

4

1853

Peto Odds Ratio (Peto, Fixed, 95% CI)

1.38 [1.05, 1.82]

22 Deaths by time to treatment up to 6 hours: rt‐PA: all trials regardless of time window Show forest plot

7

3705

Peto Odds Ratio (Peto, Fixed, 95% CI)

1.18 [0.98, 1.44]

22.1 Treatment within 3 hours

5

930

Peto Odds Ratio (Peto, Fixed, 95% CI)

1.00 [0.71, 1.41]

22.2 Treatment between 3‐6 hours

6

2775

Peto Odds Ratio (Peto, Fixed, 95% CI)

1.28 [1.01, 1.62]

23 Death by latest time to treatment Show forest plot

23

6004

Odds Ratio (Peto, Fixed, 95% CI)

1.23 [1.06, 1.42]

23.1 3 hours

2

651

Odds Ratio (Peto, Fixed, 95% CI)

0.79 [0.53, 1.17]

23.2 4.5 hours

2

1161

Odds Ratio (Peto, Fixed, 95% CI)

1.43 [1.01, 2.03]

23.3 6 hours

15

3851

Odds Ratio (Peto, Fixed, 95% CI)

1.27 [1.06, 1.53]

23.4 9 hours

3

325

Odds Ratio (Peto, Fixed, 95% CI)

2.10 [0.79, 5.58]

23.5 24 hours

1

16

Odds Ratio (Peto, Fixed, 95% CI)

1.0 [0.14, 7.10]

24 Symptomatic intracranial haemorrhage by time to treatment up to 6 hours: rt‐PA: only trials randomising in both 0‐3 and 3‐6 hour time windows. Show forest plot

4

2127

Peto Odds Ratio (Peto, Fixed, 95% CI)

3.18 [2.30, 4.40]

24.1 Intravenous rt‐PA versus control: patients treated within 3 hours of stroke

4

306

Peto Odds Ratio (Peto, Fixed, 95% CI)

3.40 [1.48, 7.84]

24.2 Intravenous rt‐PA versus control: patients treated between 3‐6 hours after stroke

4

1821

Peto Odds Ratio (Peto, Fixed, 95% CI)

3.14 [2.21, 4.47]

25 Symptomatic intracranial haemorrhage by time to treatment up to 6 hours: rt‐PA: all trials regardless of time window Show forest plot

7

3673

Peto Odds Ratio (Peto, Fixed, 95% CI)

3.54 [2.65, 4.74]

25.1 Intravenous rt‐PA versus control: patients treated within 3 hours of stroke

5

930

Peto Odds Ratio (Peto, Fixed, 95% CI)

4.28 [2.36, 7.77]

25.2 Intravenous rt‐PA versus control: patients treated between 3‐6 hours after stroke

6

2743

Peto Odds Ratio (Peto, Fixed, 95% CI)

3.34 [2.40, 4.66]

26 Symptomatic intracranial haemorrhage by latest time to treatment Show forest plot

22

6070

Odds Ratio (Peto, Fixed, 95% CI)

3.87 [2.90, 5.16]

26.1 3 hours

2

651

Odds Ratio (Peto, Fixed, 95% CI)

5.85 [1.54, 22.26]

26.2 4.5 hours

2

1161

Odds Ratio (Peto, Fixed, 95% CI)

6.56 [2.51, 17.18]

26.3 6 hours

14

3917

Odds Ratio (Peto, Fixed, 95% CI)

3.53 [2.58, 4.83]

26.4 9 hours

3

325

Odds Ratio (Peto, Fixed, 95% CI)

6.82 [0.88, 52.78]

26.5 24 hours

1

16

Odds Ratio (Peto, Fixed, 95% CI)

0.0 [0.0, 0.0]

27 Death: selection by MR DWI/PWI or CT Show forest plot

18

5725

Odds Ratio (Peto, Fixed, 95% CI)

1.27 [1.09, 1.47]

27.1 Plain CT

14

5299

Odds Ratio (Peto, Fixed, 95% CI)

1.24 [1.06, 1.45]

27.2 MR DWI/PWI

4

426

Odds Ratio (Peto, Fixed, 95% CI)

2.05 [1.02, 4.15]

28 Death or dependency: selection with MR DWI/PWI versus plain CT Show forest plot

14

5233

Odds Ratio (Peto, Fixed, 95% CI)

0.79 [0.71, 0.89]

28.1 Selection with plain CT

10

4808

Odds Ratio (Peto, Fixed, 95% CI)

0.79 [0.70, 0.89]

28.2 Selection with MR DWI/PWI

4

425

Odds Ratio (Peto, Fixed, 95% CI)

0.88 [0.58, 1.35]

29 Symptomatic intracranial haemorrhage: selection with MR DWI/PWI or CT Show forest plot

19

5750

Odds Ratio (Peto, Fixed, 95% CI)

3.87 [2.88, 5.20]

29.1 Plain CT

15

5324

Odds Ratio (Peto, Fixed, 95% CI)

3.79 [2.81, 5.12]

29.2 MR DWI/PWI

4

426

Odds Ratio (Peto, Fixed, 95% CI)

7.51 [1.40, 40.35]

30 Death or dependency at the end of follow up:intra‐arterial thrombolysis versus control Show forest plot

4

350

Odds Ratio (Peto, Fixed, 95% CI)

0.49 [0.31, 0.79]

30.1 Intra‐arterial urokinase versus control

2

130

Odds Ratio (Peto, Fixed, 95% CI)

0.44 [0.22, 0.91]

30.2 Intra‐arterial pro‐urokinase versus control

2

220

Odds Ratio (Peto, Fixed, 95% CI)

0.53 [0.28, 1.00]

Figuras y tablas -
Comparison 1. Any thrombolytic agent versus control