TREATMENT
Review: immediate antiplatelet therapy after acute ischaemic stroke reduces death or dependency and risk of recurrent stroke
| The first 150 words of the full text of this article appear below. |
P A Sandercock
Dr P A Sandercock, University of Edinburgh, Edinburgh, UK; peter.sandercock@ed.ac.uk
What is the efficacy and safety of immediate antiplatelet therapy after acute ischaemic stroke?
Included studies compared antiplatelet therapy, including aspirin, abciximab, heparin, and ticlopidine (started within 14 d of stroke) with placebo or no treatment in patients with acute ischaemic stroke. Studies of antiplatelet therapy after primary intracerebral or subarachnoid haemorrhage, or drugs with multiple modes of action (eg, piracetam, prostacyclin, and oxpentifylline) were excluded. Outcomes included death or dependence on others for activities of daily living 1 month after stroke, all-cause mortality, deep venous thrombosis, pulmonary embolism, recurrent stroke, and intracranial and extracranial haemorrhage.
Medline, EMBASE/Excerpta Medica, Cochrane Stroke Group Trials Register, Cochrane Library (Issue 2, 2007), Antiplatelet Trialists’ Collaboration, MedStrategy, and reference lists were searched, and drug companies were contacted for randomised controlled trials (RCTs). 12 RCTs (n = 43 041, mean age range
Hamilton Health Sciences—General Site, Hamilton, Ontario, Canada
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