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Stroke

Prevalence
Clinical features
Investigations
Therapy
Prevention
Prognosis
Therapy

There is no clear benefit from tinzaparin d

Why?

  • Tinzaparin does not increase functional independence or recurrent stroke compared with aspirin. d
  • Fewer patients on tinzaparin have a deep vein thrombosis, but more have symptomatic intracranial bleeds. a

Tinzaparin reduces deep vein thrombosis but increases intracranial haemorrhage

Patient Treatment Comparison Outcome CER RRR
(95% CI)
NNT
(95% CI)
recent stroke a tinzaparin for 10 days then aspirin aspirin deep vein thrombosis
at 15 days
1.9% 83%
(38% to 95%)
64
(36 to 340)
      symptomatic intracranial haemorrhage
at 15 days
0.21% -410%
(-3800% to 35%)
-120
(-1300 to -62)

 

Expiry date: October 2003
Levels of Evidence used in grading these guides

Author   CM   Ball
Reviewer   G  Donnan
CAT Writers   CJ   Wotton , N   Shenker , CM   Ball