Table 6

GRADE evidence profile for PICO 10

Certainty assessment№ of patientsEffectCertaintyImportance
№ of studiesStudy designRisk of biasInconsistencyIndirectnessImprecisionOther considerationsadd-on antithrombotic treatmentNo add-on antithrombotic treatmentRelative (95% CI)Absolute (95% CI)
mRS 0–2 at 90 days: Observational studies
7Observational studiesSerious* Not seriousNot seriousNot seriousNoneOR 1.02 (0.77 to 1.35)One fewer per 1000 (from 1 fewer to one fewer)⨁◯◯◯Very lowIMPORTANT
Mortality at 90 days: Observational studies
7Observational studiesSerious* Not seriousNot seriousNot seriousNone222/652 (34.0%)232/516 (45.0%)OR 0.68 (0.45 to 1.01)92 fewer per 1000 (from 181 fewer to two more)⨁◯◯◯Very lowCRITICAL
Symptomatic Intracranial Haemorrhage (sICH): Observational studies
7Observational studiesSerious* Not seriousNot seriousNot seriousNone31/654 (4.7%)40/519 (7.7%)OR 0.68 (0.34 to 1.34)23 fewer per 1000 (from 46 fewer to 24 more)⨁◯◯◯Very lowCRITICAL
mTICI: Observational studies
7Observational studiesSerious* Not seriousNot seriousNot seriousNoneOR 1.72 (1.01 to 2.95)Two fewer per 1000 (from 3 fewer to one fewer)⨁◯◯◯Very lowIMPORTANT
  • *Serious risk of bias due to serious confounding reported in studies implemented for this outcome according to ROBINS-I tool for observational studies.

  • CI, confidence interval; mRS, modified Rankin Scale; mTICI, modified Thrombolysis in Cerebral Ischemia; OR, odds ratio.