Number Needed to Treat to Benefit and to Harm for Intravenous Tissue Plasminogen Activator Therapy in the 3- to 4.5-Hour Window
Author(s) -
Jeffrey L. Saver,
Jeffrey Gornbein,
James C. Grotta,
David S. Liebeskind,
Helmi L. Lutsep,
Lee H. Schwamm,
Phillip Scott,
Sidney Starkman
Publication year - 2009
Publication title -
stroke
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.397
H-Index - 319
eISSN - 1524-4628
pISSN - 0039-2499
DOI - 10.1161/strokeaha.108.543561
Subject(s) - medicine , tissue plasminogen activator , intensive care medicine , fibrinolytic agent , stroke (engine) , window of opportunity , harm , therapeutic window , medical emergency , surgery , pharmacology , mechanical engineering , real time computing , computer science , law , political science , engineering
Measures of a therapy's effect size are important guides to clinicians, patients, and policy-makers on treatment decisions in clinical practice. The ECASS 3 trial demonstrated a statistically significant benefit of intravenous tissue plasminogen activator for acute cerebral ischemia in the 3- to 4.5-hour window, but an effect size estimate incorporating benefit and harm across all levels of poststroke disability has not previously been derived.
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