Cochrane · systematic review · CD003317
Acupuncture for acute stroke
Xu, M, Li, D, Zhang, S · Cochrane Database of Systematic Reviews · 2018 · Cochrane Library
StrokeAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
16
current version
GRADE rated
16
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 4 · 25%Low 12 · 75%Moderate 0 · 0%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Acupuncture compared with all control (sham and open) for patients with acute stroke
Population: patients with acute stroke
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Death or dependency at end of Acupuncture vs all control (sham and open) | OR 0.61 [0.46, 0.79] | 11 studies · 1582 participants | Very low Downgraded: risk of bias, inconsistency |
Death or dependency at end of Acupuncture vs all control (sham and open) | OR 0.67 [0.53, 0.85] | 8 studies · 1436 participants | Very low Downgraded: risk of bias, inconsistency |
Death or institutional care at end of Acupuncture vs all control (sham and open) | OR 0.78 [0.54, 1.12] | 5 studies · 1120 participants | Low Downgraded: risk of bias, inconsistency |
Changes in global neurological deficit score at end of treatment period Acupuncture vs all control (sham and open) | no estimate extracted | 12 studies · 1086 participants | Very low Downgraded: risk of bias, inconsistency |
Motor function at end of acupuncture treatment period Acupuncture vs all control (sham and open) | no estimate extracted | 11 studies · 895 participants | Very low Downgraded: risk of bias, inconsistency |
Death within first 2 weeks Acupuncture vs all control (sham and open) | OR 0.91 [0.33, 2.55] | 18 studies · 1612 participants | Low Downgraded: risk of bias, inconsistency |
Death during whole Acupuncture vs all control (sham and open) | OR 1.08 [0.74, 1.58] | 22 studies · 2865 participants | Low Downgraded: risk of bias, inconsistency |
Adverse events related to acupuncture Acupuncture vs all control (sham and open) | no estimate extracted | 13 studies · 13 participants | Low Downgraded: risk of bias, inconsistency |
Acupuncture compared with sham control for patients with acute stroke
Population: patients with acute stroke
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Death or dependency at end of Acupuncture vs sham control | OR 0.71 [0.43, 1.18] | 4 studies · 262 participants | Low Downgraded: risk of bias, imprecision, inconsistency |
Death or dependency at end of Acupuncture vs sham control | OR 0.67 [0.4, 1.12] | 3 studies · 244 participants | Low Downgraded: risk of bias, imprecision, inconsistency |
Death or institutional care at end of Acupuncture vs sham control | OR 0.47 [0.23, 0.96] | 2 studies · 145 participants | Low Downgraded: risk of bias, imprecision, inconsistency |
Changes in global neurological deficit score at end of treatment period Acupuncture vs sham control | no estimate extracted | 1 study · 53 participants | Low Downgraded: risk of bias, imprecision, inconsistency |
Motor function at end of acupuncture treatment period Acupuncture vs sham control | no estimate extracted | 3 studies · 202 participants | Low Downgraded: risk of bias, imprecision, inconsistency |
Death within first 2 weeks Acupuncture vs sham control | OR 1.2 [0.27, 5.26] | 5 studies · 378 participants | Low Downgraded: risk of bias, imprecision, inconsistency |
Death during whole Acupuncture vs sham control | OR 0.9 [0.47, 1.72] | 6 studies · 668 participants | Low Downgraded: risk of bias, imprecision, inconsistency |
Adverse events related to acupuncture Acupuncture vs sham control | OR 0.58 [0.29, 1.16] | 5 studies · 576 participants | Low Downgraded: risk of bias, imprecision, inconsistency |