Cochrane · systematic review · CD012503

Remote ischaemic conditioning for preventing and treating ischaemic stroke

Zhao, W, Zhang, J, Sadowsky, MG, et al. · 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
14
current version
GRADE rated
6
No studies
7
Included studies
NR
No studies 7 · 50%Ungraded 1 · 7.1%Very low 1 · 7.1%Low 5 · 35.7%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

RIC versus non‐RIC for preventing ischaemic stroke

Population: people at risk for ischaemic stroke
7 questions
OutcomeEffectEvidenceStatus / GRADE
Ischaemic stroke or recurrent ischaemic stroke
RIC vs non‐RIC
RR 0.31 [0.12, 0.76]3 studies · 371 participantsLow
Downgraded: risk of bias, imprecision
Death or dependency
RIC vs non‐RIC
no estimate extracted2 studies · 292 participantsUngraded
Improvement in neurological impairment ‐ not reported
RIC vs non‐RIC
no estimate extractedNRNo studies
Improvement in psychological and cognitive impairment ‐ not measured
RIC vs non‐RIC
no estimate extractedNRNo studies
Cardiovascular events ‐ not reported
RIC vs non‐RIC
no estimate extractedNRNo studies
Adverse events associated with RIC treatment
RIC vs non‐RIC
RR 10.91 [2.01, 59.28]3 studies · 371 participantsLow
Downgraded: risk of bias, imprecision
Stroke severity
RIC vs non‐RIC
no estimate extracted1 study · 189 participantsLow
Downgraded: risk of bias, imprecision, indirectness

RIC versus non‐RIC treating ischaemic stroke

Population: people with ischaemic stroke
7 questions
OutcomeEffectEvidenceStatus / GRADE
Ischaemic stroke or recurrent ischaemic stroke at completion of
RIC vs non‐RIC treating ischaemic stroke
no estimate extractedNRNo studies
Death or dependency
RIC vs non‐RIC treating ischaemic stroke
RR 2.34 [1.19, 4.61]1 study · 285 participantsLow
Downgraded: risk of bias, imprecision
Improvement in neurological impairment ‐ not measured
RIC vs non‐RIC treating ischaemic stroke
no estimate extractedNRNo studies
Improvement in psychological and cognitive impairment at completion of
RIC vs non‐RIC treating ischaemic stroke
no estimate extracted3 studies · 105 participantsLow
Downgraded: risk of bias, imprecision, inconsistency, indirectness
Cardiovascular events ‐ not reported
RIC vs non‐RIC treating ischaemic stroke
no estimate extractedNRNo studies
Adverse events associated with RIC treatment ‐ not reported
RIC vs non‐RIC treating ischaemic stroke
no estimate extractedNRNo studies
Stroke severity
RIC vs non‐RIC treating ischaemic stroke
no estimate extracted2 studies · 175 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency, indirectness