Patient groupAuthor, date, and countryStudy type (level of evidence)OutcomesKey resultsStudy weaknesses
Roos YBWEM et al, 2003, Netherlands9 trials involving 1399 patients included. Papers sourced through electronic and hand searching methods. RCTs of IV or oral agents included. Only confirmed SAH patients.Systematic review and Meta analysisPoor outcome (defined as death, vegetative state or severe disability)Non significant. OR of 1.12 (CI 0.88–1.43) for poor outcome with treatmentThis is a well researched review. The studies match the clinical problem well. Of 21 trials found only 9 satisfied the quality filter of the authors which suggests some rigour in the approach used). One of the review authors’ own study was included in the review.
Rebleeding at end of follow upLess with treatment OR = 0.55 (CI 0.42–0.71)
Risk of cerebral ischaemiaWorse with treatment OR = 1.39 (CI 1.07–1.82)
Risk of deathNon significant. OR = 0.99 (CI 0.79–1.24)
Rate of hydrocephalusNon significant. OR = 1.14 (CI 0.86–1.51)