Table 5.

GRADE summary of evidence for thrombolysis followed by AC vs AC alone in patients with RAT

No. of studiesStudy designNo. of patients (%)EffectCertaintyImportance
Thrombolysis followed by ACAC aloneRelative (95% CI)Absolute (95% CI)
Mortality (assessed with: all-cause mortality) 
227,28  Nonrandomized studies 2/11 (18.2) 1/13 (7.7) RD, 0.02 (−0.30 to 0.34) 20 more per 1000 (300 fewer to 340 more) ⊕○○○
Very low,  
Critical 
Thrombus resolution (assessed with: complete or partial resolution) 
322,27,28  Nonrandomized studies 15/17 (88.2) 25/27 (92.6) RR, 1.01 (0.84-1.22) 9 more per 1000 (148 fewer to 204 more) ⊕○○○
Very low,  
Critical 
Thrombus recurrence 
122  Nonrandomized studies 0/6 (0.0) 0/14 (0.0) Not estimable Not estimable ⊕○○○
Very low,  
Critical 
Bleeding (assessed with: unspecified) 
127  Nonrandomized studies 2/4 (50.0) 0/9 (0.0) Not estimable Not estimable ⊕○○○
Very low,  
Critical 
Major bleeding 
122  Nonrandomized studies 1/6 (16.7) 1/14 (7.1) RR, 2.33 (0.17-31.46) 95 more per 1000 (59 fewer to 1000 more) ⊕○○○
Very low,  
Critical 
Clinically relevant non major bleeding 
122  Nonrandomized studies 0/6 (0.0) 0/14 (0.0) Not estimable Not estimable ⊕○○○
Very low,  
Critical 
No. of studiesStudy designNo. of patients (%)EffectCertaintyImportance
Thrombolysis followed by ACAC aloneRelative (95% CI)Absolute (95% CI)
Mortality (assessed with: all-cause mortality) 
227,28  Nonrandomized studies 2/11 (18.2) 1/13 (7.7) RD, 0.02 (−0.30 to 0.34) 20 more per 1000 (300 fewer to 340 more) ⊕○○○
Very low,  
Critical 
Thrombus resolution (assessed with: complete or partial resolution) 
322,27,28  Nonrandomized studies 15/17 (88.2) 25/27 (92.6) RR, 1.01 (0.84-1.22) 9 more per 1000 (148 fewer to 204 more) ⊕○○○
Very low,  
Critical 
Thrombus recurrence 
122  Nonrandomized studies 0/6 (0.0) 0/14 (0.0) Not estimable Not estimable ⊕○○○
Very low,  
Critical 
Bleeding (assessed with: unspecified) 
127  Nonrandomized studies 2/4 (50.0) 0/9 (0.0) Not estimable Not estimable ⊕○○○
Very low,  
Critical 
Major bleeding 
122  Nonrandomized studies 1/6 (16.7) 1/14 (7.1) RR, 2.33 (0.17-31.46) 95 more per 1000 (59 fewer to 1000 more) ⊕○○○
Very low,  
Critical 
Clinically relevant non major bleeding 
122  Nonrandomized studies 0/6 (0.0) 0/14 (0.0) Not estimable Not estimable ⊕○○○
Very low,  
Critical 

Risk of bias, assessed using ROBINS-I, was judged to be serious because of selection bias without adjustment for confounders.

Imprecision because of small number of included patients and patients with events in the included studies.

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