Review Article

Effectiveness of Combined Thrombolysis and Mild Hypothermia Therapy in Acute Cerebral Infarction: A Meta-Analysis

Table 1

Details of the 26 RCTs.

Study (published year)Study typeCountrySex (M/F)Females (%)Age (years) (mean ± SD)Duration (hours)Initial NIHSSFollow-up (days)

Bi (2011) [23]RCTChinaT: 10/21T: 32.3T: 68.45 ± 6.89T: 2.5 ± 1T: 11.4 ± 2.890
C: 13/18C: 58.1C: 68.55 ± 6.28C: 2.5 ± 1C: 11.0 ± 2.7

Patrick (2017) [24]RCTAmericaT: 34/29T: 46T: 65.5 ± 10.3T: 2.0 ± 0.5T: 14.1 ± 4.890
C: 35/22C: 39C: 67.5 ± 11.1C: 2.15 ± 0.5C: 14.5 ± 4.9

Katja (2014) [25]RCTAustraliaT: 12/6T: 33T: 70T: 1190
C: 8/10C: 56C: 66C: 14

Ovesen (2013) [26]RCTDenmark
Sweden
T: 9/8T: 47.1T: 62.3T: 1.68T: 890
C: 8/6C: 42.9C: 65.9C: 3.74C: 9

De (2004) [27]RCTAmericaT: 13/5T: 28T: 60.9 ± 12.1T: 3.0 ± 0.5T: 15.2 ± 4.437
C: 6/16C: 71C: 67.3 ± 12.5C: 4.0 ± 0.25C: 14.6 ± 5.6

Derk (2001) [28]RCTAmericaT: 5/5T: 50T: 71.1 ± 14.3T: 3.1 ± 1.419.86 ± 3.390
C: 5/4C: 44C: 68.2 ± 12.3C: 4.4 ± 1.7

Hong (2014) [18]RCTSouth KoreaT: 23/16T: 41T: 64.5 ± 17.0<5T: 1690
C: 18/18C: 64C: 68.1 ± 13.3C: 17

Thomas (2010) [29]RCTCaliforniaT: 244565.5 ± 12.1<614.0 ± 5.090
C: 24
H Bart (2019) [17]RCTNetherlandsT: 28/21T: 37T: 69.6<6T: 1191
C: 27/22C: 39C: 71.1C: 11

Cui (2020) [30]RCTChinaT: 26/15T: 37T: 55.16 ± 6.572.48 ± 0.6014
C: 25/16C: 39C: 55.29 ± 6.65

Li (2018) [31]RCTChinaT: 2862.6 ± 5.1<4.5T: 15.75 ± 6.4314
C: 16.15 ± 4.06
C: 22

Yang (2020) [32]RCTChinaT: 23/17T: 37T: 64.5 ± 12.3T: 3.5 ± 0.3T: 8.1 ± 3.27
C: 25/15C: 39C: 62.1 ± 13.9C: 3.2 ± 0.2C: 8.2 ± 2.7

Jin (2017) [33]RCTChinaT: 4530
C: 45

Wang (2018) [34]RCTChinaT: 28/25T: 37T: 51.29 ± 9.14T: 3.29 ± 0.81T: 15.47 ± 3.89
C: 29/24C: 39C: 52.08 ± 8.62C: 3.70 ± 0.97C: 15.83 ± 6.57

Li (2014) [35]RCTChinaT: 16/6T: 37T: 65.48 ± 7.66<3T: 17.4 ± 3.830
C: 14/8C: 39C: 63.24 ± 7.74C: 16.6 ± 6.2

Wang (2018) [36]RCTChinaT: 51/49T: 37T: 55.2 ± 1.2T: 1.50 ± 1.10T: 16.23 ± 1.56
C: 58/42C: 39C: 53.7 ± 1.5C: 1.30 ± 0.60C: 16.23 ± 1.31

Sun (2018) [37]RCTChinaT: 10/15T: 58T: 64.25 ± 10.47T: 3.14 ± 0.55T: 15.89 ± 7.087
C: 12/13C: 52C: 62.14 ± 9.35C: 3.09 ± 0.71C: 15.69 ± 6.39

Pei (2018) [38]RCTChinaT: 23/17T: 37T: 61.11 ± 7.31T: 3.29 ± 0.81T: 16.33 ± 5.677
C: 23/17C: 39C: 61.47 ± 7.02C: 3.70 ± 0.97C: 16.85 ± 5.31

Hu (2016) [39]RCTChinaT: 3160.18 ± 10.183.56 ± 0.79T: 15.22 ± 7.5790
C: 29C: 15.74 ± 6.42

Cai (2020) [40]RCTChinaT: 6061.3 ± 4.13.65 ± 0.64T: 12.03 ± 2.567
C: 34C: 12.01 ± 2.45

Zhao (2018) [41]RCTChinaT: 18/15T: 37T: 60.33 ± 6.29T: 14.78 ± 3.0145
C: 17/16C: 39C: 61.24 ± 6.44C: 14.23 ± 2.28

Wei (2020) [42]RCTChinaT: 27/21T: 37T: 64.5 ± 9.4T: 2.80 ± 1.00T: 14.2 ± 3.728
C: 30/19C: 39C: 63.8 ± 10.2C: 2.70 ± 1.20C: 13.9 ± 3.0

Yang (2020) [43]RCTChinaT: 35/33T: 37T: 62.43 ± 12.06<4.5
C: 36/32C: 39C: 62.75 ± 11.82

Ma (2017) [44]RCTChinaT: 8/7T: 37T: 66.33 ± 9.81T: 4.66 ± 0.54
C: 7/8C: 39C: 68.26 ± 9.53C: 4.81 ± 0.35

Zhu (2019) [45]RCTChinaT: 19/14T: 37T: 64 ± 13<4.5T: 23.7 ± 2.2
C: 17/16C: 39C: 62 ± 13C: 24.3 ± 3.2

Liu (2019) [46]RCTChinaT: 28/38T: 37T: 64.26 ± 10.46T: 3.08 ± 0.72
C: 32/34C: 39C: 62.13 ± 9.36C: 3.13 ± 0.56

Zhang (2021) [47]RCTChinaT: 25/16T: 39T: 59.6 ± 3.2T: 3.47 ± 0.5T: 12.01 ± 2.657
C: 25/13C: 34C: 60.5 ± 3.3C: 3.52 ± 0.48C: 12.02 ± 2.47

T, treatment group; C, control group; Age and initial NIHSS shown as median values. “—” indicates data not specified RCT randomized controlled trial, NIHSS National Institutes of Health Stroke Scale.