IS THERE ANY BENEFIT OF CITICOLINE FOR ACUTE ISCHEMIC STROKE ? SYSTEMATIC REVIEW OF CURRENT EVIDENCES


Rizaldy Taslim Pinzon, Rosa De Lima Renita Sanyasi

Abstract


Two main strategies have been suggested for the treatment of ischemic stroke including reperfusion and neuroprotection. Citicoline is one of neuroprotector agent that commonly used in ischemic stroke. A systematic review of citicoline focusing only on ischemic stroke has not yet performed. This systematic review aimed to identify the effectiveness of citicoline in patients with ischemic stroke history. A systematic research was performed using PubMed and Cochrane Library as the database. Keywords were: “citicoline and stroke”, “citicoline and ischemic stroke”, and “randomized controlled trial citicoline". The inclusion criteria were: (i) the trials conducted between 2007 to 2017, (ii) written in English, (iii) the studies performed in human, (iv) patients had ischemic stroke history, (v) citicoline was the main drug assessed in the study. The exclusion criteria i.e.: (i) the study was not a randomized controlled trial (RCT) and (ii) the full text was not available. The quality of RCT was determined by using Jadad score. A literature search revealed 541 journals from PubMed and Cochrane Library. After screening the title and abstract, adjusting for inclusion and exclusion criteria, adjusting for the irrelevant topic, and duplication the final result was 4 RCT studies. All studies had a good quality, indicated by Jadad score of 3 or more. Three studies conclude that no statistically significant difference in treatment outcome between citicoline and other groups. The last study revealed citicoline is effective in preventing post-stroke cognitive impairment.


Keywords


Systematic review, Citicoline, Ischemic stroke

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About this article

Title

IS THERE ANY BENEFIT OF CITICOLINE FOR ACUTE ISCHEMIC STROKE ? SYSTEMATIC REVIEW OF CURRENT EVIDENCES

Keywords

Systematic review, Citicoline, Ischemic stroke

DOI

10.22159/jcr.2018v5i3.24568

Date

01-05-2018

Additional Links

Manuscript Submission

Journal

Journal of Critical Reviews
Vol 5, Issue 3 (May-Jun), 2018 Page: 11-14

Online ISSN

2394-5125

Authors & Affiliations

Rizaldy Taslim Pinzon
Neurology Department Faculty of Medicine Duta Wacana Christian University, Yogyakarta, Indonesia
Indonesia

Rosa De Lima Renita Sanyasi
Internship Doctor at dr. Efram Harsana Air Force Hospital, Magetan, East Java, Indonesia
Indonesia


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