Lee 2015.
Methods | Randomisation by computer‐generated random sequence Outcome assessors blinded |
|
Participants | Multi‐centre trial in Hong Kong 93 participants with cerebrovascular disease; onset unclear although study states recent hospitalisation in the previous 3 months Baseline characteristics and prognostic factors similar |
|
Interventions | Rx: lisinopril 2.5 mg once daily at bedtime C: placebo |
|
Outcomes | Incidence of pneumonia, mortality, and Royal Brisbane Hospital Outcome Measure Scale score | |
Notes | Exclusion: life expectancy < 6 months, baseline systolic blood pressure less than 100 mm Hg, known intolerance to ACE inhibitors, current use of ACE inhibitor or angiotensin receptor blockers, symptomatic chronic lung disease or cardiac failure, frequent withdrawal of enteral tube by patients, serum creatinine > 150 mmol/L, serum potassium > 5.1 mmol/L | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | Computer‐generated random sequence |
Allocation concealment (selection bias) | Low risk | Allocations concealed by coding files kept confidential to all parties involved until the end of the trial |
Blinding (performance bias and detection bias) All outcomes | Low risk | All parties involved not aware of allocation |
Blinding of participants and personnel (performance bias) All outcomes | Low risk | All parties involved not aware of allocation |
Blinding of outcome assessment (detection bias) All outcomes | Low risk | Outcome assessor blinded |
Incomplete outcome data (attrition bias) All outcomes | High risk | 22 participants did not complete trial |
Selective reporting (reporting bias) | Low risk | All outcomes reported |
Other bias | Low risk | None identified |