Kouvelos 2013.
Methods |
Design: prospective randomised, open‐label study Number of study centres: single centre in Greece Setting: inpatient and outpatient follow‐up Patient recruitment: patients who underwent elective vascular surgery from January 2007 to June 2009 Duration of study: 12 months Clinical setting: patients Undergoing elective vascular surgery |
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Participants |
Enrolment (N): 262 Randomised (N): intervention: 126; control: 136 Withdrawn (N): intervention: 4; control: 2 Lost to follow‐up (N): Eight patients did not attend their follow‐up visit but were reached via telephone Completed the study (N): not reported Analysed (N): intervention: 126; control: 136 Age (years) (range): intervention: 70 (41‐89); control: 72 (46‐88) Sex (male, N, %): intervention: 113 (89.7%); control: 122 (89.7%) Smoking history (N, %): intervention: 68 (54%); control: 78 (57.4%) BMI (kg/m², mean ± SD):): not reported Diabetes (N, %): intervention: 40 (31.7%); control: 39 (28.7%) Hypertension (N, %): intervention: 103 (81.7%); control: 110 (80.9%) Existing CHD: (N, %): intervention: 62 (49.2%); control: 67 (49.3%) Statin pretreatment (N, %): intervention: 0%; control: 0% Inclusion criteria: Patients who underwent elective vascular surgery. Exclusion criteria: any contraindication to the use of statins; emergency surgery; a re‐operation within 30 days after a previous procedure; liver disease; a history of a cardiovascular event within the previous 6 months prior to randomisation (MI or stroke). |
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Interventions |
Intervention: ezetimibe (10 mg/day) plus rosuvastatin (10 mg/day) Comparison: rosuvastatin alone (10 mg/day) Details of any 'run‐in' period: 8‐week washout period for the patients already on a statin Concomitant medications: not reported Excluded medications: not reported |
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Outcomes |
Primary: composite of death from cardiac causes, nonfatal acute MI, ischaemic stroke, and unstable angina. Secondary: lipids and high‐sensitivity C‐reactive protein (hs‐CRP) Others: serum creatine kinase (CK) and AST levels as well as clinical evaluation of any adverse event. |
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Notes | Funding: Quote: "The author(s) received no financial support for the research, authorship, and/or publication of this article" | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | A computer algorithm was used in the randomisation |
Allocation concealment (selection bias) | Unclear risk | Not reported |
Blinding of participants and personnel (performance bias) All outcomes | High risk | Open‐label study |
Blinding of outcome assessment (detection bias) All outcomes | Unclear risk | Open‐label study, insufficient information to make a judgement |
Incomplete outcome data (attrition bias) All outcomes | Low risk | Quote: "Eight patients did not attend their follow‐up visit but were reached via telephone." |
Selective reporting (reporting bias) | Unclear risk | No protocol published, or trials registry record found. |
Other bias | Low risk | Funding:Quote: "The author(s) received no financial support for the research, authorship, and/or publication of this article" Declaration of Conflicting Interests: Quote: "no potential conflicts of interest with respect to the research, authorship, and/or publication of this article." |