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. 2019 Sep 23;2019(9):CD013435. doi: 10.1002/14651858.CD013435

Williams 1982.

Methods Quasi‐randomized trial, parallel design
Participants Total number of randomized participants: 50
Inclusion criteria: scheduled for CABG surgery without additional cardiac procedures
Exclusion criteria: heart failure requiring use of intra‐aortic balloon pump
Type of surgery: elective CABG
Baseline characteristics
Intervention group (propranolol)
  • Age, mean: 55.3 years

  • Gender, M/F: 25/3

  • Preoperative use of beta‐blockers, %: 89.3


Control group (standard care)
  • Age, mean: 55.3 years

  • Gender, M/F: 24/8

  • Preoperative use of beta‐blockers, %: 84.3


Country: USA
Setting: single centre; hospital
Interventions Intervention group (propranolol)
  • Randomized, n = 28; losses = 0; analysed, n = 28 (we assumed that ITT analysis was not used)

  • Details: propranolol 10 mg every 6 h, started at noon of the participant's 1st postoperative day until hospital discharge


Control group (standard care)
  • Randomized, n = 32; losses = 0; analysed, n = 32 (we assumed that ITT analysis was not used)

  • Details: standard care, no details

Outcomes Outcomes measured/reported by study authors: postoperative arrhythmias (supraventricular and ventricular, to include AF)
Outcomes relevant to the review: ventricular arrhythmias, AF
Notes Funding/declarations of interest: not reported
Study dates: not reported
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) High risk Quote: "Patients were randomised by odd or even birthdate"
Comment: quasi‐randomization
Allocation concealment (selection bias) High risk See above
Blinding of participants and personnel (performance bias) 
 All outcomes High risk Open‐label trial
Blinding of outcome assessors (detection bias) 
 All outcomes High risk Open‐label trial
Incomplete outcome data (attrition bias) 
 All outcomes Low risk 5 participants were excluded from analysis because of postoperative heart failure requiring IABP perioperatively, which we assumed to be an a priori exclusion criteria; we have not included these in the overall number of randomized participants
Selective reporting (reporting bias) Unclear risk Study authors did not report prospective clinical trial registration or publication of a protocol. It was not feasible to effectively assess risk of reporting bias
Other bias Low risk Not detected