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. 2015 Dec 8;2015(12):CD008093. doi: 10.1002/14651858.CD008093.pub2

Bardy 2005–SCD‐HeFT.

Study characteristics
Methods Multicentre randomised controlled trial
Setting: Patients with stable heart failure due to ischemic or nonischemic causes and a left ventricular ejection fraction of no more than 35 percent
Country: United States & Canada
Participants N = 1692 (845 amiodarone, 847 placebo)
Sex: 76‐77% male
Age: median 60 years
Inclusion: heart failure with LVEF < 35% (primary prevention)
Interventions Group 1: ICD (not analysed)
Group 2: amiodarone (up to 800 mg/day initially, 300 mg/d on average at the end of the study)
Group 3: placebo
Duration: 2 to 5 years
Outcomes All‐cause mortality, cardiac mortality, SCD, quality of life
Notes The outcome 'quality of life was published in a separate report by Marks et al.
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk The trial was randomised, but the mechanism wasn't described in detail.
Allocation concealment (selection bias) Unclear risk The trial was randomised, but the mechanism wasn't described in detail.
Blinding of participants and personnel (performance bias)
All outcomes Low risk Quote: "Placebo and amiodarone were administered in a double‐blind fashion with the use of identical appearing 200‐mg tablets. . ."
Blinding of outcome assessment (detection bias)
All outcomes Low risk Quote: "Placebo and amiodarone were administered in a double‐blind fashion with the use of identical appearing 200‐mg tablets. . ."
Incomplete outcome data (attrition bias)
Objective outcomes (death) Low risk Quote: "Pairwise comparisons of amiodarone with placebo and ICD with placebo were performed according to the intention‐to‐treat principle."
Incomplete outcome data (attrition bias)
Subjective outcomes (quality of life) Low risk Quote: "Of 2521 patients who underwent randomisation, 2479 (98%) completed quality‐of‐life questionnaires at baseline. . . Overall, from a total of 9171 expected contacts with patients, 8747 quality‐of‐life questionnaires (95%) were collected. Only 1.2% of patients declined to complete the questionnaires, and only 1.4% of forms were judged to be incomplete."
Selective reporting (reporting bias) Low risk The study protocol was not available, but it is clear that the published report includes all expected outcomes.
Other bias Low risk The study appears to be free of other sources of bias.