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. 2021 Nov 5;2021(11):CD012565. doi: 10.1002/14651858.CD012565.pub2

Comparison 4. Cardiovascular mortality at maximum follow‐up.

Outcome or subgroup title No. of studies No. of participants Statistical method Effect size
4.1 Cardiovascular mortality 19 21763 Risk Ratio (M‐H, Random, 95% CI) 0.73 [0.63, 0.85]
4.2 Cardiovascular mortality ‐ Type of beta‐blocker 19 21763 Risk Ratio (M‐H, Random, 95% CI) 0.73 [0.63, 0.85]
4.2.1 Atenolol 1 757 Risk Ratio (M‐H, Random, 95% CI) 0.45 [0.19, 1.09]
4.2.2 Acebutolol 1 607 Risk Ratio (M‐H, Random, 95% CI) 0.41 [0.22, 0.79]
4.2.3 Alprenolol 1 162 Risk Ratio (M‐H, Random, 95% CI) 0.15 [0.02, 1.15]
4.2.4 Carvedilol 1 794 Risk Ratio (M‐H, Random, 95% CI) 1.22 [0.37, 3.96]
4.2.5 Metoprolol 4 3383 Risk Ratio (M‐H, Random, 95% CI) 0.86 [0.67, 1.10]
4.2.6 Oxprenolol 3 3817 Risk Ratio (M‐H, Random, 95% CI) 0.81 [0.45, 1.46]
4.2.7 Pindolol 1 529 Risk Ratio (M‐H, Random, 95% CI) 0.94 [0.63, 1.40]
4.2.8 Practolol 1 3053 Risk Ratio (M‐H, Random, 95% CI) 0.61 [0.43, 0.87]
4.2.9 Propranolol 4 5321 Risk Ratio (M‐H, Random, 95% CI) 0.73 [0.56, 0.97]
4.2.10 Sotalol 1 1456 Risk Ratio (M‐H, Random, 95% CI) 0.83 [0.58, 1.18]
4.2.11 Timolol 1 1884 Risk Ratio (M‐H, Random, 95% CI) 0.58 [0.45, 0.75]
4.3 Cardiovascular mortality ‐ Different follow‐up 19 21763 Risk Ratio (M‐H, Random, 95% CI) 0.73 [0.63, 0.85]
4.3.1 Between 6 months and 12 months 7 5778 Risk Ratio (M‐H, Random, 95% CI) 0.80 [0.60, 1.08]
4.3.2 Between 1 year and 3 years 11 15191 Risk Ratio (M‐H, Random, 95% CI) 0.69 [0.57, 0.83]
4.3.3 3 years or longer 1 794 Risk Ratio (M‐H, Random, 95% CI) 1.22 [0.37, 3.96]
4.4 Cardiovascular mortality ‐ Registration status 19 21763 Risk Ratio (M‐H, Random, 95% CI) 0.73 [0.63, 0.85]
4.4.1 Post‐registration 1 3837 Risk Ratio (M‐H, Random, 95% CI) 0.74 [0.60, 0.93]
4.4.2 No registration 17 17132 Risk Ratio (M‐H, Random, 95% CI) 0.72 [0.60, 0.86]
4.4.3 Pre‐registration 1 794 Risk Ratio (M‐H, Random, 95% CI) 1.22 [0.37, 3.96]
4.5 Cardiovascular mortality ‐ Industry vs non‐industry funding 19 21763 Odds Ratio (M‐H, Fixed, 95% CI) 0.72 [0.64, 0.80]
4.5.1 Industry‐funded trials or unknown funding 16 20061 Odds Ratio (M‐H, Fixed, 95% CI) 0.73 [0.65, 0.81]
4.5.2 Non‐industry‐funded trials 3 1702 Odds Ratio (M‐H, Fixed, 95% CI) 0.55 [0.36, 0.85]
4.6 Cardiovascular mortality ‐ Subacute vs non‐acute phase 19 21763 Odds Ratio (M‐H, Random, 95% CI) 0.71 [0.60, 0.84]
4.6.1 Beta‐blockers administered within 7 days following acute myocardial infarction (subacute phase) 2 1354 Odds Ratio (M‐H, Random, 95% CI) 0.70 [0.40, 1.22]
4.6.2 Beta‐blockers administered after 7 days following acute myocardial infarction (non‐acute phase) 17 20409 Odds Ratio (M‐H, Random, 95% CI) 0.71 [0.59, 0.84]
4.7 Cardiovascular mortality ‐ Heart failure vs no heart failure 19 21763 Risk Ratio (M‐H, Random, 95% CI) 0.73 [0.63, 0.85]
4.7.1 Trials specifically excluding heart failure participants 9 7930 Risk Ratio (M‐H, Random, 95% CI) 0.61 [0.48, 0.79]
4.7.2 Trials specifically excluding heart failure participants but likely not adhering to this 10 13833 Risk Ratio (M‐H, Random, 95% CI) 0.80 [0.66, 0.96]
4.8 Cardiovascular mortality ‐ 'Best‐worst case scenario' 19 21770 Risk Ratio (M‐H, Random, 95% CI) 0.71 [0.60, 0.83]
4.9 Cardiovascular mortality ‐ 'Worst‐best case scenario' 19 21770 Risk Ratio (M‐H, Random, 95% CI) 0.75 [0.63, 0.90]