Cochrane · systematic review · CD008493

Preoperative statin therapy for patients undergoing cardiac surgery

Kuhn Elmar W, Slottosch Ingo, Wahlers Thorsten, et al. · Cochrane Database of Systematic Reviews · 2015 · Cochrane Library

Heart2 versionsAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
7
current version
GRADE rated
7
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 1 · 14.3%Moderate 6 · 85.7%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Current version only

Statin therapy for patients undergoing cardiac surgery

Population: patients undergoing cardiac surgery
CD008493.PUB3 (current) · 7 questions
OutcomeEffectEvidenceStatus / GRADE
Mortality
OR 1.8 [0.38, 8.54]2 studies · 300 participantsModerate
Downgraded: imprecision
Myocardial infarction ECG/cardiac enzymes
OR 0.48 [0.21, 1.13]7 studies · 901 participantsLow
Atrial fibrillation ECG
OR 0.54 [0.43, 0.67]12 studies · 1765 participantsModerate
Downgraded: publication bias
Stroke
OR 0.7 [0.14, 3.63]2 studies · 264 participantsModerate
Renal failure Serum creatinine/urea
OR 0.57 [0.3, 1.1]5 studies · 467 participantsModerate
Length of stay on ICU
no estimate extracted9 studies · 721 participantsModerate
Length of stay in hospital
no estimate extracted11 studies · 1137 participantsModerate

Statin therapy for patients undergoing cardiac surgery

Population: patients with patients undergoing cardiac surgery
CD008493.PUB2 · 7 questions
OutcomeEffectEvidenceStatus / GRADE
Mortality
OR 0.98 [0.14, 7.1]1 study · 200 participantsHigh
Myocardial infarction ECG/cardiac enzymes
OR 0.52 [0.2, 1.3]9 studies · 897 participantsHigh
Atrial fibrillation ECG
OR 0.4 [0.29, 0.55]8 studies · 841 participantsHigh
Stroke
OR 0.7 [0.14, 3.63]5 studies · 374 participantsHigh
Renal failure serum creatinin/urea
OR 0.41 [0.15, 1.12]4 studies · 367 participantsHigh
Length of stay on ICU
no estimate extracted7 studies · 521 participantsHigh
Length of stay in hospital
no estimate extracted8 studies · 877 participantsHigh