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DC Field | Value | Language |
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dc.contributor.author | Valgimigli, Marco | - |
dc.contributor.author | Sabaté Tenas, Manuel | - |
dc.contributor.author | Kaiser, Cristoph | - |
dc.contributor.author | Brugaletta, Salvatore | - |
dc.contributor.author | Torre Hernández, José María de la | - |
dc.contributor.author | Galatius, Soeren | - |
dc.contributor.author | Cequier Fillat, Àngel R. | - |
dc.contributor.author | Eberli, Franz | - |
dc.contributor.author | De Belder, Adam | - |
dc.contributor.author | Serruys, Patrick W. | - |
dc.contributor.author | Ferrante, Giuseppe | - |
dc.date.accessioned | 2015-06-16T17:12:12Z | - |
dc.date.available | 2015-06-16T17:12:12Z | - |
dc.date.issued | 2014-11-04 | - |
dc.identifier.issn | 2044-6055 | - |
dc.identifier.uri | http://hdl.handle.net/2445/65899 | - |
dc.description.abstract | Objectives: To examine the safety and effectiveness of cobalt-chromium everolimus eluting stents compared with bare metal stents. Design: Individual patient data meta-analysis of randomised controlled trials. Cox proportional regression models stratified by trial, containing random effects, were used to assess the impact of stent type on outcomes. Hazard ratios with 95% confidence interval for outcomes were reported. Data sources and study selection: Medline, Embase, the Cochrane Central Register of Controlled Trials. Randomised controlled trials that compared cobalt-chromium everolimus eluting stents with bare metal stents were selected. The principal investigators whose trials met the inclusion criteria provided data for individual patients. Primary outcomes: The primary outcome was cardiac mortality. Secondary endpoints were myocardial infarction, definite stent thrombosis, definite or probable stent thrombosis, target vessel revascularisation, and all cause death. Results: The search yielded five randomised controlled trials, comprising 4896 participants. Compared with patients receiving bare metal stents, participants receiving cobalt-chromium everolimus eluting stents had a significant reduction of cardiac mortality (hazard ratio 0.67, 95% confidence interval 0.49 to 0.91; P=0.01), myocardial infarction (0.71, 0.55 to 0.92; P=0.01), definite stent thrombosis (0.41, 0.22 to 0.76; P=0.005), definite or probable stent thrombosis (0.48, 0.31 to 0.73; P<0.001), and target vessel revascularisation (0.29, 0.20 to 0.41; P<0.001) at a median follow-up of 720 days. There was no significant difference in all cause death between groups (0.83, 0.65 to 1.06; P=0.14). Findings remained unchanged at multivariable regression after adjustment for the acuity of clinical syndrome (for instance, acute coronary syndrome v stable coronary artery disease), diabetes mellitus, female sex, use of glycoprotein IIb/IIIa inhibitors, and up to one year v longer duration treatment with dual antiplatelets. Conclusions: This meta-analysis offers evidence that compared with bare metal stents the use of cobalt-chromium everolimus eluting stents improves global cardiovascular outcomes including cardiac survival, myocardial infarction, and overall stent thrombosis. | - |
dc.format.extent | 17 p. | - |
dc.format.mimetype | application/pdf | - |
dc.language.iso | eng | - |
dc.publisher | BMJ Publishing Group | - |
dc.relation.isformatof | Reproducció del document publicat a: http://dx.doi.org/10.1136/bmj.g6427 | - |
dc.relation.ispartof | BMJ Open, 2014, vol. 349, p. 1-17 | - |
dc.relation.uri | http://dx.doi.org/10.1136/bmj.g6427 | - |
dc.rights | cc-by (c) Valgimigli, Marco et al., 2014 | - |
dc.rights.uri | http://creativecommons.org/licenses/by/3.0/es | - |
dc.source | Articles publicats en revistes (Ciències Clíniques) | - |
dc.subject.classification | Malalties coronàries | - |
dc.subject.classification | Artèries coronàries | - |
dc.subject.classification | Infart de miocardi | - |
dc.subject.classification | Pròtesis de Stent | - |
dc.subject.other | Coronary diseases | - |
dc.subject.other | Coronary arteries | - |
dc.subject.other | Myocardial infarction | - |
dc.subject.other | Stents (Surgery) | - |
dc.title | Effects of cobalt-chromium everolimus eluting stents or bare metal stent on fatal and non-fatal cardiovascular events: patient level meta-analysis | - |
dc.type | info:eu-repo/semantics/article | - |
dc.type | info:eu-repo/semantics/publishedVersion | - |
dc.identifier.idgrec | 649983 | - |
dc.date.updated | 2015-06-16T17:12:12Z | - |
dc.rights.accessRights | info:eu-repo/semantics/openAccess | - |
dc.identifier.pmid | 25378023 | - |
Appears in Collections: | Articles publicats en revistes (IDIBAPS: Institut d'investigacions Biomèdiques August Pi i Sunyer) Articles publicats en revistes (Medicina) Articles publicats en revistes (Ciències Clíniques) |
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649983.pdf | 4.55 MB | Adobe PDF | View/Open |
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