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QUESTION: In elderly persons with or at risk of vascular disease, what is the effectiveness and safety of pravastatin?
Design
Randomised (allocation concealed*), blinded (clinicians, participants, data collectors, and outcome assessors),* placebo controlled trial with mean follow up of 3.2 years (Prospective Study of Pravastatin in the Elderly at Risk [PROSPER]).
Setting
Scotland, Ireland, and the Netherlands.
Participants
5804 participants between 70–82 years (mean age 75 y, 52% women) who had a history of vascular disease (coronary, cerebral, or peripheral) or risk factors for vascular disease (eg, smoking, hypertension, or diabetes), a total plasma cholesterol concentration between 4.0 and 9.0 mmol/l, and a triglyceride concentration <6.0 mmol/l. Participants with poor cognitive function (Mini-Mental State Examination score <24) were excluded. Follow up …
Footnotes
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Source of funding: Bristol-Myers Squibb.
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For correspondence: Professor J Shepherd, Royal Infirmary, Glasgow, UK.jshepherd{at}gri-biochem.org.uk
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Abstract and commentary also appear in ACP Journal Club.