In-hospital fatal outcomesFatal ASCVDFatal AMIFatal ischaemic stroke
aHR*(95% CI)aHR*(95% CI)aHR*(95% CI)
Persistence
 Constant use periodRefRefRef
 Recent stop period1.42(1.28 to 1.59)†1.47(1.25 to 1.71)†1.54(1.29 to 1.84)†
 Non-persistence period0.91(0.82 to 1.01)0.86(0.73 to 1.01)1.10(0.92 to 1.30)
 Intermittent use period1.17(0.98 to 1.39)1.16(0.88 to 1.52)1.04(0.77 to 1.39)
  • *Using Cox proportional hazards model and adjusted for age, sex, types of baseline ASCVD diagnosis, history of hyperlipidaemia 1 year before hospitalisation, Charlson Comorbidity Index 1 year before hospitalisation, medications 1 year before the enrolment date (antiplatelet, statin), number of lipid examination 1 year before and during hospitalisation, level of healthcare organisation, physician specialty of index statin, dosage of index statin and time-varying covariate of lipid examination 1 month before statin dose change.

  • †P<0.05.

  • aHR, adjusted HR; AMI, acute myocardial infarction; ASCVD, atherosclerotic cardiovascular disease; PDC, proportion of days covered.