Table 1.
Parameter | Base-Case Value (Range) |
Source |
---|---|---|
Relative Risk of Events | ||
Aspirin Alone | ||
Angina | 1.00 (95% CI: 0.80, 1.20) | Assumption |
Stroke | 1.06 (95% CI: 0.91, 1.24) | 11 |
Myocardial infarction | 0.70 (95% CI: 0.62, 0.79) | 11 |
CHD death, males | 0.87 (95% CI: 0.70, 1.09) | 16 |
Gastrointestinal bleed (no history of gastrointestinal bleed) | 2.00 | 6 |
Gastrointestinal bleed (with history of gastrointestinal bleed) | 10.00 | 6 |
Aspirin+PPI | ||
Gastrointestinal bleed | 0.20 (95% CI: 0.10, 0.90) | 13 |
Mortality | ||
Proportion of hemorrhage strokes that are fatal | 0.33 (95% CI: 0.10, 0.50) | Expert clinical opinion |
Death due to gastrointestinal bleed | 0.001 (range: 0.00001, 0.1) | Expert clinical opinion |
Increase in Risk of Mortality | ||
After Initial CHD Event | ||
After myocardial infarction | 3.7 (95% CI: 3.0, 4.7) | 14 |
After angina | 3.0 (95% CI: 2.1, 4.2) | 14 |
After stroke | 2.3 (95% CI: 1.0, 4.6) | 15 |
Reduction of death due to aspirin therapy after a CV event | 0.85 (95% CI: 0.80, 0.90) | 17 |
CHD = coronary heart disease; CI = confidence interval; CV = cardiovascular; PPI = proton pump inhibitor.