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. Author manuscript; available in PMC: 2011 Aug 14.
Published in final edited form as: Arch Intern Med. 2011 Feb 14;171(3):218–225. doi: 10.1001/archinternmed.2010.525

Table 1.

Clinical Parameters, Values, and Plausible Ranges

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.