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. 2012 Feb;141(2 Suppl):e195S–e226S. doi: 10.1378/chest.11-2296

Table 21.

—[Section 7.1] Summary of Findings: Should Aspirin vs No Treatment Be Used for Prevention of VTE in Persons With Asymptomatic Thrombophilia?157-160

Outcome No. of Patients (Studies) Follow-up Quality of the Evidence (GRADE) Relative Effect (95% CI) Anticipated Absolute Effects
Baseline Risk Risk Difference With Aspirin (95% CI)
Symptomatic nonfatal DVT and PE
98 (2 RCTs) 2.3-10.1 y
Low due to very serious imprecisiona
RR, 2.08 (0.20-22.23)
20 per 1,000
22 more per 1,000 (from 16 fewer to 425 more)
Mortality
98 (1 RCT) 2.3 y
Very low due to very serious imprecisiona and methodologic limitationsb
RR, 1.04 (0.07-16.19)
21 per 1,000
1 more per 1,000 (from 19 fewer to 316 more)
Major bleeding 207 (3 Observational studies) 2.3-8 y Very low due to very serious imprecisiona Not estimable, no events in either arm 0 per 1,000 Not estimable

See Table 1 and 4 legends for expansion of abbreviations.

a

Very small number of events.

b

Erkan et al159 terminated early as event rates were lower than expected and larger sample size was infeasible.