Table 1. Characteristics of included trials of aspirin for primary cardiovascular prevention.
Study, year | Country | Study design | Randomly, N | Dose | Inclusion | Male% | Follow-up, years | Quality |
---|---|---|---|---|---|---|---|---|
PHS, 1989 (2) | United States | 2×2 RCT, beta carotene | 22,071 | 325 mg alternate day | Male physicians aged 40–84 y | 100 | 5.0 | High |
HOT, 1998 (1) | 26 countries | 3×2 RCT, felodipine + other agents to achieve target blood pressure | 18,790 | 75 mg/d | Aged 50–80 y with hypertension | 53 | 3.8 | High |
TPT, 1998 (17) | United Kingdom | 2×2 RCT, warfarin | 2,540 | 75 mg/d | Men with high IHD risk aged 45–69 y | 100 | 6.8 | High |
WHS, 2005 (16) | United States | 2×2 RCT, vitamin E | 39,876 | 100 mg alternate day | Healthy women 45 y of age or older | 0 | 10.1 | High |
POPADAD, 2008 (4) | Scotland | 2×2 RCT, antioxidant capsule | 1,276 | 100 mg/d | Aged 40 y or more with DM and ABI ≤0.99 | 44.1 | 6.7 | High |
AAA, 2010 (3) | Scotland | RCT | 3,350 | 100 mg/d | ABI ≤0.95 aged 50–75 y | 28.5 | 8.2 | High |
ASPREE, 2018 (6) | Australia and United States | RCT | 19,114 | 100 mg/d | 70 years of age or older (or ≥65 years of age among blacks and Hispanics in the United States) | 43.6 | 4.7 | High |
ASCEND, 2018 (7) | United Kingdom | RCT | 15,480 | 100 mg/d | DM at least 40 y of age | 62.6 | 7.4 | High |
ARRIVE, 2018 (5) | 7 countries | RCT | 12,546 | 100 mg/d | Aged ≥55 y (male) or 60 y (female) with an average cardiovascular risk | 70.4 | 5.0 | High |
PHS, Physicians’ Health Study; HOT, Hypertension Optimal Treatment; TPT, Thrombosis prevention Trial; WHS, Women’s Health Study; POPADAD, Prevention Of Progression of Arterial Disease And Diabetes; AAA, Aspirin for Asymptomatic Atherosclerosis; ASPREE, Aspirin in Reducing Events in the Elderly; ASCEND, A Study of Cardiovascular Events In Diabetes; ARRIVE, Aspirin to Reduce Risk of Initial Vascular Events; RCT, randomized controlled trial; IHD, ischemic heart disease; DM, diabetes mellitus; ABI, ankle brachial index.