Table 2.
Summary of major bleeding outcomes across major SRs and RCTs comparing aspirin and placebo
Study reference | Indication | Aspirin dose compared with placebo | No. of major bleeding events: aspirin vs placebo | RR/HR |
---|---|---|---|---|
ECLAP34 | Primary thromboprophylaxis for polycythemia vera | Aspirin 100 mg daily | 3 vs 2 | RR, 1.62 (0.27-9.71) |
RCT, 2004; n = 518 | ||||
INSPIRE25 | Recurrent VTE prevention | Aspirin 100 mg daily | 9 vs 7 | HR, 1.31 (0.48-3.53) |
RCT, 2014; n = 1224 | ||||
POISE-248 | Perioperative administration of aspirin in patients undergoing noncardiac surgery | Aspirin 200 mg daily | 230 vs 188 | HR, 1.23 (1.01-1.49) |
RCT, 2014; n = 10 010 | ||||
Mahmoud et al, 201949 | Primary cardiovascular prevention | Aspirin mostly, 75-100 mg | 1301 vs 901 | RR, 1.47 (1.31-1.65) |
SR, 11 RCTs; n = 157 248 | ||||
Zheng et al, 201950 | Primary cardiovascular prevention | Aspirin ≤100 mg daily | 1195 vs 834 | HR, 1.54 (1.35-1.76) |
SR, 11 RCTs; n = 134 470 |
Major bleeding as defined by criteria set in each individual randomized control trial or systematic review.
HR, hazard ratio; INSPIRE, International Collaboration of Aspirin Trials for Recurrent Venous Thromboembolism; n, number of patients; POISE-2, Perioperative Ischemic Evaluation 2; RR, relative risk; SR, systematic review and meta-analysis.