Table 1 Additional details on the included studies
Study | Definition of haemorrhage | |||||
Diener et alw1 w2 | Haematemesis and/or melaena | |||||
Hansson et alw3 | Gastrointestinal bleed | |||||
Petersen et alw4 | Gastrointestinal bleed | |||||
SALTw5 | Gastrointestinal bleed | |||||
TPTw6 | Gastrointestinal bleed | |||||
Wallentinw7 | Gastrointestinal bleed | |||||
Silagy et alw8 | Haematemesis and/or melaena | |||||
USPHSw9 | Haematemesis and/or melaena | |||||
EAFTw10 | Gastrointestinal bleed | |||||
Elwood et alw11 | Gastrointestinal haemorrhage | |||||
UKTIAw12 | Gastrointestinal bleed | |||||
Gavaghan et alw13 | Gastrointestinal bleed | |||||
Olivotto et alw14 | Gastrointestinal bleed | |||||
Elwood et alw15 | Gastrointestinal bleed | |||||
CDPAw16 | Haematemesis and/or melaena | |||||
PARISw17 | Gastrointestinal bleed | |||||
Hess et alw18 | Gastrointestinal bleed | |||||
AMISw19 | Haematemesis and/or melaena | |||||
Breddin et alw20 | Gastrointestinal haemorrhage | |||||
CCSGw21 | Haematemesis and/or melaena | |||||
Fields et alw22 | Gastrointestinal bleed | |||||
Fields et alw23 | Gastrointestinal haemorrhage | |||||
Brittonw24 | Gastrointestinal haemorrhage | |||||
Ehresman et alw25 | Gastrointestinal bleed |
SALT=Swedish aspirin low dose trial; TPT=thrombosis prevention trial; USPHS=US physicians health study; EAFT=European atrial fibrillation trial; UK TIA=UK transient ischaemic attack aspirin trial; CDPA=coronary drug project aspirin study; PARIS=persantine-aspirin reinfarction study; AMIS=aspirin myocardial infarction study; CCSG=Canadian Cooperative Study Group.
Funnel plot of Peto odds ratio against the inverse standard error
w1 Diener HC, Cunha L, Forbes C, Sivenius J, Smets P, Lowenthal A. European stroke prevention study. 2: Dipyridamole and acetylsalicylic acid in the secondary prevention of stroke. J Neurol Sci 1996;143:1-13.
w2 Diener HC, Forbes C, Riekkinen PJ, Sivenius J, Smets P, Lowenthal A. European stroke prevention study. 2: Efficacy and safety data: the ESPS 2 group. J Neurol Sci 1997;151(suppl):S1-61.
w3 Hansson L, Zanchetti A, Carruthers SG, Dahlof B, Elmfeldt D, Julius S, et al. Effects of intensive blood-pressure lowering and low-dose aspirin in patients with hypertension: principal results of the hypertension optimal treatment (HOT) randomised trial. HOT Study Group. Lancet 1998;351:1755-62.
w4 Petersen P, Boysen G, Godtfredsen J, Andersen ED, Andersen B. Placebo-controlled, randomised trial of warfarin and aspirin for prevention of thromboembolic complications in chronic atrial fibrillation. The Copenhagen AFASAK study. Lancet 1989;1:175-9.
w5 SALT Collaborative Group. Swedish aspirin low-dose trial (SALT) of 75 mg aspirin as secondary prophylaxis after cerebrovascular ischaemic events. Lancet 1991;338:1345-9.
w6 Thrombosis prevention trial: randomised trial of low-intensity oral anticoagulation with warfarin and low-dose aspirin in the primary prevention of ischaemic heart disease in men at increased risk. The Medical Research Council's General Practice Research Framework. Lancet 1998;351:233-41.
w7 Wallentin LC. Aspirin (75 mg/day) after an episode of unstable coronary artery disease: long-term effects on the risk for myocardial infarction, occurrence of severe angina and the need for revascularization. Research Group on Instability in Coronary Artery Disease in Southeast Sweden. J Am Coll Cardiol 1991;18:1587-93.
w8 Silagy CA, McNeil JJ, Donnan GA, Tonkin AM, Worsam B, Campion K. Adverse effects of low-dose aspirin in a healthy elderly population. Clin Pharmacol Ther 1993;54:84-9.
w9 Steering Committee of the Physicians' Health Study Research Group. Final report on the aspirin component of the ongoing physicians' health study. N Engl J Med 1989;321:129.
w10 EAFT (European Atrial Fibrillation Trial) Study Group. Secondary prevention in non-rheumatic atrial fibrillation after transient ischaemic attack or minor stroke. Lancet 1993;342:1255-62.
w11 Elwood PC, Cochrane AL, Burr ML, Sweetnam PM, Williams G, Welsby E, et al. A randomized controlled trial of acetyl salicylic acid in the secondary prevention of mortality from myocardial infarction. BMJ 1974;1:436-40.
w12 Farrell B, Godwin J, Richards S, Warlow C. The United Kingdom transient ischaemic attack (UK-TIA) aspirin trial: final results. J Neurol Neurosurg Psychiatry 1991; 54:1044-54.
w13 Gavaghan TP, Gebski V, Baron DW. Immediate postoperative aspirin improves vein graft patency early and late after coronary artery bypass graft surgery. A placebo-controlled, randomized study. Circulation 1991;83:1526-33.
w14 Olivotto IA, Kim-Sing C, Bajdik CD, Trevisan CH, Ludgate CM, Weir LM, et al. Effect of acetylsalicylic acid on radiation and cosmetic results after conservative surgery for early breast cancer: a randomized trial. Radiother Oncol 1996;41:1-6.
w15 Elwood PC, Sweetnam PM. Aspirin and secondary mortality after myocardial infarction. Lancet 1979;2:1313-5.
w16 Coronary Drug Project Research Group. Aspirin in coronary heart disease. J Chronic Dis 1976;29:625-42.
w17 Persantine-Aspirin Reinfarction Study Research Group. Persantine and aspirin in coronary heart disease. Circulation 1980;62:449-61.
w18 Hess H, Mietaschk A, Deichsel G. Drug-induced inhibition of platelet function delays progression of peripheral occlusive arterial disease. A prospective double-blind arteriographically controlled trial. Lancet 1985;1:415-9.
w19 Aspirin Myocardial Infarction Study Research Group. The aspirin myocardial infarction study: final results. Circulation 1980;62(6, part 2):V79-84.
w20 Breddin K, Loew D, Lechner K, Uberla K, Walter E. Secondary prevention of myocardial infarction: a comparison of acetylsalicylic acid, placebo and phenprocoumon. Haemostasis 1980;9:325-44.
w21 Canadian Cooperative Study Group. A randomized trial of aspirin and sulfinpyrazone in threatened stroke. N Engl J Med 1978;299:53-9.
w22 Fields WS, Lemak NA, Frankowski RF, Hardy RJ. Controlled trial of aspirin in cerebral ischemia. Stroke 1977;8:301-14.
w23 Fields WS, Lemak NA, Frankowski RF, Hardy RJ. Controlled trial of aspirin in cerebral ischemia. Part II: surgical group. Stroke 1978;9:309-19.
w24 Britton M, Helmers C, Samuelsson K. High-dose acetylsalicylic acid after cerebral infarction. A Swedish cooperative study. Stroke 1987;18:325-34.
w25 Ehresmann U, Alemany J, Loew D. Prophylaxe von Rezidivverschlussen nach Revaskularisations-eingriffen mit Acetylsalicylsaure. Ergebnisse einer doppeltblinden Langzeitstudie. Med Welt 1977;28:1157-62.