Table 1

Figure 1

References
 
 

Table 1  Additional details on the included studies

    Study

    Year
    Age (mean or range, years)
    Male (%)
    Definition of haemorrhage
    Loss to follow up (%)
    Concealment of allocation
    Diener et alw1 w2
    1996
    66
    58
    Haematemesis and/or melaena
    <1
    Adequate
    Hansson et alw3
    1998
    61.5
    53
    Gastrointestinal bleed
    2.6
    Adequate
    Petersen et alw4
    1989
    75
    54
    Gastrointestinal bleed
    Unclear
    Adequate
    SALTw5
    1991
    67
    66
    Gastrointestinal bleed
    <1
    Adequate
    TPTw6
    1998
    45-69
    100
    Gastrointestinal bleed
    1
    Adequate
    Wallentinw7
    1991
    58
    100
    Gastrointestinal bleed
    0
    Unclear
    Silagy et alw8
    1993
    73
    49
    Haematemesis and/or melaena
    0
    Unclear
    USPHSw9
    1989
    40-84
    100
    Haematemesis and/or melaena
    Unclear
    Adequate
    EAFTw10
    1993
    73
    55
    Gastrointestinal bleed
    <1
    Adequate
    Elwood et alw11
    1974
    55
    100
    Gastrointestinal haemorrhage
    Unclear
    Unclear
    UKTIAw12
    1991
    60
    73
    Gastrointestinal bleed
    0
    Adequate
    Gavaghan et alw13
    1991
    56
    85
    Gastrointestinal bleed
    <1
    Unclear
    Olivotto et alw14
    1996
    53
    0
    Gastrointestinal bleed
    Unclear
    Unclear
    Elwood et alw15
    1979
    56
    85
    Gastrointestinal bleed
    0
    Unclear
    CDPAw16
    1976
    60%>55
    100
    Haematemesis and/or melaena
    Unclear
    Unclear
    PARISw17
    1980
    30-74
    81
    Gastrointestinal bleed
    6.7
    Adequate
    Hess et alw18
    1985
    62
    80
    Gastrointestinal bleed
    0
    Unclear
    AMISw19
    1980
    54
    89
    Haematemesis and/or melaena
    <1
    Unclear
    Breddin et alw20
    1980
    40-70
    79
    Gastrointestinal haemorrhage
    9.6
    Adequate
    CCSGw21
    1978
    Unclear
    67
    Haematemesis and/or melaena
    <1
    Adequate
    Fields et alw22
    1977
    >45
    66
    Gastrointestinal bleed
    5
    Adequate
    Fields et alw23
    1978
    >45
    74
    Gastrointestinal haemorrhage
    Unclear
    Adequate
    Brittonw24
    1987
    68
    62
    Gastrointestinal haemorrhage
    Unclear
    Adequate
    Ehresman et alw25
    1977
    59
    94
    Gastrointestinal bleed
    11.2
    Unclear

    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.


 

Figure 1

    Funnel plot of Peto odds ratio against the inverse standard error


 

References

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.