Long Term Use of Aspirin and the Risk of Gastrointestinal Bleeding
| Autor: | Andrew T. Chan, Lisa L. Strate, Edward S. Huang, Salina S. Lee, Wendy Ho |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2011 |
| Předmět: |
Adult
Male medicine.medical_specialty Gastrointestinal bleeding Time Factors Analgesic Gastroenterology Risk Assessment Article Drug Administration Schedule Fibrinolytic Agents Internal medicine medicine Odds Ratio Humans Cyclooxygenase Inhibitors Antipyretic Prospective Studies Risk factor Aged Aspirin business.industry Anti-Inflammatory Agents Non-Steroidal General Medicine Odds ratio Middle Aged medicine.disease Surgery Multivariate Analysis Female business Risk assessment Gastrointestinal Hemorrhage Fibrinolytic agent medicine.drug Follow-Up Studies |
| Popis: | In short-term trials, aspirin is associated with gastrointestinal bleeding. However, the effect of dose and duration of aspirin use on risk remains unclear.We conducted a prospective study of 87,680 women enrolled in the Nurses' Health Study in 1990 who provided biennial data on aspirin use. We examined the relative risk (RR) of major gastrointestinal bleeding requiring hospitalization or blood transfusion.During a 24-year follow-up, 1537 women reported a major gastrointestinal bleeding. Among women who used aspirin regularly (≥2 standard [325 mg] tablets/week), the multivariate RR of gastrointestinal bleeding was 1.43 (95% confidence interval [CI], 1.29-1.59) when compared with nonregular users. Compared with women who denied any aspirin use, the multivariate RRs of gastrointestinal bleeding were 1.03 (95% CI, 0.85-1.24) for women who used 0.5 to 1.5 standard aspirin tablets/week, 1.30 (95% CI, 1.07-1.58) for women who used 2 to 5 tablets/week, 1.77 (95% CI, 1.44-2.18) for women who used 6 to 14 tablets/week, and 2.24 (95% CI, 1.66-3.03) for women who used more than 14 tablets/week (P(trend).001). Similar dose-response relationships were observed among short-term users (≤5 years; P(trend).001) and long-term users (5 years; P(trend).001). In contrast, after adjustments were made for dose, increasing duration of use did not confer a greater risk of bleeding (P(trend) = .28).Regular aspirin use is associated with gastrointestinal bleeding. Risk seems more strongly related to dose than duration of aspirin use. Efforts to minimize adverse effects of aspirin therapy should emphasize using the lowest effective dose among both short- and long-term users. |
| Databáze: | OpenAIRE |
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