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Table 3 Effect of low-dose ASA and clopidogrel on the risk of LGIB

From: Risk of bleeding after hospitalization for a serious coronary event: a retrospective cohort study with nested case-control analyses

 

Cases

(n = 316)

n (%)

Controls

(n = 2,000)

n (%)

Odds ratioa

(95 % CI)

P value

ASA

 Non-use

74 (23.4)

370 (18.5)

1 (−)

 

 Current use

222 (70.3)

1502 (75.1)

0.96 (0.68–1.35)

0.80

  Duration

    < 1 month

11 (3.5)

65 (3.3)

0.79 (0.35–1.80)

0.57

   1–12 months

97 (30.7)

441 (22.1)

1.20 (0.79–1.82)

0.40

    ≥ 1 year

114 (36.1)

996 (49.8)

0.83 (0.56–1.22)

0.34

  Dose

   75 mg/day

193 (61.1)

1286 (64.3)

0.96 (0.68–1.36)

0.81

   150 mg/day

22 (7.0)

178 (8.9)

0.90 (0.51–1.57)

0.70

   300 mg/day

7 (2.2)

38 (1.9)

1.30 (0.52–3.21)

0.57

 Recent use

10 (3.2)

59 (3.0)

1.12 (0.51–2.44)

0.77

 Past use

10 (3.2)

69 (3.5)

0.76 (0.36–1.60)

0.47

Clopidogrel

 Non-use

200 (63.3)

1529 (76.5)

1 (−)

 

 Current use

95 (30.1)

318 (15.9)

1.86 (1.34–2.57)

<0.01

  Duration

    < 1 month

9 (2.8)

25 (1.3)

2.40 (0.94–6.13)

0.07

   1–12 months

44 (13.9)

148 (7.4)

1.51 (0.97–2.36)

0.07

    ≥ 1 year

42 (13.3)

145 (7.3)

2.12 (1.37–3.27)

<0.01

  Dose

   75 mg/day

84 (26.6)

286 (14.3)

1.82 (1.30–2.55)

<0.01

    ≥ 150 mg/day

11 (3.5)

32 (1.6)

2.15 (1.01–4.58)

0.05

 Recent use

8 (2.5)

40 (2.0)

1.30 (0.58–2.94)

0.52

 Past use

13 (4.1)

113 (5.7)

0.80 (0.43–1.48)

0.47

Dual antiplatelet therapy

 Non-use of both ASA and clopidogrel

40 (12.7)

237 (11.9)

1 (−)

 

 Current use of both ASA and clopidogrel

57 (18.0)

190 (9.5)

1.63 (0.95–2.81)

0.08

 Current ASA use and non-current clopidogrel use

165 (52.2)

1312 (65.6)

0.84 (0.54–1.32)

0.46

 Current clopidogrel use and non-current ASA use

38 (12.0)

128 (6.4)

1.56 (0.88–2.74)

0.13

  1. ASA acetylsalicylic acid, CI confidence interval, LGIB lower gastrointestinal bleeding, NSAID non-steroidal anti-inflammatory drug, PCP primary care physician, PPI proton pump inhibitor
  2. aAdjusted according to age, sex, calendar year, length of follow-up, health services utilization (PCP visits, referrals and hospitalizations), smoking, type of coronary event, history of peptic ulcer disease and use of PPIs, ASA, clopidogrel, NSAIDs and warfarin