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Table 4 Effect of low-dose ASA and clopidogrel on the risk of UGIB

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

 

Cases

(n = 152)

n (%)

Controls

(n = 1,000)

n (%)

Odds ratioa

(95 % CI)

P value

ASA

 Non-use

29 (19.1)

186 (18.6)

1 (−)

 

 Current use

107 (70.4)

753 (75.3)

1.31 (0.76–2.27)

0.33

  Duration

    < 1 month

8 (5.3)

32 (3.2)

0.92 (0.29–2.91)

0.89

   1–12 months

38 (25.0)

191 (19.1)

1.26 (0.62–2.57)

0.53

    ≥ 1 year

61 (40.1)

530 (53.0)

1.39 (0.72–2.67)

0.33

  Dose

   75 mg/day

98 (64.5)

653 (65.3)

1.40 (0.80–2.43)

0.23

   150 mg/day

6 (3.9)

85 (8.5)

0.53 (0.18–1.59)

0.26

   300 mg/day

3 (2.0)

15 (1.5)

2.47 (0.60–10.24)

0.21

 Recent use

10 (6.6)

24 (2.4)

4.33 (1.61–11.66)

<0.01

 Past use

6 (3.9)

37 (3.7)

0.85 (0.30–2.44)

0.76

Clopidogrel

 Non-use

96 (63.2)

765 (76.5)

1 (−)

 

 Current use

48 (31.6)

164 (16.4)

2.17 (1.35–3.49)

<0.01

  Duration

    < 1 month

10 (6.6)

11 (1.1)

5.76 (1.82–18.27)

<0.01

   1–12 months

25 (16.4)

73 (7.3)

2.14 (1.10–4.18)

0.03

    ≥ 1 year

13 (8.6)

80 (8.0)

1.80 (0.85–3.80)

0.12

  Dose

   75 mg/day

46 (30.3)

154 (15.4)

2.22 (1.38–3.59)

<0.01

    ≥ 150 mg/day

2 (1.3)

10 (1.0)

1.19 (0.22–6.31)

0.84

 Recent use

2 (1.3)

13 (1.3)

1.12 (0.22–5.64)

0.89

 Past use

6 (3.9)

58 (5.8)

0.64 (0.25–1.68)

0.37

Dual antiplatelet therapy

 Non-use of both ASA and clopidogrel

18 (11.8)

119 (11.9)

1 (−)

 

 Current use of both ASA and clopidogrel

36 (23.7)

100 (10.0)

2.42 (1.09–5.36)

0.03

 Current ASA use and non-current clopidogrel use

71 (46.7)

653 (65.3)

0.91 (0.46–1.80)

0.78

 Current clopidogrel use and non-current ASA use

12 (7.9)

64 (6.4)

1.29 (0.52–3.20)

0.58

  1. ASA acetylsalicylic acid, CI confidence interval, NSAID non-steroidal anti-inflammatory drug, PCP primary care physician, PPI proton pump inhibitor, UGIB upper gastrointestinal bleeding
  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