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September 16, 2018New England Journal of Medicine1,144 citationsOpen Access

Effect of Aspirin on Cardiovascular Events and Bleeding in the Healthy Elderly

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John J. McNeil
John J. McNeilGeneral / Preventive / Lipids
RWRory WolfePreventive CardiologyRWRobyn L. WoodsGeneral / Preventive / Lipids

Structured PICO

Does low-dose aspirin prevent cardiovascular disease in healthy older adults?

P
Population
Healthy older adults
I
Intervention
Low-dose aspirin
C
Comparator
Placebo
O
Outcome
Cardiovascular disease and major hemorrhagehard clinical

Low-dose aspirin is not effective for primary cardiovascular prevention in healthy older adults and significantly increases the risk of major hemorrhage.

Abstract

The use of low-dose aspirin as a primary prevention strategy in older adults resulted in a significantly higher risk of major hemorrhage and did not result in a significantly lower risk of cardiovascular disease than placebo. (Funded by the National Institute on Aging and others; ASPREE ClinicalTrials.gov number, NCT01038583 .).

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Cite This Study

McNeil et al. (2018) studied this question.

synapsesocial.com/papers/69c0251446f5f4fe05a0cffehttps://doi.org/10.1056/nejmoa1805819
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Adverse effects of low-dose aspirin in a healthy elderly population1993 · 132 citations
  2. 2Effect of Aspirin on All-Cause Mortality in the Healthy Elderly2018 · 828 citations
  3. 3The efficacy and safety of lower-dose aspirin for primary and secondary prevention of cardiovascular disease in the elderly: an interim analysis of a multicenter, prospective, observational study2026
  4. 4Hemorrhagic Complications Associated With Aspirin2012 · 16 citations
  5. 5Daily aspirin for primary prevention increased risk for major GI bleeding in healthy older adults2021 · 3 citations