التفاصيل البيبلوغرافية
| العنوان: |
The Effect of Aspirin on the Primary Prevention of Major Adverse Cardiac and Cerebrovascular Events in Chinese Older Adults: A Registration Study. |
| المؤلفون: |
Sun, Xiaojia1 xiaojiasun@sina.com, Sun, Ruihong1, Zhang, Liming1 |
| المصدر: |
Drugs & Aging. Jan2022, Vol. 39 Issue 1, p97-106. 10p. |
| مصطلحات موضوعية: |
*CARDIOVASCULAR diseases risk factors, *BLOOD pressure, *CONFIDENCE intervals, *CARDIOVASCULAR diseases, *REGRESSION analysis, *TREATMENT effectiveness, *COMPARATIVE studies, *SEX distribution, *ASPIRIN, *DESCRIPTIVE statistics, *SURVIVAL analysis (Biometry), *ADVERSE health care events, *BODY mass index, *LONGITUDINAL method, *HEMORRHAGE, *OLD age, CARDIOVASCULAR disease related mortality |
| مصطلحات جغرافية: |
CHINA |
| مستخلص: |
Background: Low-dose acetylsalicylic acid (aspirin) prevents stroke and myocardial infarction in patients with cardiovascular disease (CVD), but whether it should be used for primary CVD prevention in older Chinese adults remains unclear. Methods: This prospective study investigated Chinese people aged > 70 years participating in the Kadoorie Study of Chronic Disease. The subjects were grouped as aspirin users and nonusers. Propensity score matching (PSM) was used to achieve balanced baseline characteristics. The primary outcome was major adverse cardiac and cerebrovascular events (MACCE). The secondary outcomes were all-cause mortality, cardiovascular and/or cerebrovascular disease (CCVD) mortality, and bleeding events. Survival curves were used to compare the outcomes between groups. Cox regression was used to identify the risk factors for the outcomes. Results: In total, 4791 participants were categorized as aspirin users (n = 257) or nonusers (n = 4534). PSM resulted in 252 and 951 participants in the aspirin user and nonuser groups, respectively. Median follow-up was 8.6 years. Aspirin did not influence MACCE, all-cause mortality, or bleeding events, but it did influence CCVD deaths (p = 0.019). Male sex (hazard ratio [HR] 1.652; 95% confidence interval [CI] 1.217–2.243; p = 0.001), body mass index (BMI) (HR 1.053; 95% CI 1.008–1.100; p = 0.021), and systolic blood pressure (HR 1.009; 95% CI 1.003–1.016; p = 0.004) were independent risk factors for MACCE. Survival analysis showed higher rates of CCVD mortality among aspirin users (HR 1.363; 95% CI 1.040–1.786; p = 0.025), but this was not significant in the regression analysis. Conclusions: There were no significant benefits from using aspirin as primary prevention for MACCE in older Chinese adults. [ABSTRACT FROM AUTHOR] |
| قاعدة البيانات: |
Academic Search Index |
