Cardiovascular Prevention
Conditions
Keywords
Discontinuation of low dose ASA,, Secondary cardiovascular prevention,, Acid-suppressing drugs,, Gastrointestinal risk,, Epidemiology
Brief summary
This study is conducted in a cohort of low dose aspirin (ASA) users previously ascertained .The aims of the post hoc analyses are: To estimate the one year risk of discontinuation of use of low-dose ASA associated to PPI concomitant use versus non-use, crude and adjusted by confounding. To estimate the one year risk of discontinuation of use of low-dose ASA associated to PPI concomitant use stratified by age and sex. To evaluate other predictors of discontinuation of low-dose ASA during the first year of ASA therapy.
Detailed description
Assessment of low-dose ASA discontinuation risk associated with concomitant PPI use during the first year of ASA therapy for secondary prevention
Interventions
PPI continuous use; No PPI usePPI
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients aged 50-84 years in 2000-2007. * Patients with first prescription of low dose ASA ( see study population description). * Patients were required to have been enrolled with their primary care practitioner (PCP) for at least 2 years and to have a computerized prescription history of at least 1 year before the start of the study.
Exclusion criteria
* Patients aged below age 50 and 85 years and above ( see study population description). * Patients with a diagnosis of cancer, alcohol abuse or alcohol-related disease. * Incomplete data recording in THIN.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Risk of low dose ASA discontinuation associated with continuous PPI use vs.non-use | Up to 1 year. | Risk (hazard ratios) of low dose ASA discontinuation associated with continuous PPI use vs. non-use. |
| Risk of low dose ASA discontinuation associated with baseline gastrointestinal risk category ( high risk versus low risk) | Up to 1 year | Risk ( hazard ratios) of low dose ASA discontinuation associated with baseline gastrointestinal risk category( high risk versus low risk). |
Countries
Spain