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Table 3 Event rates and adjusted hazard ratio (95% confidence interval, CI) for clinical endpoints using multivariable Cox regression analysis in 6454 type 2 diabetic patients stratified by use of aspirin for primary or secondary prevention of cardiovascular disease.

From: Lack of benefits for prevention of cardiovascular disease with aspirin therapy in type 2 diabetic patients - a longitudinal observational study

 

Overall

Aspirin users

Non-aspirin users

Hazard ratio*

(95% CI)

p-value†

Primary prevention cohort:

n = 5,731

n = 1,034

n = 4,697

-

-

Primary composite endpoint

398 (6.9%)

138 (13.3%)

260 (5.5%)

2.07 (1.66 to 2.59)

< 0.001

Vascular death

115 (2%)

54 (5.2%)

61 (1.3%)

2.61 (1.70 to 4.01)

< 0.001

Non-fatal myocardial infarct

67 (1.2%)

27 (2.6%)

40 (0.9%)

2.05 (1.11 to 3.79)

0.023

Non-fatal stroke

251 (4.4%)

71 (6.9%)

180 (3.8%)

1.52 (1.14 to 2.04)#

0.005#

Secondary prevention cohort:

n = 723

n = 585

n = 138

-

-

Primary composite endpoint

145 (20.1%)

116 (19.8%)

29 (21%)

0.91 (0.60 to 1.37)#

NS

Vascular death

69 (9.5%)

55 (9.4%)

14 (10.1%)

0.92 (0.51 to 1.69)#

NS

Non-fatal myocardial infarct

23 (3.2%)

20 (3.4%)

3 (2.2%)

1.42 (0.42 to 4.85)#

NS

Non-fatal stroke

73 (10.1%)

55 (9.4%)

18 (13%)

0.71 (0.42 to 1.23)#

NS

Complete cohort:

n = 6,454

n = 1,619

n = 4,835

-

-

Upper gastrointestinal bleeding

138 (2.1%)

70 (4.3%)

68 (1.4%)

2.19 (1.53 to 3.15)

< 0.001

Endoscopically-confirmed ulcer bleeding

68 (1.1%)

33 (2%)

35 (0.7%)

1.72 (1.02 to 2.91)

0.043

Haemorrhagic stroke

61 (0.9%)

25 (1.5%)

36 (0.7%)

1.71 (1.00 to 2.95)#

0.051#

  1. Data are number (%) of patients
  2. Primary composite endpoint was defined as the composite of vascular death, non-fatal myocardial infarct or non-fatal stroke in accordance with the definition adopted by the Antiplatelet Trialists' Collaboration. Endpoints were identified from the principal diagnosis and principal procedure using the ICD-9 codes.
  3. *Multivariable Cox proportional hazards model with age, gender, smoking, alcohol, duration of diabetes, retinopathy, sensory neuropathy, peripheral vascular disease, cardiovascular history, body mass index, blood pressure, serum lipids, HbA1c, albuminuria, serum creatinine, and baseline usage of antihypertensive, antidiabetic, anticoagulant, and lipid-lowering drugs adjusted as covariates.
  4. #Hazard ratios and p-values were from univariate analysis.