Type 2 & other diabetes

Efficacy of Aspirin for primary prevention among adults with high‐risk type 2 diabetes in the ACCORD trial

Diabetes Obes MetabPublished Secondary analysis of the ACCORD randomised trial

Primary result · Primary outcome (nonfatal MI, nonfatal stroke or CV death)Result — go to the resultAdjusted hazard ratio 0.94 95% CI 0.77–1.14

Authors' conclusion

In high-risk individuals with type 2 diabetes, the use of aspirin for primary prevention was not associated with a decreased risk of incident CVD or all-cause mortality.

Study context

Population
ACCORD participants with high-risk T2D without cardiovascular disease (CVD) at baseline; aged 62.8 ± 5.9 years, 43.8% female
Participants
6,330 participants
Comparison
Aspirin use vs no aspirin use
  • Aspirinn = 3,026
Primary endpoint
Composite of:
  • Nonfatal MI
  • Nonfatal stroke
  • CV death
Follow-up
Median 4.9 (IQR 4.1-5.7) years
Methodological detailspost hoc analysis, adjusted Cox proportional hazards analysis
  • Post hoc analysis
  • Adjusted Cox proportional hazards analysis

Primary result

As reported in the abstract

Primary outcome:
  • Nonfatal MI
  • Nonfatal stroke
  • CV death
· median 4.9 years

Adjusted hazard ratio

0.94

95% CI 0.77–1.14

Events by treatment group

Aspirinvs No aspirin
aHR 0.94 (95% CI 0.77–1.14)

Further findings

OutcomeAspirinNo aspirinaHR (95% CI)
All-cause mortality · median 4.9 years4.8%4.5%1.08 (0.85–1.36)

Original publication

Efficacy of Aspirin for primary prevention among adults with high‐risk type 2 diabetes in the ACCORD trial. Diabetes Obes Metab. Published 10 July 2024. doi:10.1111/dom.15753

Composed by AI from the published abstract and checked against it. How Briefs are made →

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