Annals of internal medicine
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Randomized Controlled Trial
Continuation of low-dose aspirin therapy in peptic ulcer bleeding: a randomized trial.
It is uncertain whether aspirin therapy should be continued after endoscopic hemostatic therapy in patients who develop peptic ulcer bleeding while receiving low-dose aspirin. ⋯ Among low-dose aspirin recipients who had peptic ulcer bleeding, continuous aspirin therapy may increase the risk for recurrent bleeding but potentially reduces mortality rates. Larger trials are needed to confirm these findings.
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Review Meta Analysis
Systematic review: prediction of perioperative cardiac complications and mortality by the revised cardiac risk index.
The Revised Cardiac Risk Index (RCRI) is widely used to predict perioperative cardiac complications. ⋯ The RCRI discriminated moderately well between patients at low versus high risk for cardiac events after mixed noncardiac surgery. It did not perform well at predicting cardiac events after vascular noncardiac surgery or at predicting death. High-quality research is needed in this area of perioperative medicine.