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Evid Based Med 10:49 doi:10.1136/ebm.10.2.49
  • Therapeutics

Review: antiplatelet agents (particularly aspirin) reduce the incidence of pre-eclampsia in women at risk

Prophylactic use of antiplatelet agents (largely low dose aspirin) v control (placebo or no antiplatelet agent) in women at risk of developing pre-eclampsia*

Outcomes Number of trials (n) Weighted event rates RRR (95% CI) NNT (CI)
Antiplatelet agents Control
*Abbreviations defined in glossary; weighted event rates calculated from data in article using a fixed effects model.
Pre-eclampsia 43 (33 439) 6.3% 7.7% 19% (12 to 25) 69 (51 to 109)
Preterm birth (<37 wks) 28 (31 845) 16.1% 17.3% 7% (2 to 11) 83 (50 to 238)
Fetal and neonatal deaths 38 (34 010) 2.4% 2.8% 16% (4 to 26) 250 (125 to ∞)
Small for gestational age 32 (24 310) 7.6% 8.6% 8% (0 to 15) 100 (100 to ∞)

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