"Take Two Aspirin ..." - Texas Journal of Chiropractic

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"Take Two Aspirin ..."

Published 12/18/2011 - 12:28 p.m. CDT

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Medpagetoday.com REPORTS HERE that "preoperative aspirin therapy was associated with a host of beneficial effects spanning several organ systems, according to a large observational study."

"This study provides new evidence that preoperative aspirin therapy (versus no preoperative aspirin) is associated with a significant decrease in risk of 30 day mortality (3.5% versus 6.5%), renal failure (3.7% versus 7.1%), dialysis required (1.9% versus 3.6%), ICU stay (average 107.2 hours versus 136.1), and a composite outcome -- MACE (8.7% versus 10.8%); and is not associated with increased risk of readmissions (14.5% versus 12.8%)."

"Moreover, aspirin was beneficial even though patients taking preoperative aspirin were significantly older and had more comorbidities than those not taking aspirin."

"Taken together, preoperative aspirin seems to have efficacy in the face of the 'most important confounding factors -- comorbidities' in these high-risk patients ...."

"Previous studies have found a benefit for early postoperative aspirin therapy after coronary artery bypass graft (CABG) surgery, but evidence supporting the role of preoperative aspirin therapy was less consistent."

"The investigators wrote that the Society of Thoracic Surgeons and the European Association for Cardio-Thoracic Surgery recommend discontinuation of aspirin several days prior to cardiac surgery, which also had been the recommendation of the American College of Cardiology (ACC) and the American Heart Association (AHA)."

"However, in updated guidelines released in November, the ACC and AHA now recommend preoperative aspirin before CABG surgery."

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EDITORIALS & OPINIONS

Clinical Trial Data Should Be Open for Review

Published 04/30/2012 - 3:14 p.m. CDT

Original clinical study reports, which contain far more detail than published randomized trials, should be made available to independent researchers seeking to verify efficacy and safety claims.

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Published 04/30/2012 - 11:11 a.m. CDT

Representative Bob Filner recently introduced the Chiropractic Care to All Veterans Act (H.R. 329). The bill would require the Veterans Administration (VA) to have a chiropractic physician on staff at all major VA medical facilities by 2014. You too can help ensure chiropractic care is available to those who have placed their lives in service to our country. H.R. 329 is in need of cosponsors to assist its likelihood of passage.

CLICK HERE to urge your legislators to cosponsor the bill.

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Published 04/25/2012 - 6:33 a.m. CDT

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Water May be Good but Watch the Bottle!

Published 04/24/2012 - 3:22 p.m. CDT

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Published 04/29/2012 - 9:43 p.m. CDT

Ethiopia and Kenya Trips. Have you ever wanted to provide chiropractic care in another country and give back to those in need?

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Published 04/28/2012 - 6:57 p.m. CDT

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Published 04/25/2012 - 2:25 p.m. CDT

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Published 04/29/2012 - 3:04 p.m. CDT

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