PMID- 38087497 OWN - NLM STAT- MEDLINE DCOM- 20240221 LR - 20240221 IS - 1747-6356 (Electronic) IS - 1747-6348 (Linking) VI - 17 IP - 12 DP - 2023 Dec TI - High risks adverse events associated with usage of aspirin in chronic obstructive pulmonary disease. PG - 1285-1295 LID - 10.1080/17476348.2023.2294927 [doi] AB - BACKGROUND: Despite potential benefits and widespread prescription of aspirin among chronic obstructive pulmonary disease (COPD) patients, limited research has investigated its adverse effects (AEs) in COPD population. METHODS: We conducted a retrospective analysis of adverse drug events (ADEs) reported in the US Food and Drug Administration Adverse Event Reporting System (FAERS) between Q1 2013 and Q2 2022. COPD patients were categorized into two groups based on aspirin use. ADEs related to aspirin use were identified using combined reporting odds ratio (ROR), proportional reporting ratio (PRR), information component (IC) methods. RESULTS: A total of 56,660 ADEs reports associated with COPD patients were included in the study. Among these reports, 144 adverse events were linked to aspirin use in COPD patients, including fatigue (4.12%), diarrhea (3.13%), dyspnea exertional (2.03%), rhinorrhea (1.99%), weight increased (1.89%) and vomiting (1.84%), muscle spasms (1.79%), cardiac disorder (1.74%), heart rate increased (1.69%) and peripheral swelling (1.59%). Subgroup analysis indicates that age and gender might affect the AEs frequency in COPD patients using aspirin. CONCLUSIONS: Our findings identify 10 most frequently reported ADEs associated with aspirin use in COPD patients, thus offer valuable insights into the AEs of aspirin for safer clinical utilization in COPD management. FAU - Li, Xiaohua AU - Li X AD - Department of Respiratory and Critical Care Medicine, West China Hospital, West China School of Medicine, and Division of Pulmonary Diseases, State Key Laboratory of Biotherapy, Sichuan University, Chengdu, Sichuan, China. AD - Department of Respiratory and Critical Care Medicine, Sixth People's Hospital of Chengdu, Chengdu, Sichuan, China. FAU - Dai, Bin AU - Dai B AD - Department of Respiratory and Critical Care Medicine, The General Hospital of Western Theatre Command, Chengdu, Sichuan, China. FAU - Han, Qingbing AU - Han Q AD - Department of Respiratory and Critical Care Medicine, West China Hospital, West China School of Medicine, and Division of Pulmonary Diseases, State Key Laboratory of Biotherapy, Sichuan University, Chengdu, Sichuan, China. FAU - Wu, Yanqiu AU - Wu Y AD - Department of Respiratory and Critical Care Medicine, West China Hospital, West China School of Medicine, and Division of Pulmonary Diseases, State Key Laboratory of Biotherapy, Sichuan University, Chengdu, Sichuan, China. FAU - Ran, Bi AU - Ran B AD - Department of Respiratory and Critical Care Medicine, West China Hospital, West China School of Medicine, and Division of Pulmonary Diseases, State Key Laboratory of Biotherapy, Sichuan University, Chengdu, Sichuan, China. FAU - Wang, Tao AU - Wang T AD - Department of Respiratory and Critical Care Medicine, West China Hospital, West China School of Medicine, and Division of Pulmonary Diseases, State Key Laboratory of Biotherapy, Sichuan University, Chengdu, Sichuan, China. FAU - Wen, Fuqiang AU - Wen F AD - Department of Respiratory and Critical Care Medicine, West China Hospital, West China School of Medicine, and Division of Pulmonary Diseases, State Key Laboratory of Biotherapy, Sichuan University, Chengdu, Sichuan, China. FAU - Chen, Jun AU - Chen J AD - Department of Respiratory and Critical Care Medicine, West China Hospital, West China School of Medicine, and Division of Pulmonary Diseases, State Key Laboratory of Biotherapy, Sichuan University, Chengdu, Sichuan, China. LA - eng PT - Journal Article DEP - 20231219 PL - England TA - Expert Rev Respir Med JT - Expert review of respiratory medicine JID - 101278196 RN - R16CO5Y76E (Aspirin) SB - IM MH - Humans MH - Aspirin/adverse effects MH - Adverse Drug Reaction Reporting Systems MH - Retrospective Studies MH - *Drug-Related Side Effects and Adverse Reactions MH - *Pulmonary Disease, Chronic Obstructive/diagnosis/drug therapy/epidemiology OTO - NOTNLM OT - Aspirin OT - COPD treatment OT - FAERS database OT - adverse drug events OT - safe clinical utilization EDAT- 2023/12/13 06:42 MHDA- 2024/02/21 11:16 CRDT- 2023/12/13 00:52 PHST- 2024/02/21 11:16 [medline] PHST- 2023/12/13 06:42 [pubmed] PHST- 2023/12/13 00:52 [entrez] AID - 10.1080/17476348.2023.2294927 [doi] PST - ppublish SO - Expert Rev Respir Med. 2023 Dec;17(12):1285-1295. doi: 10.1080/17476348.2023.2294927. Epub 2023 Dec 19.