Aspirin is associated with improved outcomes in sepsis patients with atrial fibrillation: an analysis of the MIMIC-IV and eICU-CRD databases - Takeaways - MDSpire

Aspirin is associated with improved outcomes in sepsis patients with atrial fibrillation: an analysis of the MIMIC-IV and eICU-CRD databases

  • By

  • Fangchao Chen

  • Yufeng Zhong

  • Dianyang Wang

  • Qiuyin Wei

  • Rui Su

  • Hongfei Ge

  • Wencai Wei

  • Wei Wang

  • May 26, 2026

  • 0 min

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  • 1

    Sepsis involves dysregulated inflammation, endothelial injury, and thrombotic risk, particularly in patients with atrial fibrillation (AF).

  • 2

    A retrospective cohort study evaluated early aspirin exposure's association with mortality in sepsis patients with AF using MIMIC-IV and eICU-CRD databases.

  • 3

    In MIMIC-IV, early aspirin exposure was linked to lower 30-day all-cause mortality, with a hazard ratio of 0.624 in the fully adjusted model.

  • 4

    The association between early aspirin exposure and lower in-hospital mortality was significant in eICU-CRD, with a hazard ratio of 0.732.

  • 5

    Sensitivity analyses indicated that the mortality benefit of aspirin was primarily observed in patients newly initiated on aspirin within 48 hours after ICU admission.

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