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Comment & Response
March 17, 2015

Perioperative Treatment With Aspirin or Clonidine and Risk of Acute Kidney Injury

Author Affiliations
  • 1Department of Anesthesiology, Thomas Jefferson University and Hospitals, Philadelphia, Pennsylvania
  • 2Department of Anesthesiology and Pain Medicine, University of California Davis Medical Center, Sacramento

Copyright 2015 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.

JAMA. 2015;313(11):1166. doi:10.1001/jama.2015.1055

To the Editor A large randomized clinical trial,1 which was a substudy of the Perioperative Ischemia Evaluation-2 (POISE-2) trial,2 reported that among patients undergoing major noncardiac surgery, perioperative use of aspirin or clonidine did not reduce the risk of acute kidney injury. Aspirin actually increased the risk of major bleeding and clonidine increased the risk of hypotension. We have several comments and concerns.

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