Emergency department patient perceptions on deprescribing

Recent updates to the clinical practice guidelines of the American Heart Association (AHA) and US Preventive Services Task Force (USPSTF), now recommend against the use of aspirin for primary prevention in older adults due to the associated bleeding risks​. Moreover, it is estimated that 25-40% of older adults continue routine aspirin consumption without evidence-based clinical indications​. Using the emergency department as a platform to evaluate patients' perspectives on discontinuing aspirin in scenarios where the risks or potential drawbacks surpass the benefits. This assessment takes into account the patient's care objectives, existing functionality, life expectancy, values, and preferences.