Multifactorial approach to the prevention of coronary heart disease: from computer to paper and pencil?

M Kornitzer, R Koyunco
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引用次数: 8

Abstract

Background: In Europe the multifactorial clinical approach to the prevention of coronary heart disease is based on the Framingham equation presented in graphical form including age, sex, level of total serum cholesterol, systolic blood pressure and smoking.

Objective: To propose a straightforward paper-and-pencil score (Global Coronary Risk Score) including level of high-density lipoprotein cholesterol for the Belgian or more broadly western European population derived from 10-year follow-up mortality of a Belgian national population sample.

Results: This score has the same predictive power as the Framingham equation both for men aged 35-74 years and for women aged 50-74 years. It gives a ranking of subjects into four groups according to their relative risks.

Conclusion: Coronary Risk Score is user friendly and probably has pedagogical virtues.

预防冠心病的多因素方法:从电脑到纸笔?
背景:在欧洲,预防冠心病的多因素临床方法基于以图形形式呈现的Framingham方程,包括年龄、性别、血清总胆固醇水平、收缩压和吸烟。目的:提出一个简单的纸笔评分(全球冠状动脉风险评分),包括比利时或更广泛的西欧人群的高密度脂蛋白胆固醇水平,该评分来自比利时国家人口样本的10年随访死亡率。结果:对于35-74岁的男性和50-74岁的女性,该评分与Framingham方程具有相同的预测能力。它根据受试者的相对风险将其分为四组。结论:冠状动脉危险度评分方法简单易用,具有一定的教学价值。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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