在一家三级医院中使用弗雷明汉风险评分和胆固醇风险评分预测与高脂血症相关的不同风险因素。

IF 2.4 Q3 ENDOCRINOLOGY & METABOLISM
Abrar Ahmad Zargar, Ranjeet Kumar, Amit Sharma
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引用次数: 0

摘要

背景:影响人体循环系统的疾病被称为心血管疾病(CVD)。心血管疾病(CVDs)是造成全球大量死亡的原因。每年,心血管疾病导致 1,790 万人死亡,占全球死亡总人数的 31%:本研究旨在评估心血管疾病糖尿病患者和非糖尿病患者的人口统计学特征。研究的目的是使用两种不同的量表,即弗雷明汉风险量表(FRS)和胆固醇风险计算器(CRC),预测与高脂血症有关的风险因素,并确定高胆固醇血症与心血管疾病相关的频率:方法:在印度旁遮普省古鲁-戈宾德-辛格医学院和医院进行了一项横断面研究:患者的平均年龄为 M=(51.23)岁,SD=(9.348)岁,其中 331 名患者(52.6%)为女性。弗雷明汉风险评分的平均值为(29.07%)。发现弗雷明汉风险得分与性别和卡路里摄入量低于建议的膳食配额有显著关系(P=0.001)。弗雷明汉风险得分与患者的体力活动和就业状况有显著关系(p= 0.001)。在线性回归中,发现弗雷明汉风险评分与患者的血脂状况有显著关系(p=0.001),即胆固醇水平值越高,弗雷明汉风险评分越高。卡方检验显示,胆固醇风险评分与患者的就业状况、体力活动、卡路里摄入量、性别和职业之间存在显著关系(分别为 p=0.001、p=0.001、p=0.004):本研究表明,弗雷明汉风险评分和胆固醇风险评分高的患者罹患糖尿病和心血管疾病的风险增加。本研究得出结论,低于 RDA 的患者、体力活动少的患者和久坐工作者的 FRS 值较高。为了提供适当的帮助和咨询,医护人员必须持续分析每位患者的心血管疾病风险因素以及健康和预防行为的障碍。目前还缺乏全面的研究来比较弗雷明汉风险评分和胆固醇风险评分在三级医院环境下预测高脂血症和相关心血管风险的有效性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Prediction of Different Risk Factors in Relation to Hyperlipidemia Using Framingham Risk Score and Cholesterol Risk Score in a Tertiary Care Hospital.

Background: A condition that affects the circulatory system of the human body is referred to as a cardiovascular disease (CVD). Cardiovascular diseases (CVDs) are responsible for a significant number of fatalities globally. Annually, CVDs result in the demise of 17.9 million people, which accounts for 31% of all fatalities on a global scale.

Objective: The objective of the study was to assess the demographic profile of diabetic and nondiabetic patients suffering from cardiovascular disease. The aim of the study is to predict risk factors in relation to hyperlipidaemia using two different scales, the Framingham Risk Scale (FRS) and the Cholesterol Risk Calculator (CRC), and to determine the frequency of hypercholesterolemia in relation to CVD.

Methods: A cross-sectional study was conducted in Guru Gobind Singh Medical College and Hospital, Punjab, India.

Results: The mean age of patients was found to be M= (51.23), SD= (9.348) years, and among 331 patients (52.6%) were female patients. The mean of Framingham Risk Score was found to be (29.07%). The Framingham Risk Score was found significant with gender and calorie intake below the recommended dietary allowances of the patient (p=0.001). The Framingham Risk Score was found significant with physical activity and employment status of the patients (p= 0.001). In linear regression, the Framingham Risk Score was found significant with the lipid profile of the patients (p=0.001) i.e., the higher the value of cholesterol level, the higher the Framingham Risk Score. The chi-square test showed a significant relation between Cholesterol Risk Score and employment status, physical activity, calorie intake, gender, and occupation of the patients (p=0.001, p=0.001, p=0.001, p=0.004) respectively.

Conclusion: The present study demonstrated that patients with high Framingham risk score and cholesterol risk score are at increased risk of diabetes and cardiovascular disease. The present study concludes that the FRS is higher in patients below RDA, patients doing low physical activity, and sedentary workers. In order to provide proper assistance and counselling, healthcare professionals must continuously analyze each patient's risk factor for CVD and barriers to healthy and preventive behaviors. There is a lack of comprehensive studies comparing the effectiveness of the Framingham Risk Score and Cholesterol Risk Score in predicting hyperlipidemia and associated cardiovascular risks within the context of a tertiary care hospital setting.

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来源期刊
Current diabetes reviews
Current diabetes reviews ENDOCRINOLOGY & METABOLISM-
CiteScore
6.30
自引率
0.00%
发文量
158
期刊介绍: Current Diabetes Reviews publishes frontier reviews on all the latest advances on diabetes and its related areas e.g. pharmacology, pathogenesis, complications, epidemiology, clinical care, and therapy. The journal"s aim is to publish the highest quality review articles dedicated to clinical research in the field. The journal is essential reading for all researchers and clinicians who are involved in the field of diabetes.
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