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A literature review of the cardiovascular risk-assessment tools: applicability among Asian population
Siow Yen Liau1, M I Mohamed Izham1, M A Hassali1
1Discipline of Social and Administrative Pharmacy, School of Pharmaceutical Sciences, Universiti Sains Malaysia, Minden, Malaysia.
Insights
Few cardiovascular risk assessment tools are developed for Asian populations. Developing new tools using local data is crucial for accurate cardiovascular risk prediction in this demographic.
Area of Science:
- Public Health
- Epidemiology
- Cardiology
Background:
- Cardiovascular diseases (CVDs) are a leading global cause of mortality and morbidity.
- CVDs impose a significant economic burden on healthcare systems worldwide.
- Accurate cardiovascular risk assessment is essential for effective disease prevention strategies.
Purpose of the Study:
- To review existing cardiovascular risk assessment tools.
- To evaluate the applicability of these tools for predicting cardiovascular risk in Asian populations.
Main Methods:
- A systematic literature search was conducted.
- Keywords and Medical Subject Headings (MeSH) were utilized in the search strategy.
Main Results:
- Twenty-five cardiovascular risk assessment tools were identified.
- Only 8% (two tools) were developed using data from Asian populations.
- Identified tools varied in derivation sample, study design, follow-up duration, endpoints, statistical methods, and included risk factors.
Conclusions:
- A significant gap exists in the availability of cardiovascular risk assessment tools tailored for Asian populations.
- There is a critical need to develop novel risk assessment tools based on local epidemiological data for accurate risk prediction in Asia.
Background:
Cardiovascular diseases, the main causes of hospitalisations and death globally, have put an enormous economic burden on the healthcare system. Several risk factors are associated with the occurrence of cardiovascular events. At the heart of efficient prevention of cardiovascular disease is the concept of risk assessment. This paper aims to review the available cardiovascular risk-assessment tools and its applicability in predicting cardiovascular risk among Asian populations.
Methods:
A systematic search was performed using keywords as MeSH and Boolean terms.
Results:
A total of 25 risk-assessment tools were identified. Of these, only two risk-assessment tools (8%) were derived from an Asian population. These risk-assessment tools differ in various ways, including characteristics of the derivation sample, type of study, time frame of follow-up, end points, statistical analysis and risk factors included.
Conclusions:
Very few cardiovascular risk-assessment tools were developed in Asian populations. In order to accurately predict the cardiovascular risk of our population, there is a need to develop a risk-assessment tool based on local epidemiological data.
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