Evaluation of cardiovascular diseases risk calculators for CVDs prevention and management: scoping review

Mohammed Abd ElFattah Mohammed Darwesh Badawy1, Lin Naing1, Sofian Johar1

  • 1PAPRSB Institute of Health Sciences, Universiti Brunei Darussalam, Bandar Seri Begawan, Brunei Darussalam.

BMC Public Health
|September 14, 2022
PubMed

Insights

Digital tools can help prevent cardiovascular diseases (CVDs). This review found QRISK® to be the most accurate CVD risk calculator, highlighting the need for validated, user-friendly online assessment tools for healthcare professionals.

Area of Science:

  • Medical Informatics
  • Public Health
  • Cardiology

Background:

  • Cardiovascular diseases (CVDs) represent a significant global health burden, causing widespread morbidity and mortality.
  • Effective prevention and management strategies are crucial for addressing the impact of CVDs on populations.

Purpose of the Study:

  • To review the key features, usability, and benefits of digital CVD risk calculators for CVD prevention and management.
  • To identify the most accurate and effective tools for risk prediction in diverse populations.

Main Methods:

  • A scoping review was conducted using search engines and thematic analyses.
  • The Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) guided the reporting.
  • 17 studies with high-level prognostic evidence (Level I and II) were included.

Main Results:

  • Various algorithms exist for CVD risk prediction, with differing accuracy.
  • QRISK® demonstrated the highest accuracy among reviewed CVD risk calculators across multiple populations.
  • World Health Organization/International Society of Hypertension (WHO/ISH) risk scores were found to be the least accurate.
  • Key calculator features include variables, predictive accuracy, discrimination index, applicability, understandability, and cost-effectiveness.

Conclusions:

  • Risk prediction tools require robust development and validation, considering both stroke and CVD risk for local applicability.
  • Online CVD risk assessment tools should be accurate, user-friendly, and tailored to specific populations and healthcare systems.
  • Increased engagement of healthcare professionals with effective online tools is vital for CVD prevention and management.
Abstract

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