Cardiovascular Risk Profiling Using the Globorisk Calculator among Noncommunicable Disease Patients Attending Primary...

Area of Science:

• Cardiology
• Public Health
• Epidemiology

Background:

• Cardiovascular diseases (CVDs) are a leading cause of death in developing nations.
• Noncommunicable diseases (NCDs) pose a significant public health challenge globally.

Purpose of the Study:

• To stratify NCD patients' 10-year CVD risk using the Globorisk chart.
• To compare Globorisk chart risk stratification with the WHO/ISH risk strata.
• To assess agreement between country-specific and international CVD risk prediction tools.

Main Methods:

• A cross-sectional study was conducted in 2018 in Puducherry, India.
• Adults attending NCD clinics were included (n=760).
• Globorisk and WHO/ISH risk calculators were used to determine 10-year CVD risk.

Main Results:

• Globorisk identified 22.1% of participants with <10% 10-year CVD risk, versus 71.1% by WHO/ISH.
• No agreement was found between the Globorisk and WHO/ISH risk charts (k=0.0174, P=0.26).
• Globorisk classified a higher proportion of patients into higher CVD risk categories.

Conclusions:

• The Globorisk chart identifies more patients at higher risk for CVD events compared to WHO/ISH charts.
• Discrepancies highlight the need for careful selection of CVD risk assessment tools in different populations.
• Further research is needed to validate CVD risk prediction models in diverse settings.