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Published on: September 26, 2018
PREVENT equations predicted risk for incident CVD in adults aged 30 to 79 y
Nkiru Osude1, Christopher Granger1
1Duke Clinical Research Institute, Durham, North Carolina, USA (N.O., C.G.).
Insights
The American Heart Association developed new PREVENT equations to predict cardiovascular disease risk. These equations were validated using diverse populations to improve risk assessment for better patient outcomes.
Area of Science:
- Cardiovascular science
- Nephrology
- Epidemiology
Background:
- Cardiovascular disease (CVD) remains a leading cause of mortality globally.
- Accurate risk prediction is crucial for implementing timely preventive strategies.
- Existing cardiovascular risk calculators have limitations in diverse populations.
Purpose of the Study:
- To develop and validate the American Heart Association's PREVENT equations for CVD risk prediction.
- To assess the performance of the new equations across various demographic groups.
- To provide a more equitable tool for cardiovascular risk assessment.
Main Methods:
- Development of the PREVENT equations using large, diverse datasets.
- Internal and external validation of the equations using multiple cohorts.
- Assessment of calibration and discrimination across different subgroups.
- Comparison with existing CVD risk prediction models.
Main Results:
- The PREVENT equations demonstrated good calibration and discrimination for predicting CVD events.
- Performance was consistent across different racial and ethnic groups.
- The equations showed improved accuracy compared to some existing models in specific populations.
- Validation confirmed the generalizability of the developed risk scores.
Conclusions:
- The American Heart Association's PREVENT equations offer a validated tool for CVD risk prediction.
- These equations can aid clinicians in identifying individuals at high risk.
- The PREVENT equations aim to improve the equity and accuracy of cardiovascular risk assessment.
Source Citation:
Khan SS, Matsushita K, Sang Y, et al; Chronic Kidney Disease Prognosis Consortium and the American Heart Association Cardiovascular-Kidney-Metabolic Science Advisory Group. Development and validation of the American Heart Association's PREVENT equations. Circulation. 2024;149:430-449. 37947085.
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