AWARE是一款新的网络应用程序,可快速评估2型糖尿病中心血管风险
Cesare Berra1, Roberto Manfrini2,3, Marco Mirani4
1Department of Endocrinology, Nutrition and Metabolic Diseases, IRCCS Multimedica, Milan, Italy. cesare.berra@multimedica.it.
Acta diabetologica
|June 4, 2023
概括
AWARE应用程序有效地评估2型糖尿病患者的心血管风险,并将其分为风险类别. 这种工具在现实世界的临床使用中被证明是实用的.
科学领域:
- 心脏病学 心脏病学
- 内分泌学 在内分泌学.
- 数字健康数字健康
背景情况:
- 2型糖尿病 (T2DM) 具有显著的心血管风险.
- 准确的心血管风险分层对于T2DM患者管理至关重要.
- 现有的风险评估工具在临床环境中可能缺乏效率.
研究的目的:
- 开发和评估AWARE应用程序,以快速评估T2DM患者的心血管风险.
- 确定将AWARE应用程序集成到常规临床实践中的可行性.
- 根据2019年ESC/EASD指南对T2DM患者进行分层.
主要方法:
- 开发了AWARE App,这是一个基于Web的应用程序,用于心血管风险分层.
- 使用了2019年欧洲心脏病学会/欧洲糖尿病研究协会的标准.
- 追溯分析2243名T2DM患者的数据,包括血糖控制和药物.
主要成果:
- 预警应用程序将72.2%的T2DM患者归类为心血管风险非常高 (VHCVR).
- 较高风险类别的患者年龄较大,疾病持续时间较长,并有更多的并发症.
- 新型糖尿病药物使用不足,血糖控制低于最佳水平 (HbA1c 7.5%).
结论:
- AWARE应用程序是T2DM中心血管风险分层的一个实用和有效的工具.
- 该研究强调需要改善对T2DM心血管风险因素的管理.
- 在现实世界中,AWARE应用程序的应用证明了其临床实用性.
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