多社会风险评分:对心血管疾病风险评估和管理的影响
Zulqarnain Javed1,2,3, Harun Kundi4,5, Ryan Chang6
1Center for Cardiovascular Computational Health and Precision Medicine (C3-PH), Houston Methodist, Houston, TX, 77030, USA. zjaved@houstonmethodist.org.
Current atherosclerosis reports
|December 4, 2023
概括
多社会风险评分 (pSRS) 显示了通过结合健康的社会决定因素 (SDOH) 来预测心血管疾病 (CVD) 风险的前景. 需要进一步发展,以提高公平的心血管健康管理的普遍性和应用.
科学领域:
- 心血管疾病的研究研究.
- 健康的社会决定因素
- 风险预测建模风险预测建模
背景情况:
- 多社会风险评分 (pSRS) 整合了健康的社会决定因素 (SDOH) 来预测心血管疾病 (CVD) 风险.
- 目前的pSRS缺乏SDOH的概括性和整体评估,限制了它们的应用.
- 拥有SDOH和临床数据的大型人口数据库在pSRS开发中未得到充分利用.
研究的目的:
- 审查目前关于pSRS的证据,以预测心脏病风险.
- 确定pSRS开发和验证中的知识差距.
- 探索pSRS在人口心血管健康管理中的应用机会.
主要方法:
- 对pSRS.现有证据的文献综述.
- 分析目前pSRS通用性和范围的局限性.
- 探索机器学习和人工智能用于SDOH集成.
主要成果:
- pSRS显示出超越传统因素,有可能改善心血管疾病风险预测.
- 目前的pSRS存在重大差距,包括概括性和整体SDOH评估.
- 人工智能的进步为pSRS开发提供了新的途径,使用真实世界的数据.
结论:
- pSRS提供了独特的机会来增强传统的心血管疾病风险预测模型.
- 未来的研究应该专注于利用多样化的SDOH数据和在不同人群中测试psrs.
- 将psrs集成到临床决策支持系统中可以促进心血管健康公平.
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