基于NHS健康检查和多药预防计划的查对心脏病发作和中风的初级预防进行比较
Nicholas J Wald1,2, Aroon D Hingorani1,3, Stephen H Vale4
1Institute of Health Informatics, University College London, London, UK.
Journal of medical screening
|March 15, 2024
概括
多药预防计划可以预防比NHS健康检查更多的心脏病发作和中风. 这种简单的方法在英国人口中为预防心血管疾病提供了更大的潜力.
科学领域:
- 预防心血管疾病预防心血管疾病
- 公共卫生干预措施 公共卫生干预措施
- 卫生经济学 卫生经济学
背景情况:
- 该NHS健康检查计划针对40-74岁的个人进行心血管风险评估.
- 多种药丸预防计划针对50岁以上的个人,旨在联合降低心血管风险.
研究的目的:
- 为了比较NHS健康检查计划和多药预防计划的有效性.
- 为了评估这两个方案的心脏病发作和中风的初级预防.
主要方法:
- 利用已公布的数据和方法来创建两个程序的流程图.
- 确定查性能和估计心脏病发作和中风在英国人口中被预防.
- 在每个项目中为1000个人建模结果.
主要成果:
- 多种药丸预防计划可以预防每1000人中316次心脏病发作/中风,增加2528年的寿命.
- 根据NHS健康检查计划,每1000人中可以预防287次心脏病发作/中风,增加1148年的寿命.
- 当前NHS健康检查的普及率仅为每1000人中24例受益,增加了96年的寿命.
结论:
- 多种药丸预防计划更简单,在预防心脏病发作和中风方面具有更大的潜力.
- 多药预防计划为初级心血管疾病预防提供了更有效的策略.
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