包括教育状况可能会改善心血管风险计算,如SCORE2
Christiane Dienhart1,2, Isabella Gostner3, Vanessa Frey3
1Department of Internal Medicine I, Paracelsus Medical University, Salzburg, Austria.
Frontiers in cardiovascular medicine
|October 28, 2024
概括
教育状况显著影响动脉样硬化心血管疾病 (ASCVD) 风险. 将教育纳入SCORE2这样的风险模型可以提高准确性,从而更好地预防心血管疾病.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
- 健康的社会经济决定因素
背景情况:
- 几十年的研究将教育与动脉样硬化心血管疾病 (ASCVD) 联系起来.
- 目前的心血管风险模型,包括SCORE2,尽管很容易评估,但往往忽略了教育地位.
- 在这项研究中, Carotid 斑块作为 ASCVD 的代理.
研究的目的:
- 分析教育状况作为预测动脉斑块发育的指标.
- 为了确定教育和ASCVD之间的关联是否在考虑传统的风险因素后仍然存在.
- 评估教育状况对SCORE2心血管风险模型预测准确性的影响.
主要方法:
- 分析了Paracelsus 10,000队列中的9,083名受试者,使用 carotid doppler复杂.
- 根据教育地位对学科的分类,以教育的通用国际标准分类为基础.
- 回归建模用于评估教育状况,心血管风险因素和SCORE2模型之间的关系.
主要成果:
- 与中等教育相比,较低的教育状况与动脉斑块的几率增加有关 (aOR 1.76),而较高的教育状况显示,与中等教育相比,动脉斑块的几率减少 (aOR 0.63).
- 即使调整了共同风险因素和SCORE2模型后,这种关联仍然很重要.
- 将教育地位添加到SCORE2模型中,结果是"更适合",表明预测能力有所提高.
结论:
- 教育状况是影响ASCVD风险的重要,容易获得的因素.
- 将教育状况整合到SCORE2等风险预测模型中,可以提高个人风险评估.
- 临床医生应考虑教育状况,以更好地量化风险,并实施有针对性的预防措施.
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