在亚洲成年人中自我报告的流行和发病心血管疾病的有效性和可靠性
Charumathi Sabanayagam1,2, Feng He1, Miao Li Chee1
1Singapore Eye Research Institute, Singapore National Eye Centre, Singapore 169856, Singapore.
在亚洲成年人中自我报告的心血管疾病 (CVD) 显示出很高的准确性来排除心脏病发作和中风等疾病. 然而,由于中度敏感性,积极的自我报告需要进一步的临床评估.
科学领域:
- 流行病学 流行病学
- 公共卫生 公共卫生
- 心脏病学 心脏病学
背景情况:
- 心血管疾病 (CVD) 是亚洲人口中死亡的主要原因.
- 准确评估心脏病发病率和发病率对于有效的公共卫生战略至关重要.
研究的目的:
- 评估多民族亚洲队列中自我报告的心血管疾病 (SR-CVD) 的有效性和可靠性.
- 确定SR-CVD的准确性,以识别急性心肌梗塞 (AMI) 和中风的流行和偶发病例.
主要方法:
- 新加坡的一项基于人口的队列研究,涉及6762名年龄在40-80岁的成年人.
- 使用灵敏度,特异性和负预测值 (NPV) 评估有效性,通过将SR-CVD与诊断的CVD进行比较.
- 通过基线和6年后续访问之间的积极协议百分比来评估可靠性.
主要成果:
- SR-CVD表现出高特异性 (93.8%的流行率,98.5%的事件) 和NPV (98.1%的两者).
- 对SR-CVD的敏感性是中度的 (62.7%的流行率,50.9%的发生率).
- 积极的自我报告显示了实质性的可靠性 (85%的同意) 在研究访问之间.
结论:
- 自我报告的心血管疾病是排除急性心肌梗塞和中风的宝贵工具,因为它具有很好的特异性和NPV.
- 对于SR-CVD的中度敏感性,需要对积极的自我报告进行进一步的临床调查,以减轻潜在的错误阳性.
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