在伊朗医疗保健专业人员中评估心血管风险因素
Maryam Moshkani Farahani1, Seyyed Mohammad Saeed Ghiasi1, Maziar Karamali2
1Atherosclerosis Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran.
心血管风险评估工具如ASCVD,FRS和SCORE2在伊朗医疗保健专业人员中显示出不同的准确性. 重新校准这些模型对于准确预测和预防心血管疾病至关重要.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 心血管疾病 (CVD) 是全球主要的健康负担.
- 准确的心血管疾病风险预测对于有效的预防至关重要.
- 现有的风险评估工具需要在不同人群中进行验证.
研究的目的:
- 为了比较伊朗医疗保健专业人员的动脉样硬化心血管疾病 (ASCVD) 风险评分,弗雷明汉风险评分 (FRS) 和系统冠状动脉风险评估2 (SCORE2) 的预测性表现.
- 评估这些工具在不同心血管风险层中的一致性和分类准确性.
主要方法:
- 一项涉及222名德黑兰Jamaran医院医疗保健专业人员的横截面研究.
- 评估了心血管风险因素,包括年龄,性别,脂质失调,高血压,糖尿病,肥胖和吸烟.
- 计算和比较ASCVD,FRS和SCORE2风险得分.
主要成果:
- 风险因素的高流行率:高血压 (30.1%),脂质不良 (65.7%),糖尿病 (7.2%),肥胖 (24.3%).
- 85.6%的ASCVD被归类为低风险;97.7%的FRS被归类为低风险.
- 在SCORE2和ASCVD之间观察到中等/高风险的中等协议;FRS和ASCVD之间的公平协议.
结论:
- 在伊朗医疗保健专业人员中发现的心血管风险因素的显著流行.
- 目前的风险评估工具可能需要对伊朗人口进行重新校准.
- 为了加强心血管疾病预防策略,需要提高风险预测的准确性.
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