Riesgo cardiovascular del SCORE comparado con el de Framingham. Consecuencias del cambio propuesto por las Sociedades Europeas

Galán, Antonio Maiques; García, Francisco; Taix, M. Franch; Ros, X Albert i; Martí, Eugenia Aleixandre; Gil, A.

doi:10.1016/s0025-7753(04)75330-0

Cited by 39 publications

(4 citation statements)

References 15 publications

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“…However, this is substantially higher than the prevalence observed in European countries (8.4%) 21. It is interesting to note that studies using selected populations in the region tend to show a lower risk, comparable with European levels 22…”

Section: Discussionmentioning

confidence: 66%

Assessment of cardiovascular risk in Tunisia: applying the Framingham risk score to national survey data

Saidi

Malouche²,

O’Flaherty

et al. 2016

BMJ Open

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ObjectiveThis paper aims to assess the socioeconomic determinants of a high 10 year cardiovascular risk in Tunisia.SettingWe used a national population based cross sectional survey conducted in 2005 in Tunisia comprising 7780 subjects. We applied the non-laboratory version of the Framingham equation to estimate the 10 year cardiovascular risk.Participants8007 participants, aged 35–74 years, were included in the sample but effective exclusion of individuals with cardiovascular diseases and cancer resulted in 7780 subjects (3326 men and 4454 women) included in the analysis.ResultsMean age was 48.7 years. Women accounted for 50.5% of participants. According to the Framingham equation, 18.1% (17.25–18.9%) of the study population had a high risk (≥20% within 10 years). The gender difference was striking and statistically significant: 27.2% (25.7–28.7%) of men had a high risk, threefold higher than women (9.7%; 8.8–10.5%). A higher 10 year global cardiovascular risk was associated with social disadvantage in men and women; thus illiterate and divorced individuals, and adults without a professional activity had a significantly higher risk of developing a cardiovascular event in 10 years. Illiterate men were at higher risk than those with secondary and higher education (OR=7.01; 5.49 to 9.14). The risk in illiterate women was more elevated (OR=13.57; 7.58 to 24.31). Those living in an urban area had a higher risk (OR=1.45 (1.19 to 1.76) in men and OR=1.71 (1.35 to 2.18) in women).ConclusionsThe 10 year global cardiovascular risk in the Tunisian population is already substantially high, affecting almost a third of men and 1 in 10 women, and concentrated in those more socially disadvantaged.

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Section: Discussionmentioning

confidence: 66%

Assessment of cardiovascular risk in Tunisia: applying the Framingham risk score to national survey data

Saidi

Malouche²,

O’Flaherty

et al. 2016

BMJ Open

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“…The scales compared in this study measure CVR, mortality risk and morbidity-mortality risk. This is probably why agreement between the two scales shows a kappa index of 0.58, which is better than that published by other authors comparing the Framingham-REGICOR and SCORE [19,21,30], or the Framingham and SCORE [12,13,30], since these are equations that predict different cardiovascular events (coronary morbidity-mortality and cardiovascular mortality).…”

Section: Discussionmentioning

confidence: 70%

“…The original Framingham function [10,11], in its different versions, identifies more high CVR patients than the SCORE chart [12,13]. However, its calibration for the Spanish population (REGICOR) [14,15] identifies fewer high CVR patients than the original scale [16,17], and agreement in identification of patients with high CVR [18–21] is low.…”

Section: Introductionmentioning

confidence: 99%

Agreement between the SCORE and D’Agostino Scales for the Classification of High Cardiovascular Risk in Sedentary Spanish Patients

Gómez‐Marcos¹,

Grandes²,

Iglesias-Valiente³

et al. 2009

IJERPH

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Background:To evaluate agreement between cardiovascular risk in sedentary patients as estimated by the new Framingham-D’Agostino scale and by the SCORE chart, and to describe the patient characteristics associated with the observed disagreement between the scales.Design:A cross-sectional study was undertaken involving a systematic sample of 2,295 sedentary individuals between 40–65 years of age seen for any reason in 56 primary care offices. An estimation was made of the Pearson correlation coefficient and kappa statistic for the classification of high risk subjects (≥20% according to the Framingham-D’Agostino scale, and ≥5% according to SCORE). Polytomous logistic regression models were fitted to identify the variables associated with the discordance between the two scales.Results:The mean risk in males (35%) was 19.5% ± 13% with D’Agostino scale, and 3.2% ± 3.3% with SCORE. Among females, they were 8.1% ± 6.8% and 1.2% ± 2.2%, respectively. The correlation between the two scales was 0.874 in males (95% CI: 0.857–0.889) and 0.818 in females (95% CI: 0.800–0.834), while the kappa index was 0.50 in males (95% CI: 0.44%–0.56%) and 0.61 in females (95% CI: 0.52%–0.71%). The most frequent disagreement, characterized by high risk according to D’Agostino scale but not according to SCORE, was much more prevalent among males and proved more probable with increasing age and increased LDL-cholesterol, triglyceride and systolic blood pressure values, as well as among those who used antihypertensive drugs and smokers.Conclusions:The quantitative correlation between the two scales is very high. Patient categorization as corresponding to high risk generates disagreements, mainly among males, where agreement between the two classifications is only moderate.

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“…The best estimation of the risk of an individual is based on the overall assessment of the presence and intensity of the different CV risk factors [1–3]. Until a specific model of this type is developed for the Spanish population, it is necessary to compare models developed in other countries and evaluate their adaptation to the Spanish setting [4–8].…”

Section: Introductionmentioning

confidence: 99%

A computer tool for cardiovascular risk estimation according to Framingham and SCORE equations

Ramírez-Rodrigo¹,

Moreno-Vázquez

Ruiz-Villaverde

et al. 2012

Evaluation Clinical Practice

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Background Currently, we have different scales to estimate the cardiovascular risk of one individual. The most commonly used in clinical practice are the Framingham method and the SCORE project. Both are based on mathematical models that take into account the presence and intensity of various risk factors for cardiovascular morbidity and mortality. Aims and objectives The aim of our study was to develop a measurement system that allows unifying criteria of both models. Thus, we will be able to estimate the cardiovascular risk globally in a cohort of patients instead of individually. Methods The study included a representative subgroup of 50 patients treated at in the Endocrinology Service of Virgen de las Nieves University Hospital, Granada, below 30 years or above 75 years. The equations used in the present study were in strict compliance with the original publications. The reliability and validity of results were tested, comparing them with results obtained using calculation programs developed, available on-line. The degree of similarity was determined by means of the Dice index and the distance between our values and those of the other programs were compared by using the expression: Da-b = √Σ(a - b)(2) Results The results of the present study demonstrated our application to be reliable and valid for cardiovascular risk assessment. Our observations also demonstrated differences in the criteria applied to create cardiovascular risk calculation tools. This may have repercussions on clinical decisions for some patients, suggesting a need to compare and standardize these criteria, ensuring that programs developed for this calculation correctly manage the different risk categories considered. Conclusion The present study validates a computer tool developed for the simultaneous calculation of cardiovascular disease probability by applying Framingham-Anderson and Framingham-Wilson methods, the Spanish adaptations of Regicor and Dorica, and the SCORE project.

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Riesgo cardiovascular del SCORE comparado con el de Framingham. Consecuencias del cambio propuesto por las Sociedades Europeas

Cited by 39 publications

References 15 publications

Assessment of cardiovascular risk in Tunisia: applying the Framingham risk score to national survey data

Assessment of cardiovascular risk in Tunisia: applying the Framingham risk score to national survey data

Agreement between the SCORE and D’Agostino Scales for the Classification of High Cardiovascular Risk in Sedentary Spanish Patients

A computer tool for cardiovascular risk estimation according to Framingham and SCORE equations

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