Cardiovascular Risk Assessment Using Updated WHO/International Society of Hypertension Risk Prediction Charts and Atherosclerotic Cardiovascular Disease Risk Score in Residents of Amreli District
Introduction: India is one of the countries the World Health Organization (WHO) has recognized as having the majority of lifestyle-related illnesses in the near future. The highest incidence of CVD are found on the Indian subcontinent. Objectives:To assess the cardiovascular risk among adults aged...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Indian Association of Preventive and Social Medicine
2023-12-01
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| Series: | Healthline |
| Subjects: | |
| Online Access: | https://www.healthlinejournal.org/index_pdf/512.pdf |
| _version_ | 1827382720274104320 |
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| author | Trusha Kansagara Nitin A. Lodha Yamini J. Gurjar |
| author_facet | Trusha Kansagara Nitin A. Lodha Yamini J. Gurjar |
| author_sort | Trusha Kansagara |
| collection | DOAJ |
| description | Introduction: India is one of the countries the World Health Organization (WHO) has recognized as
having the majority of lifestyle-related illnesses in the near future. The highest incidence of CVD are found on
the Indian subcontinent. Objectives:To assess the cardiovascular risk among adults aged >40 years using the
updated WHO/ISH risk prediction charts and ASCVD risk score and to compare baseline cardiovascular risk
estimation by both risk scores. Method: This cross-sectional study was done among 228 individuals aged
40–74 years of urban and rural areas. A semi-structured interviewer administered questionnaire was
developed. The data was collected in Epicollect 5 mobile application and analyzed using Jamovi software.
Results:The mean age of the study participants was 56.54 ±0.73 years. CVD high risk was signiicantly higher
in males as compared to females (P<0.05). The ASCVD risk score classiied (38.2%), of the participants as
high-risk, whereas the lab-based and non lab-based versions of WHO/ISH risk prediction classiied less than
10% as high risk. There was moderate agreement between the lab-based and non lab-based versions of the
WHO/ISH risk prediction (Kappa-0.724, p-0 .000), fair between ASCVD risk score and non lab-based versions
of the WHO/ISH (Kappa-0.310, p-0.000). The agreement between, ASCVD risk score and lab-based version of
WHO/ISH risk predictor was fair (Kappa-0.309, p-0 .000). Conclusion: In current study, it was observed that
one-third of the participants had a high risk of CVD events based on the ASCVD risk score, and a smaller
number of participants were found to be at high risk according to the WHO/ISH risk chart. So we need to
implement this risk scores predictors of CVD events for identify the high risk individual and their further
management. |
| first_indexed | 2024-03-08T14:25:35Z |
| format | Article |
| id | doaj.art-d493998411b34f6da5cfd7214bad003a |
| institution | Directory Open Access Journal |
| issn | 2229-337X 2320-1525 |
| language | English |
| last_indexed | 2024-03-08T14:25:35Z |
| publishDate | 2023-12-01 |
| publisher | Indian Association of Preventive and Social Medicine |
| record_format | Article |
| series | Healthline |
| spelling | doaj.art-d493998411b34f6da5cfd7214bad003a2024-01-13T06:01:00ZengIndian Association of Preventive and Social MedicineHealthline2229-337X2320-15252023-12-0114433234110.51957/Healthline_562_2023Cardiovascular Risk Assessment Using Updated WHO/International Society of Hypertension Risk Prediction Charts and Atherosclerotic Cardiovascular Disease Risk Score in Residents of Amreli DistrictTrusha Kansagara0Nitin A. Lodha1Yamini J. Gurjar2Associate Professor Department of Community Medicine, Shantabaa Medical College & General hospital, Amreli, Suarashtra University, Gujarat, India.Associate professor Department of Community Medicine, Shantabaa Medical College & General hospital, Amreli, Suarashtra University, Gujarat, IndiaAssistant Professor, Department of Community Medicine, Shantabaa Medical College & General hospital, Amreli, Suarashtra University, Gujarat, IndiaIntroduction: India is one of the countries the World Health Organization (WHO) has recognized as having the majority of lifestyle-related illnesses in the near future. The highest incidence of CVD are found on the Indian subcontinent. Objectives:To assess the cardiovascular risk among adults aged >40 years using the updated WHO/ISH risk prediction charts and ASCVD risk score and to compare baseline cardiovascular risk estimation by both risk scores. Method: This cross-sectional study was done among 228 individuals aged 40–74 years of urban and rural areas. A semi-structured interviewer administered questionnaire was developed. The data was collected in Epicollect 5 mobile application and analyzed using Jamovi software. Results:The mean age of the study participants was 56.54 ±0.73 years. CVD high risk was signiicantly higher in males as compared to females (P<0.05). The ASCVD risk score classiied (38.2%), of the participants as high-risk, whereas the lab-based and non lab-based versions of WHO/ISH risk prediction classiied less than 10% as high risk. There was moderate agreement between the lab-based and non lab-based versions of the WHO/ISH risk prediction (Kappa-0.724, p-0 .000), fair between ASCVD risk score and non lab-based versions of the WHO/ISH (Kappa-0.310, p-0.000). The agreement between, ASCVD risk score and lab-based version of WHO/ISH risk predictor was fair (Kappa-0.309, p-0 .000). Conclusion: In current study, it was observed that one-third of the participants had a high risk of CVD events based on the ASCVD risk score, and a smaller number of participants were found to be at high risk according to the WHO/ISH risk chart. So we need to implement this risk scores predictors of CVD events for identify the high risk individual and their further management.https://www.healthlinejournal.org/index_pdf/512.pdfatherosclerotic cardiovascular disease risk scorecardiovascular diseasewho/international society of hypertension |
| spellingShingle | Trusha Kansagara Nitin A. Lodha Yamini J. Gurjar Cardiovascular Risk Assessment Using Updated WHO/International Society of Hypertension Risk Prediction Charts and Atherosclerotic Cardiovascular Disease Risk Score in Residents of Amreli District Healthline atherosclerotic cardiovascular disease risk score cardiovascular disease who/international society of hypertension |
| title | Cardiovascular Risk Assessment Using Updated WHO/International Society of Hypertension Risk Prediction Charts and Atherosclerotic Cardiovascular Disease Risk Score in Residents of Amreli District |
| title_full | Cardiovascular Risk Assessment Using Updated WHO/International Society of Hypertension Risk Prediction Charts and Atherosclerotic Cardiovascular Disease Risk Score in Residents of Amreli District |
| title_fullStr | Cardiovascular Risk Assessment Using Updated WHO/International Society of Hypertension Risk Prediction Charts and Atherosclerotic Cardiovascular Disease Risk Score in Residents of Amreli District |
| title_full_unstemmed | Cardiovascular Risk Assessment Using Updated WHO/International Society of Hypertension Risk Prediction Charts and Atherosclerotic Cardiovascular Disease Risk Score in Residents of Amreli District |
| title_short | Cardiovascular Risk Assessment Using Updated WHO/International Society of Hypertension Risk Prediction Charts and Atherosclerotic Cardiovascular Disease Risk Score in Residents of Amreli District |
| title_sort | cardiovascular risk assessment using updated who international society of hypertension risk prediction charts and atherosclerotic cardiovascular disease risk score in residents of amreli district |
| topic | atherosclerotic cardiovascular disease risk score cardiovascular disease who/international society of hypertension |
| url | https://www.healthlinejournal.org/index_pdf/512.pdf |
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