Cardiovascular Risk Profiling Using the Globorisk Calculator among Noncommunicable Disease Patients Attending Primary Health Centers of a Tertiary Care Teaching Hospital in South India: A Cross-Sectional Analytical Study.

Pub Date : 2024-03-01 Epub Date: 2024-03-07 DOI:10.4103/ijcm.ijcm_300_22

Sitanshu S Kar, Sivaranjini Kannusamy, Tanveer Rehman, Sharan Murali, Subitha Laxminarayanan, Jayaraman Balachander

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Abstract

Background: Cardiovascular diseases (CVDs) account for over three-quarters of all deaths taking place in developing nations.

Objective: The present study aims to stratify noncommunicable disease (NCD) patients using the Globorisk chart for predicting their 10-year risk of a major (fatal or nonfatal) CVD event and to estimate the level of agreement between this country-specific chart and the existing World Health Organization (WHO)/International Society of Hypertension (ISH) risk strata.

Methods: A record-based cross-sectional analytical study was conducted in 2018 among adults attending the NCD clinic of one rural and one urban primary health center in Puducherry. Laboratory and office risk calculators of the Globorisk chart were used to calculate the risk.

Results: The median age (interquartile range (IQR)) of the 760 study participants was 58 (50-65) years. When calculated using the Globorisk prediction chart, 22.1% (n = 168) of the participants had a <10% risk for any CVD event in the next 10 years, whereas the same risk was found in 71.1% (n = 540) by using the WHO/ISH risk chart. There was no agreement found between the two risk charts (k = 0.0174; P-value = 0.26).

Conclusion: The Globorisk chart was found to identify more patients as belonging to the higher risk category as compared to WHO/ISH charts.

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使用 Globorisk 计算器对印度南部一家三级教学医院初级保健中心的非传染性疾病患者进行心血管风险分析：一项横断面分析研究。

背景：心血管疾病（CVDs）是发展中国家四分之三以上的死亡原因：心血管疾病占发展中国家死亡人数的四分之三以上：本研究旨在使用 Globorisk 图表对非传染性疾病（NCD）患者进行分层，以预测其 10 年内发生重大（致命或非致命）心血管疾病事件的风险，并估算该国家特定图表与现有世界卫生组织（WHO）/国际高血压学会（ISH）风险分层之间的一致程度：2018 年，在普度克里一个农村和一个城市初级保健中心的非传染性疾病诊所就诊的成年人中开展了一项基于记录的横断面分析研究。使用 Globorisk 图表的实验室和诊室风险计算器计算风险：结果：760 名研究参与者的中位年龄（四分位数间距 (IQR) ）为 58（50-65）岁。使用 Globorisk 预测图计算时，22.1%（n = 168）的参与者的 P 值 = 0.26）：结论：与世卫组织/ISH 图表相比，Globorisk 图表能识别出更多属于高风险类别的患者。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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