Al-Rawahi Abdulhakeem, Lee Patricia
Research Department, Oman Medical Specialty Board, Muscat, Oman.
School of Public Health, Griffith University, Queensland, Australia.
Oman Med J. 2015 Sep;30(5):315-9. doi: 10.5001/omj.2015.65.
Patients with type II diabetes (T2DM) have an elevated risk for cardiovascular disease (CVD), and it is considered to be a leading cause of morbidity and premature mortality in these patients. Many traditional risk factors such as age, male sex, hypertension, dyslipidemia, glycemic control, diabetes duration, renal dysfunction, obesity, and smoking have been studied and identified as independent factors for CVD. Quantifying the risk of CVD among diabetics using the common risk factors in order to plan the treatment and preventive measures is important in the management of these patients as recommended by many clinical guidelines. Therefore, several risk assessment tools have been developed in different parts of the world for this purpose. These include the tools that have been developed for general populations and considered T2DM as a risk factor, and the tools that have been developed for T2DM populations specifically. However, due to the differences in sociodemographic factors and lifestyle patterns, as well as the differences in the distribution of various CVD risk factors in different diabetic populations, the external applicability of these tools on different populations is questionable. This review aims to address the applicability of the existing CVD risk models to the Omani diabetic population.
2型糖尿病(T2DM)患者患心血管疾病(CVD)的风险升高,这被认为是这些患者发病和过早死亡的主要原因。许多传统风险因素,如年龄、男性、高血压、血脂异常、血糖控制、糖尿病病程、肾功能不全、肥胖和吸烟,已被研究并确定为CVD的独立因素。按照许多临床指南的建议,利用常见风险因素量化糖尿病患者的CVD风险,以便规划治疗和预防措施,在这些患者的管理中很重要。因此,世界各地已为此开发了几种风险评估工具。这些工具包括为一般人群开发并将T2DM视为风险因素的工具,以及专门为T2DM人群开发的工具。然而,由于社会人口因素和生活方式模式的差异,以及不同糖尿病患者群体中各种CVD风险因素分布的差异,这些工具在不同人群中的外部适用性值得怀疑。本综述旨在探讨现有CVD风险模型对阿曼糖尿病患者群体的适用性。