心血管风险评估工具的文献综述：在亚洲人群中的适用性
A literature review of the cardiovascular risk-assessment tools: applicability among Asian population.
作者信息
Liau Siow Yen, Mohamed Izham M I, Hassali M A, Shafie A A
机构信息
Discipline of Social and Administrative Pharmacy, School of Pharmaceutical Sciences, Universiti Sains Malaysia, Minden, Malaysia.
出版信息
Heart Asia. 2010 Jul 6;2(1):15-8. doi: 10.1136/ha.2009.001115. eCollection 2010.
BACKGROUND
Cardiovascular diseases, the main causes of hospitalisations and death globally, have put an enormous economic burden on the healthcare system. Several risk factors are associated with the occurrence of cardiovascular events. At the heart of efficient prevention of cardiovascular disease is the concept of risk assessment. This paper aims to review the available cardiovascular risk-assessment tools and its applicability in predicting cardiovascular risk among Asian populations.
METHODS
A systematic search was performed using keywords as MeSH and Boolean terms.
RESULTS
A total of 25 risk-assessment tools were identified. Of these, only two risk-assessment tools (8%) were derived from an Asian population. These risk-assessment tools differ in various ways, including characteristics of the derivation sample, type of study, time frame of follow-up, end points, statistical analysis and risk factors included.
CONCLUSIONS
Very few cardiovascular risk-assessment tools were developed in Asian populations. In order to accurately predict the cardiovascular risk of our population, there is a need to develop a risk-assessment tool based on local epidemiological data.
背景
心血管疾病是全球住院和死亡的主要原因，给医疗系统带来了巨大的经济负担。多种风险因素与心血管事件的发生相关。有效预防心血管疾病的核心是风险评估概念。本文旨在综述现有的心血管风险评估工具及其在预测亚洲人群心血管风险中的适用性。
方法
使用医学主题词（MeSH）和布尔逻辑词作为关键词进行系统检索。
结果
共识别出25种风险评估工具。其中，仅有两种风险评估工具（8%）源自亚洲人群。这些风险评估工具在多种方面存在差异，包括推导样本的特征、研究类型、随访时间框架、终点、统计分析以及所包含的风险因素。
结论
亚洲人群开发的心血管风险评估工具极少。为准确预测我国人群的心血管风险，有必要基于本地流行病学数据开发风险评估工具。
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