类风湿关节炎和银屑病关节炎患者不同心血管风险评分之间的一致性
Concordance between the Different Cardiovascular Risk Scores in People with Rheumatoid Arthritis and Psoriasis Arthritis.
作者信息
Gonzalez-Martin Cristina, Grande Morais Silvia, Pertega-Diaz Sonia, Seoane-Pillado Teresa, Balboa-Barreiro Vanesa, Veiga-Seijo Raquel
机构信息
Clinical Epidemiology and Biostatistics Research Group, Instituto de Investigación Biomédica de A Coruña (INIBIC), Complexo Hospitalario Universitario de A Coruña (CHUAC), SERGAS, Universidade da Coruña, Hotel de Pacientes 7 Planta, C/As Xubias de Arriba, 84, 15006 A Coruña, Spain.
Nurse Center of Saude Carballeira, Orense, Spain.
出版信息
Cardiol Res Pract. 2019 Mar 14;2019:7689208. doi: 10.1155/2019/7689208. eCollection 2019.
AIM
To determine the cardiovascular risk and the concordance between the different scores in people with rheumatoid arthritis (RA) and psoriatic arthritis (PsA).
METHODS
Observational descriptive study of prevalence. Performed in the Rheumatology Service and the Clinical Epidemiology and Biostatistics Unit of the University Hospital Complex of A Coruña (Spain). Patients diagnosed with RA or PsA, older than 18 years of age were included. Measurements: sociodemographic, anthropometric variables of the disease, comorbidity, cardiovascular risk, and therapeutic management.
RESULTS
151 subjects (75 RA and 76 PsA) were studied. The average age was 57.9 ± 12.2 years, 61.6% being women. The average of the Charlson index was 2.8 ± 1.5. 43% were overweight. 46.5% were classified as cardiovascular risk, and the average percentage was 33.3% by Framingham. The best agreement has been between Framingham and Dorica ( = 0.709; < 0.001), classifying more than 80% of the cases in the same risk categories.
CONCLUSIONS
The most prevalent risk factors were overweight and obesity, followed by smoking and hypertension. The prevalence of patients with moderate/high cardiovascular risk varies according to the score used, the levels of concordance being the scores of Framingham and Dorica.
目的
确定类风湿关节炎（RA）和银屑病关节炎（PsA）患者的心血管风险以及不同评分之间的一致性。
方法
进行患病率的观察性描述性研究。在西班牙拉科鲁尼亚大学医院综合院区的风湿病科以及临床流行病学与生物统计学部门开展。纳入年龄大于18岁、诊断为RA或PsA的患者。测量指标：社会人口统计学、疾病的人体测量学变量、合并症、心血管风险及治疗管理情况。
结果
共研究了151名受试者（75名RA患者和76名PsA患者）。平均年龄为57.9±12.2岁，女性占61.6%。查尔森指数平均值为2.8±1.5。43%的患者超重。46.5%的患者被归类为有心血管风险，根据弗雷明汉评分，平均百分比为33.3%。弗雷明汉评分与多里卡评分之间的一致性最佳（=0.709；<0.001），80%以上的病例被归类于相同的风险类别。
结论
最常见的风险因素是超重和肥胖，其次是吸烟和高血压。中度/高度心血管风险患者的患病率因所使用的评分而异，弗雷明汉评分和多里卡评分的一致性水平最高。
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