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亚洲普通人群新发房颤的预测:C2HEST评分与HATCH评分的比较

Prediction of new-onset atrial fibrillation for general population in Asia: A comparison of C2HEST and HATCH scores.

作者信息

Hu Wei-Syun, Lin Cheng-Li

机构信息

School of Medicine, College of Medicine, China Medical University, Taichung 40402, Taiwan; Division of Cardiovascular Medicine, Department of Medicine, China Medical University Hospital, Taichung 40447, Taiwan.

Management Office for Health Data, China Medical University Hospital, Taichung 40447, Taiwan.

出版信息

Int J Cardiol. 2020 Aug 15;313:60-63. doi: 10.1016/j.ijcard.2020.03.036. Epub 2020 Mar 17.

DOI:10.1016/j.ijcard.2020.03.036
PMID:32336574
Abstract

PURPOSE

To explore the use of the C2HEST and HATCH scores to predict the incidence of atrial fibrillation (AF) in Asians.

METHOD

The predictive capability of AF of C2HEST and HATCH scores was estimated by area under the receiver operating characteristic curve (AUROC). DeLong test was used to compared the difference of AUROC between the 2 scores.

RESULT

A total of 692,691 subjects were investigated. The risk of AF increased with increasing C2HEST and HATCH scores (p for trend<0.001). The AUROC for C2HEST and HATCHs in predicting AF occurrence was 0.7895 and 0.7711, respectively. C2HEST score had a significant better capability for AF stratification than HATCH score (DeLong test <0.001).

CONCLUSION

Higher C2HEST and HATCH scores were more strongly associated with the incidence of AF. The C2HEST score appeared to be more predictive of AF than the HATCH score.

摘要

目的

探讨使用C2HEST和HATCH评分预测亚洲人心房颤动(AF)的发生率。

方法

通过受试者操作特征曲线下面积(AUROC)评估C2HEST和HATCH评分对AF的预测能力。采用DeLong检验比较两个评分的AUROC差异。

结果

共调查了692,691名受试者。AF风险随C2HEST和HATCH评分升高而增加(趋势p<0.001)。C2HEST和HATCH评分预测AF发生的AUROC分别为0.7895和0.7711。C2HEST评分对AF分层的能力显著优于HATCH评分(DeLong检验<0.001)。

结论

较高的C2HEST和HATCH评分与AF发生率的相关性更强。C2HEST评分对AF的预测似乎比HATCH评分更具优势。

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