A comparison of the Framingham and European society of cardiology coronary heart disease risk prediction models in the normative aging study

Orford, James L.; Sesso, Howard D.; Stedman, M.; Gagnon, David; Vokonas, Pantel; Gaziano, J. Michael

doi:10.1067/mhj.2002.123317

Cited by 53 publications

(39 citation statements)

References 33 publications

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“…The methods we used to derive the LACE index were both valid and transparent. The discrimination of the LACE index was better than that of the widely used Framingham score in many populations, [25][26][27] which suggests that the LACE index will be useful when applied at the individual patient level. The calibration of the LACE index was excel- …”

Section: Discussionmentioning

confidence: 99%

Derivation and validation of an index to predict early death or unplanned readmission after discharge from hospital to the community

Walraven¹,

Dhalla²,

Bell³

et al. 2010

Canadian Medical Association Journal

758

756

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551R eadmission to hospital and death are adverse patient outcomes that are serious, common and costly.1,2 Several studies suggest that focused care after discharge can improve post-discharge outcomes.3-7 Being able to accurately predict the risk of poor outcomes after hospital discharge would allow health care workers to focus post-discharge interventions on patients who are at highest risk of poor post-discharge outcomes. Further, policy-makers have expressed interest in either penalizing hospitals with relatively high rates of readmission or rewarding hospitals with relatively low expected rates. 8 To implement this approach, a validated method of standardizing readmission rates is needed. 9Two validated models for predicting risk of readmission after hospital discharge have been published. 10,11 However, these models are impractical to clinicians. Both require arealevel information (e.g., neighbourhood socio-economic status and community-specific rates of admission) that is not readily available. Getting this information requires access to detailed tables, thereby making the model impractical. Second, both models are so complex that risk estimates cannot be attained from them without the aid of special software. Although these models have been used by health-system planners in the United Kingdom, we are unaware of any clinicians who use them when preparing patients for hospital discharge.Our primary objective was to derive and validate a clinically useful index to quantify the risk of early death or unplanned readmission among patients discharged from hospital to the community. Methods Study designWe performed a secondary analysis of a multicentre prospective cohort study conducted between

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Section: Discussionmentioning

confidence: 99%

Derivation and validation of an index to predict early death or unplanned readmission after discharge from hospital to the community

Walraven¹,

Dhalla²,

Bell³

et al. 2010

Canadian Medical Association Journal

758

756

View full text Add to dashboard Cite

show abstract

“…27 The major limitation of the present study was its crosssectional design in which the 10-year risk of developing CVD was derived from the risk prediction algorithm of the Framingham model instead of through a prospective study. However, multicultural studies have shown that this model is a reasonable tool for predicting either the absolute risk of CVD 28 or the rank ordering [29][30][31] of CVD risk in men and women. In addition, although the study was designed with single measurements of inflammatory markers, not taking into account any variations that may occur over time, previous studies have shown that CRP levels are reasonably stable over time.…”

Section: Discussionmentioning

confidence: 99%

Association of High Sensitivity C-Reactive Protein With Coronary Heart Disease Prediction, but not With Carotid Atherosclerosis, in Patients With Hypertension

Choi

Cho

Shin

et al. 2004

Circ J

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“…Framingham-Gleichung und European Charts (1994) sind an Ereignisraten von 1 393 männlichen Teilnehmern der Kohorte der Normative Aging Study (veröffentlicht 1972) validiert worden [27]. Für die Framingham-Gleichung war AUC = 0,60 und für die European Charts AUC = 0,58.…”

Section: Methodikunclassified

Kardiovaskul�re Risikosch�tzung f�r eine informierte Patientenentscheidung

Lenz

Mühlhauser

2004

Med Klin

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A comparison of the Framingham and European society of cardiology coronary heart disease risk prediction models in the normative aging study

Cited by 53 publications

References 33 publications

Derivation and validation of an index to predict early death or unplanned readmission after discharge from hospital to the community

Derivation and validation of an index to predict early death or unplanned readmission after discharge from hospital to the community

Association of High Sensitivity C-Reactive Protein With Coronary Heart Disease Prediction, but not With Carotid Atherosclerosis, in Patients With Hypertension

Kardiovaskul�re Risikosch�tzung f�r eine informierte Patientenentscheidung

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