Agreement between Framingham, IraPEN and non-laboratory WHO-EMR risk score calculators for cardiovascular risk prediction in a large Iranian population

Mehrara, Mohsen; Mirzaei, Masoud

doi:10.34172/jcvtr.2020.04

Cited by 8 publications

(11 citation statements)

References 25 publications

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“…In our study, the FRS classified more people as high risk while the WHO/ISH risk estimator classified more people as low risk. Similar outcomes were seen in studies conducted in Iran and other Asian populations with significant underestimation of 10-year risk by the WHO/ISH score and overestimation of risk by the FRS [36] , [37] , [38] . The risk scores assessed were derived based on different but mostly Western data with only the PCE having a relatively higher proportion of blacks [5] .…”

Section: Discussionsupporting

confidence: 83%

Atherosclerotic cardiovascular disease risk among Ghanaians: A comparison of the risk assessment tools.

Agyekum,

Akumiah,

Nguah

et al. 2024

American Journal of Preventive Cardiology

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Section: Discussionsupporting

confidence: 83%

Atherosclerotic cardiovascular disease risk among Ghanaians: A comparison of the risk assessment tools.

Agyekum,

Akumiah,

Nguah

et al. 2024

American Journal of Preventive Cardiology

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“…However, that study used the Cox proportional hazards model to determine the risk 23 , while the present study used the points-based risk scoring system. The results of another study in Iran showed that the agreement between the CVDs risk groupings was negligible with different risk prediction models 16 .…”

Section: Discussionmentioning

confidence: 99%

“…In Iran, Bavarsad et al compared Framingham and World health organization/International society of hypertension (WHO/ISH), and SCORE models 15 . Mirzaei et al assessed Framingham and WHO/ISH models 16 . But no study has been done to examine the agreement between laboratory-based and non-laboratory-based Framingham risk scores.…”

Section: Introductionmentioning

confidence: 99%

Agreement between laboratory-based and non-laboratory-based Framingham risk score in Southern Iran

Rezaei

Seif

Gandomkar

et al. 2021

Sci Rep

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The Framingham 10-year cardiovascular disease risk is measured by laboratory-based and non-laboratory-based models. This study aimed to determine the agreement between these two models in a large population in Southern Iran. In this study, the baseline data of 8138 individuals participated in the Pars cohort study were used. The participants had no history of cardiovascular disease or stroke. For the laboratory-based risk model, scores were determined based on age, sex, current smoking, diabetes, systolic blood pressure (SBP) and treatment status, total cholesterol, and High-Density Lipoprotein. For the non-laboratory-based risk model, scores were determined based on age, sex, current smoking, diabetes, SBP and treatment status, and Body Mass Index. The agreement between these two models was determined by Bland Altman plots for agreement between the scores and kappa statistic for agreement across the risk groups. Bland Altman plots showed that the limits of agreement were reasonable for females < 60 years old (95% CI: −2.27–4.61%), but of concern for those ≥ 60 years old (95% CI: −3.45–9.67%), males < 60 years old (95% CI: −2.05–8.91%), and males ≥ 60 years old (95% CI: −3.01–15.23%). The limits of agreement were wider for males ≥ 60 years old in comparison to other age groups. According to the risk groups, the agreement was better in females than in males, which was moderate for females < 60 years old (kappa = 0.57) and those ≥ 60 years old (kappa = 0.51). The agreement was fair for the males < 60 years old (kappa = 0.39) and slight for those ≥ 60 years old (Kappa = 0.14). The results showed that in overall participants, the agreement between the two risk scores was moderate according to risk grouping. Therefore, our results suggest that the non-laboratory-based risk model can be used in resource-limited settings where individuals cannot afford laboratory tests and extensive laboratories are not available.

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“…conducted a study in Yazd, Iran and reported that lack of physical activities and unhealthy eating habits were among the most prominent risk factors of CVDs in a healthy society [ 37 ]. They also reported that 26.5% of Iran’s healthy population would be prone to the high risk of CVDs based on the Framingham risk score (FRS) [ 38 ]. The onset age of CVDs is ten years earlier in Iran than in the developed countries [ 39 ].…”

Section: Discussionmentioning

confidence: 99%

Illness perception and cardiovascular risk factors in patients with myocardial infarction undergoing percutaneous coronary intervention in Iran

Thagizadeh

Ghahramanian

Zamanzadeh

et al. 2022

BMC Cardiovasc Disord

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Background Knowing of perception of the illness, and cardiovascular risk factors in patients with myocardial infarction is crucial in engaging in effective secondary prevention. This study aimed to examine illness perception and cardiovascular risk factors in patients with myocardial infarction undergoing percutaneous coronary intervention. Methods The participants comprised 131 patients undergoing a first-time percutaneous coronary intervention at a metropolitan, tertiary referral hospital in Tabriz, Iran. The convenience sampling method was employed to select the research sample within a six-month period. The instruments used were as follows: (1) Demographic and health information form, (2) The Brief Illness Perception Questionnaire (3) The Health Risk Assessment framework developed by the Centers for Disease Control and Prevention. The design of the study was descriptive, cross sectional. The continuous variables were analyzed using Independent t-test and analysis of variance (ANOVA); and categorical variables were compared using the chi-square test. Results Most participants had a positive family history of cardiovascular disease (54.2%), with 66.4% of participants having at least one cardiovascular risk factor such as diabetes (36.6%) hypertension (32.8%) and dyslipidemia (16%). Most participants were physically inactive (78.6%), about 48.9% were overweight, 34.4% suffered from obesity and 26% were smokers. Illness perception in this study was seen to be high (6.21), with highest scores occurring in the illness control dimension (6.83) and lowest scores occurring in the understanding dimension (3.77). There was a significant relationship between illness perception and physical activity, nutrition, sleep and general health. Direct significant relationships between biometric values (cholesterol, glucose, blood pressure); psychological factors (depression, anxiety and stress) and illness perception were also found to exist. Conclusions Low scores in two dimensions of illness perception may lead to psychological consequences such as stress, anxiety, and depression. The relationship between illness perception and some risk factors of cardiovascular disease such as physical activity, diet and biometric values, reveal the need for more attention to patient education and counselling.

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Agreement between Framingham, IraPEN and non-laboratory WHO-EMR risk score calculators for cardiovascular risk prediction in a large Iranian population

Cited by 8 publications

References 25 publications

Atherosclerotic cardiovascular disease risk among Ghanaians: A comparison of the risk assessment tools.

Atherosclerotic cardiovascular disease risk among Ghanaians: A comparison of the risk assessment tools.

Agreement between laboratory-based and non-laboratory-based Framingham risk score in Southern Iran

Illness perception and cardiovascular risk factors in patients with myocardial infarction undergoing percutaneous coronary intervention in Iran

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