中国卒中杂志2019,Vol.14Issue(4):336-340,5.DOI:10.3969/j.issn.1673-5765.2019.04.007
两种工具预测健康体检者卒中风险的应用比较
Comparison of Two Tools in Assessing Stroke Risk in Healthy People through Physical Examination
HUANG DaGang 1ZHENG LiHua 2XIONG Jing 3HUANG XiaoMing4
作者信息
- 1. Department of Cardiology, No.2 Peoples’s Hospital of Yibin, Yibin 644000, China
- 2. Department of Clinical Nutrition, No.2 Peoples’s Hospital of Yibin, Yibin 644000, China
- 3. Department of Nursing, Yibin Health School, Yibin 644000, China
- 4. Department of Nutrition, Far-east Women and Children Hospital, Shenzhen 518001, China
- 折叠
摘要
Abstract
Objective To compare the application of pooled cohort risk equations (PCE) and revised Framingham stroke risk profile (R-FSP) in assessing stroke risk in healthy people through physical examination, to provide a reference for preventing stroke more effectively. Methods A total of 1277 healthy people (40~70 years) through physical examination were selected randomly from No.2 Peoples’s Hospital from January to December 2017. The 10-year stroke risk of all subjects were evaluated using R-FSP and PCE, and the consistency of R-FSP and PCE in predicting stroke risk were compared. Results The stroke risk assessed by R-FSP and PCE in 1277 subjects were 5.8% and 6.1% respectively. Male had a higher stroke risk than female (R-FSP: 6.0% vs 5.5%, t=3.184, P=0.002;PCE: 6.5% vs 5.7%, t=4.700, P=0.000), people with a BMI≥24 kg/m2 had a higher risk than those with BMI <24 kg/m2 (R-FSP: 5.5% vs 6.5%; PCE: 5.9% vs 6.8%), and different ages (40~49 years, 50~59 years and 60~70 years) had different risks (R-FSP: 3.6% vs 5.9% vs 9.2%, F=7.213, P=0.003; PCE: 4.0% vs 6.0% vs 9.9%, F=11.628, P=0.000). R-FSP and PCE had high consistency in assessing the stroke risk, with Pearson correlation coefficient and intraclass correlation coefficient being 0.719 and 0.757 respectively (P<0.05). Conclusions The R-FSP and PCE are similar in assessing the stroke risk. The users can choose any appropriate tool to predict stroke risk according to the conditions.关键词
卒中/改良FraMinghaM卒中风险评估量表/汇集队列风险方程/健康人群Key words
Stroke/Revised Framingham stroke risk profile/Pooled cohort risk equation/Healthy people引用本文复制引用
HUANG DaGang,ZHENG LiHua,XIONG Jing,HUANG XiaoMing..两种工具预测健康体检者卒中风险的应用比较[J].中国卒中杂志,2019,14(4):336-340,5.