نوع مقاله : مقاله پژوهشی
نویسندگان
1 ﮐﺎرﺷﻨﺎس ارﺷﺪ، ﻣﺮﮐﺰ آﻣﻮزﺷﯽ، ﭘﮋوﻫﺸﯽ و درﻣﺎﻧﯽ اﺧﺘﻼﻻت ﻣﺼﺮف ﻣﻮاد و رﻓﺘﺎرﻫﺎی اﻋﺘﯿﺎدی، داﻧﺸﮕﺎه ﻋﻠﻮم ﭘﺰﺷﮑﯽ ﻣﺸﻬﺪ، ﻣﺸﻬﺪ، اﯾﺮان
2 دانشیار طب چینی و مکمل، دانشکده طب ایرانی و مکمل، دانشگاه علوم پزشکی مشهد، مشهد، ایران
3 دکتری داروسازی، معاونت بهداشتی درمانی دانشگاه علوم پزشکی مشهد، مشهد، ایران
4 دکتری تخصصی اپیدمیولوژی، دانشگاه علوم پزشکی مشهد، مشهد، ایران
چکیده
زمینه و هدف: بیماری‌های قلبی- عروقی، اصلی‌ترین عامل مرگ‌ومیر در سراسر جهان هستند. ارزیابی خطر 10 ساله این بیماری گامی مهم در راستای مدیریت بیماری در آینده می‌باشد. هدف از پژوهش حاضر، مقایسه مدل‌های فرامینگهام و گلوبوریسک در ارزیابی خطر حوادث قلبی عروقی در 10 سال آینده است.
مواد و روش‌ها: مطالعه توصیفی- مقطعی با استفاده از داده‌های پرونده الکترونیک سلامت دانشگاه مشهد با متغیرهای کلسترول کل، لیپوپروتئین با چگالی بالا، فشار خون و دیابت بررسی شد. جامعه آماری افراد با سن 30 سال و بالاتر با حجم نمونه 161828 نفر بود. برای تعیین میزان ارتباط یا وابستگی بین متغیرها از آزمون‌های t-test و chi-square استفاده شد و سطح معناداری کمتر از 0/05 در نظر گرفته شد.
یافته‌ها: در این بررسی 74/1 درصد افراد زن بودند. طبق مدل گلوبوریسک 67/2 درصد از زنان و 79/9 درصد از مردان در گروه کم‌خطر قرار داشتند درصورتی‌که طبق مدل فرامینگهام این میزان در زنان و مردان به‌ترتیب 5/48 و 9/54 درصد بود. براساس مدل گلوبوریسک و فرامینگهام به‌ترتیب 66/2 و 34/1 درصد افراد 70 سال و بالاتر در گروه پرخطر بودند. همچنین هر دو مدل نشان دادند افراد مبتلا به دیابت و افراد سیگاری در معرض خطر بیشتر CVD در 10 سال آینده می‌باشند.
نتیجه‌گیری: با توجه به افزایش بیماری‌های قلبی- عروقی لازم است از توانایی‌های این مدل‌ها در ارزیابی خطر حوادث قلبی- عروقی در 10 سال آینده استفاده شود و اقداماتی در راستای سلامت عمومی جامعه و پیشگیری از حوادث قلبی عروقی صورت گیرد.
کلیدواژه‌ها
موضوعات
عنوان مقاله [English]
Comparison of Framingham Risk Score and Globorisk Cardiovascular Risk Prediction Models in Iranian Population
نویسندگان [English]
- behnaz beygi 1
- hamidreza bahrami 2
- Reza Eftekhari Gol 3
- Ehsan Musa Farkhani 4
1 Master of science, East Educational Research division of Drug abuse and addictive behavior, Mashhad University of Medical Sciences, Mashhad, Iran
2 Associate Professor of Complementary and Chinese Medicine, Persian and Complementary Medicine Faculty, Mashhad University of Medical Sciences, Mashhad, Iran
3 Ph.D., Department of Health Network Development and Health Promotion, Khorasan Razavi Province Health Center, Mashhad, Iran
4 Ph.D of Epidemilogy, Mashhad University of Medical Sciences, Mashhad, Iran
چکیده [English]
Introduction: Cardiovascular disease is the leading cause of death in the world. The 10-year risk assessment of this illness is an essential step in managing future illness. This study aimed to compare Framingham Risk Score and Globorisk cardiovascular disease prediction models in the next ten years.
Materials and Methods: A descriptive cross-sectional study was performed using Mashhad's Electronic Health Record data with total cholesterol, high-density lipoprotein, smoking, blood pressure, and diabetes. The study population was people aged 30 years and older, with a sample of 161,828 people. T-test and chi-square tests were used to determine the relationship of dependence between the variables, and P-value less than 0.05 was considered.
Results: The participants included 74.1% females. According to the Globorisk model, 67.2% of females and 79.9% of males were in the low-risk group, while in the Framingham model, this rate was 48.5% and 54.9%, respectively, in females and males. According to the Globorisk and Framingham model, 66.2% and 34.1% of people 70 years and older were high-risk. Both models also showed that people with diabetes and smokers are at higher risk for cardiovascular disease in the next ten years.
Conclusion: Considering the increased cardiovascular risk, it is necessary to use the capabilities of these models to assess the risk of disease in the next ten years and take measures to improve the community's general health and prevent cardiovascular events.
کلیدواژه‌ها [English]
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