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Evidence-Based Nursing 2009;12:123; doi:10.1136/ebn.12.4.123
Copyright © 2009 by BMJ Publishing Group Ltd & RCN Publishing Company Ltd.

CLINICAL PREDICTION GUIDE

Absolute CVD risk, stratified by risk score, was 20% higher in primary care patients with CVD than in those without CVD

The first 150 words of the full text of this article appear below.

Question

How do risks of cardiovascular disease (CVD) events compare in primary care patients with and without a history of CVD after adjusting for traditional CVD risk factors?

Methods

Design:

prospective cohort study with a mean 2 years of follow-up.

Setting:

primary care practices in Auckland, New Zealand.

Patients:

35 760 patients 30–74 years of age (mean age 54 y, 57% men, 10% with a history of CVD) who had a CVD risk score calculated using the web-based PREDICT clinical decision support program.

Description of prediction guide:

based on the Framingham risk score, PREDICT uses traditional CVD risk factors (age, sex, diabetes, smoking, blood pressure, and cholesterol concentrations) to classify patients as having <5%, 5 to <10%, 10 to <15%, 15 to <20%, or >=20% 5-year risk of a CVD event.

Outcome:

first CVD event (acute coronary syndrome, ischaemic or haemorrhagic stroke, peripheral arterial disease, a procedure for these conditions, heart failure, or death from CVD cause) after the PREDICT . . . [Full text of this article]

Kirsten Woodend

School of Nursing, University of Ottawa, Ottawa, Ontario, Canada


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