Validity of a method for the self-screening of cardiovascular risk

Background: The validity of a cardiovascular risk self-screening method was assessed. The results obtained for self-measurement of blood pressure, a point-of-care system's assessment of lipid profile and glycated hemoglobin, and a self-administered questionnaire (sex, age, diabetes, tobacco con...

Descripción completa

Detalles Bibliográficos
Autores: Barroso, María, Pérez Fernández, Silvia, Vila Muñoz, Maria del Mar, Zomeño Fajardo, María Dolores, Martí Lluch, Ruth, Cordón Granados, Ferran, Ramos, Rafel, Elosua, Roberto, Degano, Irene R., Fitó Colomer, Montserrat, Cabezas, Carmen, Salvador i Castell, Gemma, Castell, Conxa, Grau, Maria
Tipo de recurso: artículo
Fecha de publicación:2018
País:España
Institución:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositorio:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:2445/178232
Acceso en línea:https://hdl.handle.net/2445/178232
Access Level:acceso abierto
Palabra clave:Malalties cardiovasculars
Epidemiologia
Cardiovascular diseases
Epidemiology
id ES_fe2a311a5e39e6717a8b1c19d6001932
oai_identifier_str oai:recercat.cat:2445/178232
network_acronym_str ES
network_name_str España
repository_id_str
spelling Validity of a method for the self-screening of cardiovascular riskBarroso, MaríaPérez Fernández, SilviaVila Muñoz, Maria del MarZomeño Fajardo, María DoloresMartí Lluch, RuthCordón Granados, FerranRamos, RafelElosua, RobertoDegano, Irene R.Fitó Colomer, MontserratCabezas, CarmenSalvador i Castell, GemmaCastell, ConxaGrau, MariaMalalties cardiovascularsEpidemiologiaCardiovascular diseasesEpidemiologyBackground: The validity of a cardiovascular risk self-screening method was assessed. The results obtained for self-measurement of blood pressure, a point-of-care system's assessment of lipid profile and glycated hemoglobin, and a self-administered questionnaire (sex, age, diabetes, tobacco consumption) were compared with the standard screening (gold standard) conducted by a health professional. Methods: Crossover clinical trial on a population-based sample from Girona (north-eastern Spain), aged 35-74, with no cardiovascular disease at recruitment. Participants were randomized to one of the two risk assessment sequences (standard screening followed by self-screening or vice versa). Cardiovascular risk was estimated with the Framingham-REGICOR function. Concordance between methods was estimated with the intraclass correlation coefficient (ICC). Sensitivity, specificity, and positive and negative predictive values were estimated, considering 5% cardiovascular risk as the cutoff point. ClinicalTrials.gov Registration #NCT02373319. Clinical Research Ethic Committee of the Parc de Salut Mar Registration #2014/5815/I. Results: The median cardiovascular risk in men was 2.56 (interquartile range: 1.42-4.35) estimated by standard methods and 2.25 (1.28-4.07) by self-screening with ICC=0.92 (95% CI: 0.90-0.93). In women, the cardiovascular risk was 1.14 (0.61-2.10) by standard methods and 1.10 (0.56-2.00) by self-screening, with ICC=0.89 (0.87-0.90). The sensitivity, specificity, and positive and negative predictive values for the self-screening method were 0.74 (0.63-0.82), 0.97 (0.95-0.99), 0.86 (0.77-0.93), and 0.94 (0.91-0.96), respectively, in men. In women, these values were 0.50 (0.30-0.70), 0.99 (0.98-1), 0.81 (0.54-0.96), and 0.97 (0.95-0.99), respectively. Conclusion: The self-screening method for assessing cardiovascular risk provided similar results to the standard method. Self-screening had high clinical performance to rule out intermediate or high cardiovascular risk.2021202120182021info:eu-repo/semantics/article28 p.application/pdfhttps://hdl.handle.net/2445/178232Articles publicats en revistes (Medicina)reponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)Ingléshttps://doi.org/10.2147/CLEP.S158358Clinical Epidemiology, 2018, vol. 10, p. 549-560https://doi.org/10.2147/CLEP.S158358, 2018info:eu-repo/semantics/openAccessoai:recercat.cat:2445/1782322026-05-29T05:05:01Z
dc.title.none.fl_str_mv Validity of a method for the self-screening of cardiovascular risk
title Validity of a method for the self-screening of cardiovascular risk
spellingShingle Validity of a method for the self-screening of cardiovascular risk
Barroso, María
Malalties cardiovasculars
Epidemiologia
Cardiovascular diseases
Epidemiology
title_short Validity of a method for the self-screening of cardiovascular risk
title_full Validity of a method for the self-screening of cardiovascular risk
title_fullStr Validity of a method for the self-screening of cardiovascular risk
title_full_unstemmed Validity of a method for the self-screening of cardiovascular risk
title_sort Validity of a method for the self-screening of cardiovascular risk
dc.creator.none.fl_str_mv Barroso, María
Pérez Fernández, Silvia
Vila Muñoz, Maria del Mar
Zomeño Fajardo, María Dolores
Martí Lluch, Ruth
Cordón Granados, Ferran
Ramos, Rafel
Elosua, Roberto
Degano, Irene R.
Fitó Colomer, Montserrat
Cabezas, Carmen
Salvador i Castell, Gemma
Castell, Conxa
Grau, Maria
author Barroso, María
author_facet Barroso, María
Pérez Fernández, Silvia
Vila Muñoz, Maria del Mar
Zomeño Fajardo, María Dolores
Martí Lluch, Ruth
Cordón Granados, Ferran
Ramos, Rafel
Elosua, Roberto
Degano, Irene R.
Fitó Colomer, Montserrat
Cabezas, Carmen
Salvador i Castell, Gemma
Castell, Conxa
Grau, Maria
author_role author
author2 Pérez Fernández, Silvia
Vila Muñoz, Maria del Mar
Zomeño Fajardo, María Dolores
Martí Lluch, Ruth
Cordón Granados, Ferran
Ramos, Rafel
Elosua, Roberto
Degano, Irene R.
Fitó Colomer, Montserrat
Cabezas, Carmen
Salvador i Castell, Gemma
Castell, Conxa
Grau, Maria
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Malalties cardiovasculars
Epidemiologia
Cardiovascular diseases
Epidemiology
topic Malalties cardiovasculars
Epidemiologia
Cardiovascular diseases
Epidemiology
description Background: The validity of a cardiovascular risk self-screening method was assessed. The results obtained for self-measurement of blood pressure, a point-of-care system's assessment of lipid profile and glycated hemoglobin, and a self-administered questionnaire (sex, age, diabetes, tobacco consumption) were compared with the standard screening (gold standard) conducted by a health professional. Methods: Crossover clinical trial on a population-based sample from Girona (north-eastern Spain), aged 35-74, with no cardiovascular disease at recruitment. Participants were randomized to one of the two risk assessment sequences (standard screening followed by self-screening or vice versa). Cardiovascular risk was estimated with the Framingham-REGICOR function. Concordance between methods was estimated with the intraclass correlation coefficient (ICC). Sensitivity, specificity, and positive and negative predictive values were estimated, considering 5% cardiovascular risk as the cutoff point. ClinicalTrials.gov Registration #NCT02373319. Clinical Research Ethic Committee of the Parc de Salut Mar Registration #2014/5815/I. Results: The median cardiovascular risk in men was 2.56 (interquartile range: 1.42-4.35) estimated by standard methods and 2.25 (1.28-4.07) by self-screening with ICC=0.92 (95% CI: 0.90-0.93). In women, the cardiovascular risk was 1.14 (0.61-2.10) by standard methods and 1.10 (0.56-2.00) by self-screening, with ICC=0.89 (0.87-0.90). The sensitivity, specificity, and positive and negative predictive values for the self-screening method were 0.74 (0.63-0.82), 0.97 (0.95-0.99), 0.86 (0.77-0.93), and 0.94 (0.91-0.96), respectively, in men. In women, these values were 0.50 (0.30-0.70), 0.99 (0.98-1), 0.81 (0.54-0.96), and 0.97 (0.95-0.99), respectively. Conclusion: The self-screening method for assessing cardiovascular risk provided similar results to the standard method. Self-screening had high clinical performance to rule out intermediate or high cardiovascular risk.
publishDate 2018
dc.date.none.fl_str_mv 2018
2021
2021
2021
dc.type.none.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://hdl.handle.net/2445/178232
url https://hdl.handle.net/2445/178232
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv https://doi.org/10.2147/CLEP.S158358
Clinical Epidemiology, 2018, vol. 10, p. 549-560
https://doi.org/10.2147/CLEP.S158358
dc.rights.none.fl_str_mv , 2018
info:eu-repo/semantics/openAccess
rights_invalid_str_mv , 2018
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 28 p.
application/pdf
dc.source.none.fl_str_mv Articles publicats en revistes (Medicina)
reponame:Recercat. Dipósit de la Recerca de Catalunya
instname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
instname_str Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
reponame_str Recercat. Dipósit de la Recerca de Catalunya
collection Recercat. Dipósit de la Recerca de Catalunya
repository.name.fl_str_mv
repository.mail.fl_str_mv
_version_ 1869425659825094656
score 15,811543

Similares en LA Referencia