World Health Organization (WHO) and International Society of Hypertension (ISH) risk prediction charts: assessment of cardiovascular risk for prevention and control of cardiovascular disease in low and middle-income countries
World Health Organization (WHO) and International Society of Hypertension (ISH) risk prediction charts: assessment of cardiovascular risk for prevention and control of cardiovascular disease in low and middle-income countries
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DOI：
10.1097/hjh.0b013e3282861fd3
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发表时间：
2007-08-01
影响因子：
4.9
通讯作者：
Heagerty, Tony
中科院分区：
文献类型：
--
作者：
Mendis, Shanthi;Lindholm, Lars H.;Heagerty, Tony
心血管疾病是由非传染性疾病引起的全球疾病负担日益加重的主要原因。为成功预防和控制心血管疾病，以个人为重点的战略需要补充全人群战略。以个人为重点的战略只有在针对高危人群时才具有成本效益。风险预测工具可以轻松准确地预测个人患心血管疾病的绝对风险，这对于将有限的资源用于最有可能获益的高危人群至关重要。低收入国家的卫生系统没有基本的基础设施来支持资源密集型风险预测工具，特别是在初级卫生保健方面。这里介绍的世卫组织/ISH图表首次使人们能够预测生活在低收入和中等收入国家的人们未来心脏病发作和中风的风险。此外，由于图表使用简单的变量，它们甚至可以在低资源设置中应用。因此，世卫组织/ISH风险预测图表和随附指南将提高心血管风险管理的有效性，即使在没有复杂技术的环境中也是如此。
Cardiovascular disease (CVD) is the leading cause of the growing global disease burden due to non-communicable diseases. For successful prevention and control of CVD, strategies that focus on individuals need to complement population-wide strategies. Strategies that focus on individuals are cost effective only when targeted at high-risk groups. Risk prediction tools that easily and accurately predict an individual's absolute risk of CVD are key to targeting limited resources at high-risk individuals who are likely to benefit the most. Health systems in low-income countries do not have the basic infrastructure facilities to support resource-intensive risk prediction tools, particularly in primary healthcare. The WHO/ISH charts presented here, enable the prediction of future risk of heart attacks and strokes in people living in low and middle income countries, for the first time. Furthermore, since the charts use simple variables they can be applied even in low resource settings. Thus the WHO/ISH risk predication charts and the accompanying guideline will improve the effectiveness of cardiovascular risk management even in settings which do not have sophisticated technology.