Prediction of CVD Risk in Veterans

描述（由申请人提供）： 我们建议评估心血管疾病（CVD）风险估计在没有癌症或其他重大疾病的退伍军人中的作用，并比较使用ATP 4与VISN 1和VISN 7开发的VA特定配方的美国国家指南估计的效用。将使用的核心变量包括传统的风险因素，如年龄，性别，种族，血压，吸烟，胆固醇，HDL胆固醇和糖尿病状态。此外，我们建议确定评估糖尿病退伍军人和已经经历过CVD事件的退伍军人CVD风险的最佳方法。我们将评估VA中ATP 4估计方程的精度和准确性，并使用ATP 4变量单独开发CVD风险方程，以评估评估退伍军人CVD风险的最佳方法。这项对退伍军人心血管疾病风险的重要评估旨在提供有效和方便的风险评估工具-将来可以纳入门诊退伍军人的临床护理， 在退伍军人管理局内指导心血管疾病预防治疗的潜力，以便资源可以调整，以适当地干预未来心血管疾病事件高风险退伍军人的心血管预防服务。这一建议与危险行为（吸烟）、妇女健康和以病人为中心的护理的健康风险直接相关。

DESCRIPTION (provided by applicant): We propose to assess the role of cardiovascular disease (CVD) risk estimation in veterans without cancer or other major illnesses and compare the utility of using US national guideline estimates from ATP4 versus VA-specific formulations developed from VISN 1 and VISN 7. The core variables that will be used include traditional risk factors such age, sex, race, blood pressure, smoking, cholesterol, HDL cholesterol and diabetes status. In addition, we propose to identify the best ways to assess CVD risk in veterans with diabetes mellitus and in veterans who have already experienced a CVD event. We will evaluate the precision and accuracy of the ATP4 estimating equations in the VA and separately develop CVD risk equations using ATP4 variables to evaluate the best approach to estimate CVD risk in veterans. This critical evaluation of the risk of CVD in veterans is aimed to provide effective and convenient risk assessment tools - that in the future could be incorporated into clinical care for outpatient veterans and has the potential to guide CVD preventive therapy within the VA so that resources can be aligned to intervene appropriately with cardiovascular preventive services in veterans at high risk for developing a future CVD event. This proposal has direct relevance to the health risks of risky behavior (cigarette smoking), women's health, and patient-centered care.