Prediction of CVD Risk in Veterans

我们建议评估退伍军人心血管疾病（CVD）风险估计的作用 没有癌症或其他重大疾病，并比较使用美国国家指南的效用 ATP 4的估计值与VISN 1和VISN 7开发的VA特异性制剂的估计值。的 将使用的核心变量包括传统的风险因素，如年龄，性别，种族，血液 血压、吸烟、胆固醇、高密度脂蛋白胆固醇和糖尿病状况。此外，我们建议 确定评估患有糖尿病的退伍军人和患有糖尿病的退伍军人的CVD风险的最佳方法。 已经经历过CVD事件。我们将评估的精密度和准确度， VA中的ATP 4估计方程，并使用ATP 4单独开发CVD风险方程 变量来评估退伍军人CVD风险评估的最佳方法。这一关键 评估退伍军人心血管疾病的风险，目的是提供有效和方便的风险， 评估工具-在未来可以纳入门诊病人的临床护理 退伍军人，并有可能指导心血管疾病预防治疗的VA，使资源 可以与退伍军人的心血管预防服务进行适当的干预， 未来发生CVD事件的风险较高。这项建议与健康有直接关系。 危险行为的风险（吸烟），女性健康和以病人为中心的护理。

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.