Prediction of CVD Risk in Veterans

我们建议评估退伍军人心血管疾病(CVD)风险评估的作用 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 根据VISN 1和VISN 7开发的ATP4与VA特定配方的估计值。 将使用的核心变量包括传统风险因素，如年龄、性别、种族、血液 压力、吸烟、胆固醇、高密度脂蛋白和糖尿病状况。此外，我们建议 确定评估患有糖尿病的退伍军人和退伍军人心血管疾病风险的最佳方法 已经经历了一次CVD事件。我们将评估数据的精确度和准确性 ATP4在VA中的估计方程和分别用ATP4建立的CVD风险方程 评估评估退伍军人心血管疾病风险的最佳方法的变量。这一点至关重要 退伍军人心血管疾病风险评估的目的是提供有效和方便的风险评估。 评估工具--未来可纳入门诊临床护理 退伍军人，并有潜力指导退伍军人事务部内的心血管疾病预防治疗，以便 可以与退伍军人的心血管预防服务相结合进行适当的干预 未来发生心血管事件的高风险。这项建议与健康有直接关系。 危险行为的风险(吸烟)、妇女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.