首页> 外文期刊>European journal of preventive cardiology >Risk prediction tools in cardiovascular disease prevention: A report from the ESC Prevention of CVD Programme led by the European Association of Preventive Cardiology (EAPC) in collaboration with the Acute Cardiovascular Care Association (ACCA) and the Association of Cardiovascular Nursing and Allied Professions (ACNAP)
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Risk prediction tools in cardiovascular disease prevention: A report from the ESC Prevention of CVD Programme led by the European Association of Preventive Cardiology (EAPC) in collaboration with the Acute Cardiovascular Care Association (ACCA) and the Association of Cardiovascular Nursing and Allied Professions (ACNAP)

机译:心血管疾病预防风险预测工具:欧洲预防心脏病学(EAPC)与急性心血管护理协会(ACCA)合作的CVD计划的报告与急性心血管护理协会和心血管护理和盟友协会(ACNAP 的)

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摘要

Risk assessment have become essential in the prevention of cardiovascular disease. Even though risk prediction tools are recommended in the European guidelines, they are not adequately implemented in clinical practice. Risk prediction tools are meant to estimate prognosis in an unbiased and reliable way and to provide objective information on outcome probabilities. They support informed treatment decisions about the initiation or adjustment of preventive medication. Risk prediction tools facilitate risk communication to the patient and their family, and this may increase commitment and motivation to improve their health. Over the years many risk algorithms have been developed to predict 10-year cardiovascular mortality or lifetime risk in different populations, such as in healthy individuals, patients with established cardiovascular disease and patients with diabetes mellitus. Each risk algorithm has its own limitations, so different algorithms should be used in different patient populations. Risk algorithms are made available for use in clinical practice by means of - usually interactive and online available - tools. To help the clinician to choose the right tool for the right patient, a summary of available tools is provided. When choosing a tool, physicians should consider medical history, geographical region, clinical guidelines and additional risk measures among other things. Currently, the U-prevent.com website is the only risk prediction tool providing prediction algorithms for all patient categories, and its implementation in clinical practice is suggested/advised by the European Association of Preventive Cardiology.
机译:风险评估在预防心血管疾病方面是至关重要的。尽管建议在欧洲准则中建议风险预测工具,但在临床实践中没有充分实施。风险预测工具旨在以无偏见和可靠的方式估计预后,并提供有关结果概率的客观信息。他们支持有关预防药物启动或调整的知情治疗决策。风险预测工具促进对患者及其家庭的风险沟通,这可能会增加提高健康的承诺和动力。多年来,已经开发出许多风险算法以预测10年的血管死亡率或不同群体的终身风险,例如健康的个体,患有成熟的心血管疾病和糖尿病患者的患者。每个风险算法都有自己的局限性,因此应在不同的患者群体中使用不同的算法。风险算法可用于临床实践,通常是 - 通常是互动和在线可用 - 工具。为帮助临床医生选择合适患者的合适工具,提供了可用工具的摘要。选择工具时,医生应考虑医学史,地理区域,临床指南以及其他事情的额外风险措施。目前,U-Prevent.com网站是为所有患者类别提供预测算法的唯一风险预测工具,并通过欧洲预防心脏病学协会建议/建议其在临床实践中的实施。

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