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首页> 外文期刊>Journal of stroke and cerebrovascular diseases: The official journal of National Stroke Association >Is the Population Detected by Screening in China Truly at High Risk of Stroke?
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Is the Population Detected by Screening in China Truly at High Risk of Stroke?

机译：是否真正筛查了卒中风险筛查的人口？

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摘要

Aim: The Chinese Stroke Screening and Prevention Project (CSSPP) considers patients with 3 or more risk factors to be at high risk of stroke, and does not quantitatively assess the risk for stroke. However, to detect high-risk groups more efficiently, a health risk appraisal (HRA) model should be used to assess individual risk of stroke. Methods: The odds ratios for the 8 risk factors for stroke were pooled and the data were used to develop an HRA model to predict individuals' risks of developing stroke in the next 5 years. The Chinese screening project and HRA screening strategies were then compared. Results: We assessed 4196 Chinese individuals who received checkups in 2015. The average 5-year risk of stroke was 5.81%, with men being at higher risk of stroke than women over that period. The average 5-year risk of stroke also increased with the number of risk factors. 932 individuals (22.2%) were identified as being at high risk of stroke according to CSSPP, whereas 318 individuals with fewer than 3 risk factors were considered being at low risk despite having a 5-year risk of stroke greater than 4.0% by our assessment. Notably, among patients with hypertension and diabetes who were classified as being at low risk of stroke by the CSSPP, the HRA recognized 15.9% and 14.3% as being at high risk of stroke, respectively. Conclusion: All 8 major risk factors affect stroke risk differently, and the efficiency of clustering these risk factors might be improved by considering the relative risk of each factor with an HRA model.
机译：目的：中风筛查和预防项目（CSSPP）考虑患有3个或更多危险因素的患者，以高危卒中风险，并且不会定量评估中风的风险。然而，为了更有效地检测高风险群体，应使用健康风险评估（HRA）模型来评估个体卒中风险。方法：汇总了卒中危险因素的差距，数据用于开发HRA模型，以预测未来5年内的个人对卒中的风险。比较中国筛查项目和HRA筛选策略。结果：我们评估了2015年收到的4196名中国个人。平均卒中风险为5.81％，男性患上卒中风险高于此期间。随着风险因素的数量，平均卒中风险也增加了。根据CSSPP，932个个体（22.2％）被确定为卒中的高风险，而318个危险因素的危险因素的个体被认为是低风险，尽管我们的评估超过4.0％的卒中风险超过4.0％ 。值得注意的是，在患有CSSPP卒中的卒中风险低的高血压和糖尿病患者中，HRA分别承认15.9％和14.3％，分别处于高风险。结论：所有8个主要危险因素都会影响卒中风险，并通过考虑HRA模型的每个因素的相对风险来改善这些风险因素的聚类效率。

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