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Inicio Hipertensión y Riesgo Vascular Concordancia de dos métodos para el cálculo del riesgo cardiovascular: Framing...
Journal Information
Vol. 22. Issue 8.
Pages 306-310 (November 2005)
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Vol. 22. Issue 8.
Pages 306-310 (November 2005)
Concordancia de dos métodos para el cálculo del riesgo cardiovascular: Framingham calibrado por REGICOR y SCORE
Concordance of two methdos for the calculation of cardiovascular risk: Framingham calibrated for REGICOR and SCORE
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R. García Mora
Corresponding author
ueo@wanadoo.es

Correspondencia: C./ Francisco Vázquez Limón, 13, 2.o21002 Huelva. España.
, F.J. Félix Redondo
Centro de Salud Villanueva de la Serena I. Villanueva de la Serena. Badajoz. España
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Introducción y objetivo

Las sociedades científicas proponen un abordaje integral de los factores de riesgo cardiovascular (RCV) para priorizar la prevención. En 2003 surgen dos nuevas propuestas para la valoración del RCV: la calibración de la ecuación de Framingham para España y la ecuación del proyecto SCORE. Analizamos el grado de acuerdo entre ambas mediciones.

Material y método

Estudio descriptivo transversal. Pacientes incluidos en el programa Factores de Riesgo Cardiovascular en Atención Primaria. Se calcularon para el riesgo categorizado la ponderación cuadrática del índice kappa y el coeficiente de correlación intraclase, así como éste y la representación gráfica de Bland y Altman para riesgo absoluto.

Resultados y discusión

Existe una buena concordancia entre ambos métodos teniendo en cuenta los distintos eventos finales medidos. Vemos más útil para la práctica clínica el uso de la ecuación de Framingham debido a la limitación del rango de edad que presenta SCORE.

Palabras clave:
evaluación riesgo
factores riesgo
cardiovascular
España
concordancia
Introduction and objective

The scientific societies propose an integral approach of cardiovascular risk (CVR) factors to make prevention a priority. In 2003, two new proposals arose to assess CVR: calibration of the Framingham equation for Spain and the equation of the SCORE project. We analyze the degree of agreement between both measurements.

Material and method

Cross-sectional descriptive study. Patients included in the program Cardiovascular Risk Factors in Primary Care. Quadratic weight of the kappa index and intraclass correlation coefficient and the latter and the graphic representation of Bland and Altman for absolute risk were calculated for categorized risk.

Results and discussion

There is a good concordance between both methods, considering the different final events measured. We consider the use of the Framingham equation as more useful for the clinical practice due to the limitation of the age range which SCORE has.

Key words:
risk evaluation
risk factors
cardiovascular
Spain
concordance

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