基于心脑血管疾病风险评估问卷的心脑血管疾病风险评估初探

Preliminary exploration of cardiovascular and cerebrovascular disease risk assessment based on"Cardiovascular Disease Risk Assessment Questionnaire"

目的基于心脑血管疾病风险评估问卷评估心脑血管疾病风险。方法对2018年1月至2020年6月期间以中国人民解放军总医院、山东省高密地区、河南省新密地区、贵州省锦屏地区多中心纳入的患者及家属进行“8+2问卷”调查,评估其心脑血管疾病相关风险。结果对总计78651名纳入者进行调查分析,其中本研究队列中,心脑血管疾病低危人群52236人(66.4%)、中危人群15385人(19.6%)、高危人群11029人(14.0%);男女性别间心脑血管疾病风险分级差异有统计学意义(P<0.001);各年龄组心脑血管疾病风险不同级别人数由低危至高危逐渐减少;对中年组(45~59岁)、中老年组(60~74岁)、老年组(75~89岁)共计76022名纳入者进行分析,不同年龄组的心脑血管疾病风险分级间两两相互比较,P值均<0.001。结论随着心脑血管疾病风险分级增高,人数相对减少,心脑血管疾病风险与性别有关,年龄越大患心脑血管疾病的风险更高。

Objective To analysis the cardiovascular and cerebrovascular diseases by"Cardiovascular Disease Risk Assessment Questionnaire".Methods The"Cardiovascular Disease Risk Assessment Questionnaire"survey was conducted among outpatients and inpatients enrolled in the multi-center of Gaomi region of Shandong Province,Xinmi region of Henan Province,and Haidian district of Beijing Province from January 2018 to June 2020 to assess their cardiovascular and cerebrovascular diseases risks.Results A total of 78651 enrollees were analyzed.In this study cohort,52236 participants(66.4%)were in the low-risk group of cardiovascular and cerebrovascular diseases,15385 participants(19.6%)were in the intermediate-risk group,and 11029 participants(14.0%)were in the high-risk group.The risk classification of cardiovascular and cerebrovascular diseases between male and female groups was compared,P<0.001 between two groups,and the results showed statistical differences.A total of 76022 participants between 45-89 years old were analyzed.They were divided into three groups:the middle-aged group(45-59 years old),middle-aged group(60-74 years old),and elderly group(75-89 years old).The number of people with different risk grades of cardiovascular and cerebrovascular diseases in each age group gradually decreased from low-risk to high-risk.Comparing the three groups in pairs,the P values are all<0.001.Conclusions As the risk of cardiovascular and cerebrovascular diseases increases,and the number of items is relatively reduced;risk of cardiovascular and cerebrovascular diseases is different between man and women;the risk of cardiovascular and cerebrovascular diseases increases with age.