ASCVD风险评估——评估工具Omnibus_Risk_Estimator

RiskFactorSexAgeRaceTotalCholesterolHDL-CholesterolSystolicBloodPressureTreatmentforHighBloodPressureDiabetesSmokerYour10-YearASCVDRisk(%)10-YearASCVDRisk(%)forSomeoneYourAgewithOptimalRiskFactorLevels(shownaboveincolumnE)YourLifetimeASCVDRisk*(%)LifetimeASCVDRisk(%)forSomeoneatAge50withOptimalRiskFactorLevels(shownaboveincolumnE)*ThisisthelifetimeASCVDriskforanindividualatage50yearswithyourriskfactorlevels.Inrarecases,10-yearrisksmayexceedlifetimerisksgiventhattheestimatescomefromdifferentapproaches.While10-yearriskestimatesarederivedfrommethodsanddatausingcontinuousvariables,thereportedestimateoflifetimeriskisbasedonassigningeachpersonintooneof5mutuallyexclusivesex-specificgroups,asperLloyd-Jonesetal.,Circulation2006;113(6):791-8. Withineachofthe5groups,eachpersonreceivesthesamelifetimeriskestimate. Inotherwords,usingthisapproach,thereareonly5possiblelifetimeriskestimatesreportedformenandonly5possiblelifetimeriskestimatesreportedforwomen. Insomecases,theaverageriskforthegroupwillunderestimatetheindividual’struelifetimerisk.Thisfeatureoflifetimeriskestimationwillresultintheestimatedlifetimeriskbeinglessthantheestimated10-yearrisk. Inthesecases,the10-yearriskshouldbetheprimaryfocusfortheriskdiscussionandriskreductionefforts.Asfurtherdatabecomesavailableandincorporatedandmethodsmature,lifetimeriskestimatesbasedoncontinuousvariableswillbepossible.Abbreviations:AA=AfricanAmerican;ASCVD=Atheroscleroticcardiovasculardisease,definedasCHDdeath,nonfatalmyocardialinfarction,orfatalornonfatalstroke;F=Female;M=Male;N=No;WH=White;Y=Yes.EnterpatientvaluesinthiscolumnUnitsValueM(formales)orF(forfemales)yearsAA(forAfricanAmericans)orWH(forwhitesorothers)mg/dLmg/dLmmHgY(foryes)orN(forno)Y(foryes)orN(forno)Y(foryes)orN(forno)Thiscalculatoronlyprovides10-yearriskestimatesforindividuals40to79yearsofageEnterMorFforGenderEnterWHorAAforraceEnter130-320forTCvalueEnter20-100forHDLvalueEnter90-200forSBPvalueEnterYorNfortreatmentforhypertensionEnterYorNforDiabetesEnterYorNforSmokerEnterMorFforGenderThiscalculatoronlyprovides10-yearriskestimatesforindividuals40to79yearsofageEnterWHorAAforraceThiscalculatoronlyprovideslifetimeriskestimatesforindividuals20to59yearsofageEnterMorFforGenderEnter130-320forTCvalueEnter90-200forSBPvalueEnterYorNfortreatmentforHypertensionEnterYorNforDiabetesEnterYorNforSmokerEnterMorFforgender0.00.10.20.30.40.50.60.70.80.91.0PredictedRisk(%)10-YearandLifetimeASCVDRisksForpatientsandthepublic:*Thisisthelifetimeriskofcardiovasculardiseases,includingstroke,foranindividualatage50yearswithyourriskfactorlevels.Inrarecases,10-yearrisksmayexceedlifetimerisksgiventhattheestimatescomefromdifferentmathematicalapproaches. Ifthisisthecase,the10-yearriskshouldbetheprimaryfocusforyourriskdiscussionwithyourproviderandforyoureffortstoreduceyourrisk.0.0Your10-YearASCVDRisk(%)AcceptablerangeofvaluesOptimalvaluesMorF20-79AAorWH130-32017020-1005090-200110YorNNYorNNYorNN10-YearandLifetimeASCVDRisksYour10-YearASCVDRisk(%)10-YearASCVDRisk(%)forSomeoneYourAgewithOptimalRiskFactorLevels(shownaboveincolumnE)YourLifetimeASCVDRisk*(%)LifetimeASCVDRisk(%)forSomeoneatAge50withOptimalRiskFactorLevels(shownaboveincolumnE)