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http://hdl.handle.net/2445/178232
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DC Field | Value | Language |
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dc.contributor.author | Barroso, María | - |
dc.contributor.author | Pérez Fernández, Silvia | - |
dc.contributor.author | Vila, Maria del Mar | - |
dc.contributor.author | Zomeño Fajardo, María Dolores | - |
dc.contributor.author | Martí Lluch, Ruth | - |
dc.contributor.author | Cordón Granados, Ferran | - |
dc.contributor.author | Ramos, Rafel | - |
dc.contributor.author | Elosua, Roberto | - |
dc.contributor.author | Degano, Irene R. | - |
dc.contributor.author | Fitó Colomer, Montserrat | - |
dc.contributor.author | Cabezas, Carmen | - |
dc.contributor.author | Salvador i Castell, Gemma | - |
dc.contributor.author | Castell, Conxa | - |
dc.contributor.author | Grau, Maria | - |
dc.date.accessioned | 2021-06-10T15:33:45Z | - |
dc.date.available | 2021-06-10T15:33:45Z | - |
dc.date.issued | 2018-05-10 | - |
dc.identifier.issn | 1179-1349 | - |
dc.identifier.uri | http://hdl.handle.net/2445/178232 | - |
dc.description.abstract | Background: The validity of a cardiovascular risk self-screening method was assessed. The results obtained for self-measurement of blood pressure, a point-of-care system's assessment of lipid profile and glycated hemoglobin, and a self-administered questionnaire (sex, age, diabetes, tobacco consumption) were compared with the standard screening (gold standard) conducted by a health professional. Methods: Crossover clinical trial on a population-based sample from Girona (north-eastern Spain), aged 35-74, with no cardiovascular disease at recruitment. Participants were randomized to one of the two risk assessment sequences (standard screening followed by self-screening or vice versa). Cardiovascular risk was estimated with the Framingham-REGICOR function. Concordance between methods was estimated with the intraclass correlation coefficient (ICC). Sensitivity, specificity, and positive and negative predictive values were estimated, considering 5% cardiovascular risk as the cutoff point. ClinicalTrials.gov Registration #NCT02373319. Clinical Research Ethic Committee of the Parc de Salut Mar Registration #2014/5815/I. Results: The median cardiovascular risk in men was 2.56 (interquartile range: 1.42-4.35) estimated by standard methods and 2.25 (1.28-4.07) by self-screening with ICC=0.92 (95% CI: 0.90-0.93). In women, the cardiovascular risk was 1.14 (0.61-2.10) by standard methods and 1.10 (0.56-2.00) by self-screening, with ICC=0.89 (0.87-0.90). The sensitivity, specificity, and positive and negative predictive values for the self-screening method were 0.74 (0.63-0.82), 0.97 (0.95-0.99), 0.86 (0.77-0.93), and 0.94 (0.91-0.96), respectively, in men. In women, these values were 0.50 (0.30-0.70), 0.99 (0.98-1), 0.81 (0.54-0.96), and 0.97 (0.95-0.99), respectively. Conclusion: The self-screening method for assessing cardiovascular risk provided similar results to the standard method. Self-screening had high clinical performance to rule out intermediate or high cardiovascular risk. | - |
dc.format.extent | 28 p. | - |
dc.format.mimetype | application/pdf | - |
dc.language.iso | eng | - |
dc.relation.isformatof | https://doi.org/10.2147/CLEP.S158358 | - |
dc.relation.ispartof | Clinical Epidemiology, 2018, vol. 10, p. 549-560 | - |
dc.relation.uri | https://doi.org/10.2147/CLEP.S158358 | - |
dc.rights | , 2018 | - |
dc.source | Articles publicats en revistes (Medicina) | - |
dc.subject.classification | Malalties cardiovasculars | - |
dc.subject.classification | Epidemiologia | - |
dc.subject.other | Cardiovascular diseases | - |
dc.subject.other | Epidemiology | - |
dc.title | Validity of a method for the self-screening of cardiovascular risk | - |
dc.type | info:eu-repo/semantics/article | - |
dc.identifier.idgrec | 696065 | - |
dc.date.updated | 2021-06-10T15:33:45Z | - |
dc.rights.accessRights | info:eu-repo/semantics/openAccess | - |
dc.identifier.pmid | 29785141 | - |
Appears in Collections: | Articles publicats en revistes (Medicina) |
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File | Description | Size | Format | |
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696065.pdf | 400.42 kB | Adobe PDF | View/Open |
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