• 作者：Vicente F. Gil-Guillé ; n^a ; ^{atencion.primaria@umh.es} ; Domingo Orozco-Beltrá ; n^a ; Salvador Pita-Ferná ; ndez^b ; Concepci&#243 ; n Carratalá ; -Munuera^a ; Josep Red&#243 ; n^c ; Jorge Navarro^c ; Vicente Pallaré ; s^d ; Salvador Pertusa^a
• 关键词：Riesgo cardiovascular ; Atenció ; n primaria ; SCORE
• 刊名：Revista Espa帽ola de Cardiolog铆a
• 出版年：2011
• 期刊代码：pca308_03008932
• 类别：med
• 出版时间：May 2011
• 卷：64
• 期：5
• 页码：421-423
• 文件大小：754 K

The SCORE table indiscriminately recommends the use of total cholesterol (SCORE-TC) or atherogenic index (SCORE-AI) for calculating cardiovascular (CV) risk. We evaluated reliability and agreement between both methods and the clinical implications for the identification of high CV risk. Observational study (n = 8942) in a 40- to 65-year-old population. Spearman's Rho correlation was 0.987 (P < .001), the agreement intraclass correlation coefficient was 0.671 (IC 95%0.413鈥?.796; with Bland鈥揂ltman's method, the average of the differences between models was 0.74. Kappa index was poor, 0.297 (P < .001) and positive specific agreement was 0.31. Discrepancies fitted individuals with high CV risk with SCORE-TC and not-high with SCORE-AI (4.7%) and 5.8%(n = 518) of individuals were classified as high-risk according to SCORE-TC versus 1.1%(n = 95) according to SCORE-AI. Poor agreement was found between SCORE-TC and SCORE-IA for identification of high cardiovascular risk individuals.

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