Сравнительный анализ оценки риска фатальных и нефатальных сердечно-сосудистых событий с использованием SCORE/SCORE2 у пациентов на амбулаторном этапе

Abstract

The purpose of the study: analysis of the risk assessment of cardiovascular events using the SCORE/SCORE2 scales in patients at the outpatient stage. Design: comparative study. Materials and methods. A retrospective analysis of 140 electronic medical records of outpatients was conducted. The criteria for inclusion in the study were: the age of respondents over 40 years old, the absence of concomitant cardiovascular diseases, type 2 diabetes. The following indicators were analyzed in patients: the level of total cholesterol, blood pressure, on the basis of which the risk of cardiovascular events was calculated using the SCORE and SCORE2 scales, for older people — SCORE2-OP. A comparative assessment of the results was carried out. Results. Statistically significant differences were identified between the values obtained when assessing cardiovascular events using SCORE (Me men = 9.5 points, Me women = 3 points, p < 0.001) and SCORE2 (Me men = 22 points, Me women = 18 points, p = 0.049) in the age group from 50 to 70 years. It was found that most patients have a moderate risk of developing cardiovascular complications according to the SCORE scale, and in accordance with the updated SCORE2 algorithm - a very high risk. Conclusion. A comparison of the 10-year risk of cardiovascular complications calculated using SCORE and the new SCORE2 algorithm revealed significant differences between them. Patients are at very high risk of complications (according to the SCORE2 questionnaire), which absolutely increases the risk of complications. Significantly higher values for SCORE2, SCORE2-OP can be associated with indicators such as blood pressure levels and lipid profile indicators. Keywords: screening, cardiovascular pathology, SCORE, SCORE2, outpatient stage