Autor según el artículo: Clua-Espuny JL; Muria-Subirats E; Ballesta-Ors J; Lorman-Carbo B; Clua-Queralt J; Palà E; Lechuga-Duran I; Gentille-Lorente D; Bustamante A; Muñoz MÁ; Montaner J
Departamento: Medicina i Cirurgia
Autor/es de la URV: Ballesta Ors, Juan / Lorman Carbó, Blanca / Muria Subirats, Eulàlia
Palabras clave: Vascular risk score Time factors Stroke Spain Silent stroke Sex factors Risk factors Risk assessment Retrospective studies Prognosis Prevention Prevalence Male Incidence Humans Female Cognitive dysfunction Cognitive decline Cognition Cerebrovascular disease Brain ischemia Atrial fibrillation Atrial arrhythmia Aged, 80 and over Aged survival silent stroke cognitive decline cerebrovascular disease atrial arrhythmia
Resumen: © 2020 Clua-Espuny et al. Purpose: To evaluate a model for calculating the risk of AF and its relationship with the incidence of ischemic stroke and prevalence of cognitive decline. Materials and Methods: It was a multicenter, observational, retrospective, community-based study of a cohort of general population ≥6ct 35 years, between 01/01/2016 and 31/12/2018. Setting: Primary Care. Participants: 46,706 people ≥65 years with an active medical history in any of the primary care teams of the territory, information accessible through shared history and without previous known AF. Interventions: The model to stratify the risk of AF (PI) has been previously published and included the variables sex, age, mean heart rate, mean weight and CHA2DS2VASc score. Main measurements: For each risk group, the incidence density/1000 person/years of AF and stroke, number of cases required to detect a new AF, the prevalence of cognitive decline, Kendall correlation, and ROC curve were calculated. Results: The prognostic index was obtained in 37,731 cases (80.8%) from lowest (Q1) to highest risk (Q4). A total of 1244 new AFs and 234 stroke episodes were diagnosed. Q3-4 included 53.8% of all AF and 69.5% of strokes in men; 84.2% of all AF and 85.4% of strokes in women; and 77.4% of cases of cognitive impairment. There was a significant linear correlation between the risk-AF score and the Rankin score (p < 0.001), the Pfeiffer score (p < 0.001), but not NIHSS score (p 0.150). The overall NNS was 1/19. Conclusion: Risk stratification allows identifying high-risk individuals in whom to inter-vene on modifiable risk factors, prioritizing the diagnosis of AF and investigating cognitive status.
Áreas temáticas: Zootecnia / recursos pesqueiros Saúde coletiva Public health, environmental and occupational health Pharmacology (medical) Peripheral vascular disease Odontología Nutrição Medicine (miscellaneous) Medicina iii Medicina ii Medicina i Matemática / probabilidade e estatística Interdisciplinar Hematology Endocrinology, diabetes and metabolism Educação física Ciências biológicas ii Ciências ambientais Cardiology and cardiovascular medicine Biotecnología
Acceso a la licencia de uso: https://creativecommons.org/licenses/by/3.0/es/
Identificador del autor: 0000-0002-0971-0936
Direcció de correo del autor: blanca.lorman@estudiants.urv.cat
Fecha de alta del registro: 2024-06-28
Versión del articulo depositado: info:eu-repo/semantics/publishedVersion
Enlace a la fuente original: https://www.dovepress.com/risk-of-atrial-fibrillation-ischemic-stroke-and-cognitive-impairment-s-peer-reviewed-fulltext-article-VHRM
Referencia al articulo segun fuente origial: Vascular Health And Risk Management. 16 445-454
Referencia de l'ítem segons les normes APA: Clua-Espuny JL; Muria-Subirats E; Ballesta-Ors J; Lorman-Carbo B; Clua-Queralt J; Palà E; Lechuga-Duran I; Gentille-Lorente D; Bustamante A; Muñoz MÁ; (2020). Risk of atrial fibrillation, ischemic stroke and cognitive impairment: Study of a population cohort ≥65 years of age. Vascular Health And Risk Management, 16(), 445-454. DOI: 10.2147/VHRM.S276477
URL Documento de licencia: https://repositori.urv.cat/ca/proteccio-de-dades/
DOI del artículo: 10.2147/VHRM.S276477
Entidad: Universitat Rovira i Virgili
Año de publicación de la revista: 2020
Tipo de publicación: Journal Publications