Validation of the World Health Organization/ International Society of Hypertension (WHO/ISH) cardiovascular risk predictions in Sri Lankans based on findings from a prospective cohort study.

<h4>Introduction and objectives</h4>There are no cardiovascular (CV) risk prediction models for Sri Lankans. Different risk prediction models not validated for Sri Lankans are being used to predict CV risk of Sri Lankans. We validated the WHO/ISH (SEAR-B) risk prediction charts prospecti...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	U B Thulani, K C D Mettananda, D T D Warnakulasuriya, T S G Peiris, K T A A Kasturiratne, U K Ranawaka, S Chakrewarthy, A S Dassanayake, S A F Kurukulasooriya, M A Niriella, S T de Silva, A P Pathmeswaran, N Kato, H J de Silva, A R Wickremasinghe
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/5d72fe3f249e44669c1447e2f9d30406
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:5d72fe3f249e44669c1447e2f9d30406
record_format	dspace
spelling	oai:doaj.org-article:5d72fe3f249e44669c1447e2f9d304062021-12-02T20:03:54ZValidation of the World Health Organization/ International Society of Hypertension (WHO/ISH) cardiovascular risk predictions in Sri Lankans based on findings from a prospective cohort study.1932-620310.1371/journal.pone.0252267https://doaj.org/article/5d72fe3f249e44669c1447e2f9d304062021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0252267https://doaj.org/toc/1932-6203<h4>Introduction and objectives</h4>There are no cardiovascular (CV) risk prediction models for Sri Lankans. Different risk prediction models not validated for Sri Lankans are being used to predict CV risk of Sri Lankans. We validated the WHO/ISH (SEAR-B) risk prediction charts prospectively in a population-based cohort of Sri Lankans.<h4>Method</h4>We selected 40-64 year-old participants from the Ragama Medical Officer of Health (MOH) area in 2007 by stratified random sampling and followed them up for 10 years. Ten-year risk predictions of a fatal/non-fatal cardiovascular event (CVE) in 2007 were calculated using WHO/ISH (SEAR-B) charts with and without cholesterol. The CVEs that occurred from 2007-2017 were ascertained. Risk predictions in 2007 were validated against observed CVEs in 2017.<h4>Results</h4>Of 2517 participants, the mean age was 53.7 year (SD: 6.7) and 1132 (45%) were males. Using WHO/ISH chart with cholesterol, the percentages of subjects with a 10-year CV risk <10%, 10-19%, 20%-29%, 30-39%, ≥40% were 80.7%, 9.9%, 3.8%, 2.5% and 3.1%, respectively. 142 non-fatal and 73 fatal CVEs were observed during follow-up. Among the cohort, 9.4% were predicted of having a CV risk ≥20% and 8.6% CVEs were observed in the risk category. CVEs were within the predictions of WHO/ISH charts with and without cholesterol in both high (≥20%) and low(<20%) risk males, but only in low(<20%) risk females. The predictions of WHO/ISH charts, with-and without-cholesterol were in agreement in 81% of subjects (ĸ = 0.429; p<0.001).<h4>Conclusions</h4>WHO/ISH (SEAR B) risk prediction charts with-and without-cholesterol may be used in Sri Lanka. Risk charts are more predictive in males than in females and for lower-risk categories. The predictions when stratifying into 2 categories, low risk (<20%) and high risk (≥20%), are more appropriate in clinical practice.U B ThulaniK C D MettanandaD T D WarnakulasuriyaT S G PeirisK T A A KasturiratneU K RanawakaS ChakrewarthyA S DassanayakeS A F KurukulasooriyaM A NiriellaS T de SilvaA P PathmeswaranN KatoH J de SilvaA R WickremasinghePublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 6, p e0252267 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q U B Thulani K C D Mettananda D T D Warnakulasuriya T S G Peiris K T A A Kasturiratne U K Ranawaka S Chakrewarthy A S Dassanayake S A F Kurukulasooriya M A Niriella S T de Silva A P Pathmeswaran N Kato H J de Silva A R Wickremasinghe Validation of the World Health Organization/ International Society of Hypertension (WHO/ISH) cardiovascular risk predictions in Sri Lankans based on findings from a prospective cohort study.
description	<h4>Introduction and objectives</h4>There are no cardiovascular (CV) risk prediction models for Sri Lankans. Different risk prediction models not validated for Sri Lankans are being used to predict CV risk of Sri Lankans. We validated the WHO/ISH (SEAR-B) risk prediction charts prospectively in a population-based cohort of Sri Lankans.<h4>Method</h4>We selected 40-64 year-old participants from the Ragama Medical Officer of Health (MOH) area in 2007 by stratified random sampling and followed them up for 10 years. Ten-year risk predictions of a fatal/non-fatal cardiovascular event (CVE) in 2007 were calculated using WHO/ISH (SEAR-B) charts with and without cholesterol. The CVEs that occurred from 2007-2017 were ascertained. Risk predictions in 2007 were validated against observed CVEs in 2017.<h4>Results</h4>Of 2517 participants, the mean age was 53.7 year (SD: 6.7) and 1132 (45%) were males. Using WHO/ISH chart with cholesterol, the percentages of subjects with a 10-year CV risk <10%, 10-19%, 20%-29%, 30-39%, ≥40% were 80.7%, 9.9%, 3.8%, 2.5% and 3.1%, respectively. 142 non-fatal and 73 fatal CVEs were observed during follow-up. Among the cohort, 9.4% were predicted of having a CV risk ≥20% and 8.6% CVEs were observed in the risk category. CVEs were within the predictions of WHO/ISH charts with and without cholesterol in both high (≥20%) and low(<20%) risk males, but only in low(<20%) risk females. The predictions of WHO/ISH charts, with-and without-cholesterol were in agreement in 81% of subjects (ĸ = 0.429; p<0.001).<h4>Conclusions</h4>WHO/ISH (SEAR B) risk prediction charts with-and without-cholesterol may be used in Sri Lanka. Risk charts are more predictive in males than in females and for lower-risk categories. The predictions when stratifying into 2 categories, low risk (<20%) and high risk (≥20%), are more appropriate in clinical practice.
format	article
author	U B Thulani K C D Mettananda D T D Warnakulasuriya T S G Peiris K T A A Kasturiratne U K Ranawaka S Chakrewarthy A S Dassanayake S A F Kurukulasooriya M A Niriella S T de Silva A P Pathmeswaran N Kato H J de Silva A R Wickremasinghe
author_facet	U B Thulani K C D Mettananda D T D Warnakulasuriya T S G Peiris K T A A Kasturiratne U K Ranawaka S Chakrewarthy A S Dassanayake S A F Kurukulasooriya M A Niriella S T de Silva A P Pathmeswaran N Kato H J de Silva A R Wickremasinghe
author_sort	U B Thulani
title	Validation of the World Health Organization/ International Society of Hypertension (WHO/ISH) cardiovascular risk predictions in Sri Lankans based on findings from a prospective cohort study.
title_short	Validation of the World Health Organization/ International Society of Hypertension (WHO/ISH) cardiovascular risk predictions in Sri Lankans based on findings from a prospective cohort study.
title_full	Validation of the World Health Organization/ International Society of Hypertension (WHO/ISH) cardiovascular risk predictions in Sri Lankans based on findings from a prospective cohort study.
title_fullStr	Validation of the World Health Organization/ International Society of Hypertension (WHO/ISH) cardiovascular risk predictions in Sri Lankans based on findings from a prospective cohort study.
title_full_unstemmed	Validation of the World Health Organization/ International Society of Hypertension (WHO/ISH) cardiovascular risk predictions in Sri Lankans based on findings from a prospective cohort study.
title_sort	validation of the world health organization/ international society of hypertension (who/ish) cardiovascular risk predictions in sri lankans based on findings from a prospective cohort study.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/5d72fe3f249e44669c1447e2f9d30406
work_keys_str_mv	AT ubthulani validationoftheworldhealthorganizationinternationalsocietyofhypertensionwhoishcardiovascularriskpredictionsinsrilankansbasedonfindingsfromaprospectivecohortstudy AT kcdmettananda validationoftheworldhealthorganizationinternationalsocietyofhypertensionwhoishcardiovascularriskpredictionsinsrilankansbasedonfindingsfromaprospectivecohortstudy AT dtdwarnakulasuriya validationoftheworldhealthorganizationinternationalsocietyofhypertensionwhoishcardiovascularriskpredictionsinsrilankansbasedonfindingsfromaprospectivecohortstudy AT tsgpeiris validationoftheworldhealthorganizationinternationalsocietyofhypertensionwhoishcardiovascularriskpredictionsinsrilankansbasedonfindingsfromaprospectivecohortstudy AT ktaakasturiratne validationoftheworldhealthorganizationinternationalsocietyofhypertensionwhoishcardiovascularriskpredictionsinsrilankansbasedonfindingsfromaprospectivecohortstudy AT ukranawaka validationoftheworldhealthorganizationinternationalsocietyofhypertensionwhoishcardiovascularriskpredictionsinsrilankansbasedonfindingsfromaprospectivecohortstudy AT schakrewarthy validationoftheworldhealthorganizationinternationalsocietyofhypertensionwhoishcardiovascularriskpredictionsinsrilankansbasedonfindingsfromaprospectivecohortstudy AT asdassanayake validationoftheworldhealthorganizationinternationalsocietyofhypertensionwhoishcardiovascularriskpredictionsinsrilankansbasedonfindingsfromaprospectivecohortstudy AT safkurukulasooriya validationoftheworldhealthorganizationinternationalsocietyofhypertensionwhoishcardiovascularriskpredictionsinsrilankansbasedonfindingsfromaprospectivecohortstudy AT maniriella validationoftheworldhealthorganizationinternationalsocietyofhypertensionwhoishcardiovascularriskpredictionsinsrilankansbasedonfindingsfromaprospectivecohortstudy AT stdesilva validationoftheworldhealthorganizationinternationalsocietyofhypertensionwhoishcardiovascularriskpredictionsinsrilankansbasedonfindingsfromaprospectivecohortstudy AT appathmeswaran validationoftheworldhealthorganizationinternationalsocietyofhypertensionwhoishcardiovascularriskpredictionsinsrilankansbasedonfindingsfromaprospectivecohortstudy AT nkato validationoftheworldhealthorganizationinternationalsocietyofhypertensionwhoishcardiovascularriskpredictionsinsrilankansbasedonfindingsfromaprospectivecohortstudy AT hjdesilva validationoftheworldhealthorganizationinternationalsocietyofhypertensionwhoishcardiovascularriskpredictionsinsrilankansbasedonfindingsfromaprospectivecohortstudy AT arwickremasinghe validationoftheworldhealthorganizationinternationalsocietyofhypertensionwhoishcardiovascularriskpredictionsinsrilankansbasedonfindingsfromaprospectivecohortstudy
_version_	1718375603848085504

Validation of the World Health Organization/ International Society of Hypertension (WHO/ISH) cardiovascular risk predictions in Sri Lankans based on findings from a prospective cohort study.

Ejemplares similares