Assessment of the Validity of the Psycho-Cardiological Comorbidity Index in the Practice of a Cardiologist

Background. The feasibility of creating a screening Index for the comorbidity of mental disorders and cardiovascular diseases in the practice of the cardiologist dictates the need to validate existing algorithms.Aim. To validate the previously proposed Index of psychocardiac comorbidity in predictio...

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Autores principales:	M. V. Dorofeikova, S. F. Zadvorev, N. N. Petrova, A. A. Yakovlev
Formato:	article
Lenguaje:	RU
Publicado:	Scientific Сentre for Family Health and Human Reproduction Problems 2019
Materias:	psychosomatic cardiology screening prognostic index validation Science Q
Acceso en línea:	https://doaj.org/article/c8338251a4384b32a45f00d4e4a01743
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spelling	oai:doaj.org-article:c8338251a4384b32a45f00d4e4a017432021-11-23T06:14:42ZAssessment of the Validity of the Psycho-Cardiological Comorbidity Index in the Practice of a Cardiologist2541-94202587-959610.29413/ABS.2019-4.2.7https://doaj.org/article/c8338251a4384b32a45f00d4e4a017432019-05-01T00:00:00Zhttps://www.actabiomedica.ru/jour/article/view/2045https://doaj.org/toc/2541-9420https://doaj.org/toc/2587-9596Background. The feasibility of creating a screening Index for the comorbidity of mental disorders and cardiovascular diseases in the practice of the cardiologist dictates the need to validate existing algorithms.Aim. To validate the previously proposed Index of psychocardiac comorbidity in prediction of outpatient recommendation of psycho-pharmacotherapy for cardiology patients.Materials and methods. Medical records of 302 consecutive patients of cardiac in-patient department were retrospectively analyzed with ROC-curve to estimate the predictive value of previously proposed Index of psychocardiac comorbidity for out-patient recommendation of psycho-pharmacotherapy.Results. The prevalence of outpatient psycho-pharmacotherapy in the examined patients was 15.2 %; this group of patients was more polymorbid and was characterized by a higher proportion of women and a higher prevalence of a labile course of arterial hypertension. The sedative antipsychotics, non-benzodiazepine tranquilizers and mood stabilizers were predominant pharmacological groups. An analysis of reproducibility of Index of psychocardiac comorbidity was provided on a cohort of cardiology in-patient department (n = 302). Index calculated by using the formula I = C + 3(6)×Q + 3×W + 8×A (C – number of Comorbid diagnoses, Q – Quake in the chest, palpitations or arrhythmia, onset before 55 (3 points) or 50 (6 points) years; W – Women; A – labile Arterial hypertension). Area under ROC-curve in validation cohort was 0.828 ± 0.035 (p < 0.001). Positive predictive value of Index was maximal for the score of ≥ 13.Conclusion. The proposed Index of psychocardiac comorbidity is a valid tool to predict the prescription of psychopharmacotherapy in cardiology patients.M. V. DorofeikovaS. F. ZadvorevN. N. PetrovaA. A. YakovlevScientific Сentre for Family Health and Human Reproduction Problemsarticlepsychosomatic cardiologyscreeningprognostic indexvalidationScienceQRUActa Biomedica Scientifica, Vol 4, Iss 2, Pp 51-54 (2019)
institution	DOAJ
collection	DOAJ
language	RU
topic	psychosomatic cardiology screening prognostic index validation Science Q
spellingShingle	psychosomatic cardiology screening prognostic index validation Science Q M. V. Dorofeikova S. F. Zadvorev N. N. Petrova A. A. Yakovlev Assessment of the Validity of the Psycho-Cardiological Comorbidity Index in the Practice of a Cardiologist
description	Background. The feasibility of creating a screening Index for the comorbidity of mental disorders and cardiovascular diseases in the practice of the cardiologist dictates the need to validate existing algorithms.Aim. To validate the previously proposed Index of psychocardiac comorbidity in prediction of outpatient recommendation of psycho-pharmacotherapy for cardiology patients.Materials and methods. Medical records of 302 consecutive patients of cardiac in-patient department were retrospectively analyzed with ROC-curve to estimate the predictive value of previously proposed Index of psychocardiac comorbidity for out-patient recommendation of psycho-pharmacotherapy.Results. The prevalence of outpatient psycho-pharmacotherapy in the examined patients was 15.2 %; this group of patients was more polymorbid and was characterized by a higher proportion of women and a higher prevalence of a labile course of arterial hypertension. The sedative antipsychotics, non-benzodiazepine tranquilizers and mood stabilizers were predominant pharmacological groups. An analysis of reproducibility of Index of psychocardiac comorbidity was provided on a cohort of cardiology in-patient department (n = 302). Index calculated by using the formula I = C + 3(6)×Q + 3×W + 8×A (C – number of Comorbid diagnoses, Q – Quake in the chest, palpitations or arrhythmia, onset before 55 (3 points) or 50 (6 points) years; W – Women; A – labile Arterial hypertension). Area under ROC-curve in validation cohort was 0.828 ± 0.035 (p < 0.001). Positive predictive value of Index was maximal for the score of ≥ 13.Conclusion. The proposed Index of psychocardiac comorbidity is a valid tool to predict the prescription of psychopharmacotherapy in cardiology patients.
format	article
author	M. V. Dorofeikova S. F. Zadvorev N. N. Petrova A. A. Yakovlev
author_facet	M. V. Dorofeikova S. F. Zadvorev N. N. Petrova A. A. Yakovlev
author_sort	M. V. Dorofeikova
title	Assessment of the Validity of the Psycho-Cardiological Comorbidity Index in the Practice of a Cardiologist
title_short	Assessment of the Validity of the Psycho-Cardiological Comorbidity Index in the Practice of a Cardiologist
title_full	Assessment of the Validity of the Psycho-Cardiological Comorbidity Index in the Practice of a Cardiologist
title_fullStr	Assessment of the Validity of the Psycho-Cardiological Comorbidity Index in the Practice of a Cardiologist
title_full_unstemmed	Assessment of the Validity of the Psycho-Cardiological Comorbidity Index in the Practice of a Cardiologist
title_sort	assessment of the validity of the psycho-cardiological comorbidity index in the practice of a cardiologist
publisher	Scientific Сentre for Family Health and Human Reproduction Problems
publishDate	2019
url	https://doaj.org/article/c8338251a4384b32a45f00d4e4a01743
work_keys_str_mv	AT mvdorofeikova assessmentofthevalidityofthepsychocardiologicalcomorbidityindexinthepracticeofacardiologist AT sfzadvorev assessmentofthevalidityofthepsychocardiologicalcomorbidityindexinthepracticeofacardiologist AT nnpetrova assessmentofthevalidityofthepsychocardiologicalcomorbidityindexinthepracticeofacardiologist AT aayakovlev assessmentofthevalidityofthepsychocardiologicalcomorbidityindexinthepracticeofacardiologist
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Assessment of the Validity of the Psycho-Cardiological Comorbidity Index in the Practice of a Cardiologist

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