Common carotid intima-media thickness in cardiovascular risk stratification of older people: the Rotterdam Study
Why the study?
Does the addition of common carotid intima-media thickness to traditional risk factors improve cardiovascular risk classification in older people?
Population
3,580 non-diabetic people aged 55-75 years and free of cardiovascular disease at baseline
Comparison
Common carotid intima-media thickness… vs Framingham risk factors alone
Design
Cohort
Follow-up
median 12.2 years
Authors
Discussion
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Member takes
Overview
Should not yet change risk stratification in older adults; leaves open incremental value of cIMT in women.
Structured PICO
Does the addition of common carotid intima-media thickness to traditional risk factors improve cardiovascular risk classification in older people?
P
Population
3,580 non-diabetic people aged 55-75 years and free of cardiovascular disease at baseline
I
Intervention
Common carotid intima-media thickness (cIMT) measurement added to Framingham risk factors
C
Comparator
Framingham risk factors alone
O
Outcome
10-year risk classification of hard coronary heart disease (CHD) and stroke
Adding common carotid intima-media thickness to traditional risk factors modestly improves cardiovascular risk stratification in older women, but not in older men.
Cite This Study
Elias‐Smale et al. (2011) studied this question.