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January 1, 2017World Journal of Cardiovascular DiseasesOpen Access

Risk Factors and Prediction of Stroke in a Population with High Prevalence of Diabetes: The Strong Heart Study

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Key result

Gender-specific stroke risk prediction models incorporating age, smoking, blood pressure, albuminuria, and diabetes demonstrated good discrimination with C-statistics of 0.761 for women and 0.765 for men in an American Indian population.

Population

3,483 American Indian adults aged 45 to 74 years, free of stroke at baseline, from southwestern Oklahoma…

Design

Cohort

Follow-up

average 15.04 years (inter-quartile range 9.7 - 20.2 years)

Authors

WWWenyu WangYZYing ZhangELElisa T. Lee

Discussion

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Overview

May support tailored stroke risk assessment in American Indians; leaves open external validation before clinical adoption.

Study Design

Type

Cohort (n=3,483)

Multicenter

Yes

Structured PICO

P
Population
3,483 American Indian adults aged 45 to 74 years, free of stroke at baseline, were followed for an average of 15 years to develop and validate stroke risk prediction models.
O
Outcome
Incident stroke (fatal and nonfatal) occurring between baseline and December 31, 2010hard clinical

Main Result

Effect estimate: C-statistic 0.761 (women) and 0.765 (men)

A newly developed stroke risk prediction model tailored for American Indians demonstrated good discrimination and calibration, providing a population-specific tool for stroke risk assessment.

Limitations

  • The generated stroke prediction models are internally validated but should be tested and validated in other populations.

Cite This Study

Wang et al. (2017) conducted a cohort in Stroke risk prediction (n=3,483). Multiple cardiovascular risk factors (including albuminuria and diabetes) vs. Baseline risk was evaluated on Incident stroke prediction (C-statistic) (C-statistic 0.761 (women) and 0.765 (men)). Gender-specific stroke risk prediction models incorporating age, smoking, blood pressure, albuminuria, and diabetes demonstrated good discrimination with C-statistics of 0.761 for women and 0.765 for men in an American Indian population.

synapsesocial.com/papers/6a96e13a1f16343146bb96behttps://doi.org/10.4236/wjcd.2017.75014
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Diabetes and Coronary Heart Disease in American Indians: The Strong Heart Study1996 · 51 citations
  2. 2Stroke Incidence and Smoking in American Indians: An Update from the Strong Heart Study2026
  3. 3Incremental Value of Biochemical and Echocardiographic Measures in Prediction of Ischemic Stroke2011 · 27 citations
  4. 4Prediction of Coronary Heart Disease in a Population With High Prevalence of Diabetes and Albuminuria2006 · 106 citations
  5. 5Aging and the Prevalence of Cardiovascular Disease Risk Factors in Older American Indians: The Strong Heart Study2007 · 61 citations