Key result
The updated SCORE2 algorithm classified the majority of patients as having a very high risk of cardiovascular complications, whereas the traditional SCORE scale classified them as having a moderate risk.
Why the study?
The forecasting model SCORE was improved in 2021 with the release of SCORE2, prompting an analysis comparing cardiovascular event risk assessment between the SCORE and SCORE2 scales.
Does the SCORE2 algorithm change the estimated 10-year cardiovascular risk category compared to the SCORE scale in patients over 40 without prior cardiovascular disease?
Observational (n=140)
Does the SCORE2 algorithm change the estimated 10-year cardiovascular risk category compared to the SCORE scale in patients over 40 without prior cardiovascular disease?
Answers are grounded in this paper and cite their sources.
The implementation of the updated SCORE2 algorithm reclassifies a significant proportion of Russian patients without prior cardiovascular disease from moderate to very high risk, highlighting the need for more aggressive preventive measures.
The main morbidity and mortality in the world is associated with pathologies of non-infectious origin, most of which are accounted for by diseases of the cardiovascular system. For the purpose of screening, a rating scale is currently used - SCORE. In 2021, the forecasting model was improved - the SCORE2 rating scale was released, which allows you to predict the risk of complications at an early stage using additional criteria. The purpose of the study: analysis of the risk assessment of cardiovascular events using the SCORE / SCORE - 2 scales. Materials and methods. A retrospective analysis of 140 patients' medical records was carried out. The inclusion criterion was the age of more than 40 years, the absence of concomitant cardiovascular diseases. Results. There were significant differences in Score (Men=9.5 points, Interwomen=3 points, p0.001) and SCORE2 (Men=22 points, Interwomen=18 points, p=0.049) between men and women aged 50 to 70 years old. When calculating, it turned out that most patients are at moderate risk of cardiovascular complications according to the SCORE scale, at very high risk according to the updated SCORE2 algorithm. Conclusion. In the course of comparing the 10-year risk of cardiovascular events calculated using the new SCORE2 algorithm, significant differences with the SCORE scale in digital values were revealed. All smokers, regardless of age and gender, were at very high risk, which absolutely increases the risk of complications.
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Lagutina et al. (2023) conducted an observational in Cardiovascular risk screening (n=140). SCORE2 algorithm vs. SCORE algorithm was evaluated on Cardiovascular risk categorization. The updated SCORE2 algorithm classified the majority of patients as having a very high risk of cardiovascular complications, whereas the traditional SCORE scale classified them as having a moderate risk.
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