Nghiên cứu mối liên quan của độ phân bố hồng cầu với nguy cơ tim mạch cao theo thang điểm SCORE2, SCORE2-OP ở bệnh nhân tăng huyết áp the=Association of red cell distribution width with high cardiovascular risk according to SCORE2, SCORE2-OP scoring systems in hypertensive patients

0 Người đánh giá. Xếp hạng trung bình 0

Tác giả: Trung Vĩnh Bùi, Thị Thu Mai Cao, Nguyễn Ngọc Hải Đặng, Hải Bằng Hồ, Anh Tiến Hoàng, Thị Ngọc Giàu Huỳnh, Thị Phương Thảo Lê, Việt Thắng Lương, Thị Mỹ Duyên Phạm

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Y học Việt Nam (Tổng hội Y học Việt Nam), 2024

Mô tả vật lý: tr.45788

Bộ sưu tập: Báo, Tạp chí

ID: 477936

Thêm vào giỏ

Đánh giá mối liên quan giữa độ phân bố hồng cầu (RDW) và thang điểm SCORE2, SCORE2-OP ở bệnh nhân tăng huyết áp. Phương pháp nghiên cứu: Nghiên cứu mô tả cắt ngang trên 256 bệnh nhân từ 40 đến 89 tuổi được chẩn đoán tăng huyết áp, khám chữa bệnh tại khoa Nội Tim mạch - Bệnh viện Trung ương Huế từ 08/2023 đến 02/2024. Kết quả: Có mối tương quan thuận giữa độ phân bố hồng cầu và điểm SCORE2, SCORE2-OP (r = 0,316
p <
0,05). Độ phân bố hồng cầu ở nhóm nguy cơ tim mạch thấp - trung bình thấp hơn nhóm nguy cơ tim mạch cao - rất cao (p <
0,05). Độ phân bố hồng cầu ≥13,55% có giá trị tiên đoán nguy cơ tim mạch cao - rất cao với diện tích dưới đường cong ROC là 0,732
độ nhạy là 69,10% và độ đặc hiệu là 66,70% (p <
0,05). Bệnh nhân có độ phân bố hồng cầu ≥13,55% khả năng có nguy cơ tim mạch cao trở lên gấp khoảng 4 lần so với nhóm có độ phân bố hồng cầu <
13,55% (95% KTC 1,869 - 8,358
p <
0,05). Kết luận: Độ phân bố hồng cầu là một thông số đơn giản có thể được sử dụng để dự báo nguy cơ tim mạch cao và rất cao ở bệnh nhân tăng huyết áp.To evaluate the relationship between red cell distribution width (RDW) and SCORE2, SCORE2-OP risk scores in hypertensive patients. Methods: A crosssectional study was conducted on 256 hypertensive patients aged 40 to 89 who were examined and treated at the Cardiology Department of Hue Central Hospital from August 2023 to February 2024. Results: A positive correlation was found between RDW and both SCORE2 and SCORE2-OP (r = 0.316
p <
0.05). RDW in the low-to-moderate cardiovascular risk group was lower than in the high-to-very-high risk group (p <
0.05). An RDW ≥13.55% predicted high-to-very-high cardiovascular risk with an area under the ROC curve of 0.732, a sensitivity of 69.10%, and a specificity of 66.70% (p <
0.05). Patients with RDW ≥13.55% were approximately four times more likely to have high cardiovascular risk compared to those with RDW <
13.55% (95% CI 1.869 - 8.358
p <
0.05). Conclusion: RDW is a simple parameter that can be used to predict high and very high cardiovascular risk in hypertensive patients.

1. Đọc trực tuyến

1. Đọc trực tuyến

Tạo bộ sưu tập với mã QR