Sensitivity of FRAMINGHAM, PROCAM and SCORE models in Turkish people with Type 2 diabetes: comparison of three cardiovascular risk calculations

Contemp Nurse. 2015;50(2-3):183-95. doi: 10.1080/10376178.2015.1111153. Epub 2015 Nov 19.

Abstract

Purpose: To determine the cardiovascular risk factors according to the Framingham, PROCAM and SCORE models, to evaluate the 10-year cardiovascular disease (CVD) risk factors, and to compare the suitability of different models in Turkish Type 2 diabetes patients.

Methods: Risk factors and the 10-year CVD risk in 265 patients were evaluated using three risk models. Measurements included blood pressure, weight, height, waist and hip circumferences. Cholesterol, triglycerides, fasting and postprandial plasma glucose and HbA1c were measured. Low-, moderate- and high-risk groups were determined according to the three risk calculations.

Results: Hypertension, obesity and no exercise, dyslipidemia and high HbA1c in women, and excessive cigarette/alcohol consumption, increased weight, dyslipidemia and high HbA1c in men were crucial. Men were in the moderate-risk group according to three risk models. Women were in the medium-risk group according to the Framingham and PROCAM risks and in the low-risk group according to the SCORE.

Conclusion: Results estimating the 10-year CVD according to the three risk models were inconsistent. More sensitive CVD risk calculators are needed. Discussion and practice implications: Our results could guide diabetes specialists in identifying gender-specific risks and designing preventive interventions.

Keywords: Framingham; PROCAM; SCORE; Type 2 diabetes; cardiovascular disease risk; nursing.

Publication types

  • Comparative Study

MeSH terms

  • Adult
  • Aged
  • Cardiovascular Diseases / etiology*
  • Diabetes Complications / etiology*
  • Diabetes Mellitus, Type 2 / complications*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Predictive Value of Tests
  • Risk Assessment / methods*
  • Risk Factors
  • Sensitivity and Specificity
  • Sex Factors
  • Turkey