[Cardiovascular risk stratification using the score scale on the European cardiovascular prevention risk day in health centres in the Madrid region]

Abstract

Objective: To quantify the cardiovascular risk in a Primary Health Care population using the SCORE chart.

Method: Multicenter, observational, descriptive study including 1324 health professionals (nurses, physicians, students, etc) employees of any of the eleven Madrid Region Health Areas in order to determinate the cardiovascular risk by the SCORE chart in subjects between 40 and 65 years that attended to their health centre in a voluntary way because of the European Day of Prevention of Cardiovascular Risk.

Results: A total of 5025 questionnaires were collected from 142 health centres, with 69.6% being completed by women. Mean age was 53.1 years (SD 7.4). A high SCORE was found in 4.1% of the population, a medium one in 3.9%, and low in 92.4%.. There were significant differences in the mean SCORE between men and women, with men having higher ones, P<.001 (95% CI, 0.9-1.1). The probability of men of having a medium/high SCORE was 10% higher than that of women P<.001 (95% CI, 6.2-12.3). Those with higher educational levels had lower SCORE results, P<.001 (95% CI, 1.1-0.5). Obese and over weight people had a 2.6 higher risk than those of normal weight, P<.001 (95% CI: 1.7-3.9).

Conclusions: Cardiovascular risk is generally low in people who visit health centres. A Medium-high SCORE is more probable in men. Low educational level and overweight and obesity could be associated with a higher risk of being affected by a cardiovascular adverse event.