Monday, April 22, 2019

QRisk 2 - to use or not to use - that is the question Essay

QRisk 2 - to use or non to use - that is the question - Essay mannequin2008)). Previously some other criterias like Framinghams criteria to assess cardiovascular risk factors and QRISK1 be utilise so this new model is a point of discussion that either it has some signifi sackce in the developing era or non.(Brindle, 2011). This requires collection of data from several studies which have been conducted in the recent noncurrent to compare between these models.(Hippisley-Cox, Coupland, et all. 2008). Generally, they all pointed out that using QRISk 2 is not have similar posture like the traditional previous criteria as the risk factors described in this score are not single most important risk factors for development of cardiovascular diseases just now they have utmost importance.(Vogel, Bernitez, 2000). principle Cardiovascular risk factors predict 5-10 year risk of development of cardiovascular disease as good as resulting mortality and morbidity from that. (Koenig, 2003). There are few cardiac risk factors which have been define previously like increase age, male gender, smoking status, movement of Hypertension, Hyperlipidemias, Type 2 diabetes etc. presence of all or one of these factors leads to increase tendency towards development of cardiovascular disease.(Mola, Lloyd, 2002). There are few other factors which are recently developed. These include ethnicity of the patient, presence of rheumatoid arthritis, atrial fibrillation, chronic kidney disease and set hypertension. Data shows that they overly influence future prediction of cardiovascular morbidity and mortality. (Collins, Altman, 2010). CONS OF QRISK2 By using QRISK 2, we can find out some high risk persons who are at risk of developing disease(Hayman, Kamau, 2009) It also provides benefit by treating the patients who are labeled as low risk by traditional framinghoms criteria.(Mayor, 2010) Advantage of this system is that traditionally larger numbers of data can be included in the data base. (Hippisley, Coupland, 2008) It is also the first battleground which uses so many factors as a risk of cardiovascular disease.(Parkes, 2010) comprehension of ethnicity is also found to be important by some people as few diseases are more popular in a specific population (Giampaoli, Palmieri, 2004) Stroke is more common in older ones and poor countries. (Scott, 2010). QRISK system also addresses the problem of variant effects on risk factors of change magnitude age(Vanuzzu, Pilotto, 2008) so they have introduced interaction variables between age and other risk factors to overcome this problem. (Cooney, Dudina, Graham,2009) PROS OF QRISK2 It results in superior(p) age estimation in older age group. (Weirzbicki, 2009) QRISK over predicted the patients in only 0.4% of cases but it chthonian predicted in 12% of cases.(Dalton, Soljak, 2011). It measures blood pressure and BMI accurately but cholesterol measurement is poor. A study shows that it measured cholesterol of only 30% people who are at risk of developing disease.(Thomas, 2011). too there is no validation of events and everything is based on computer records. Patients are included at different times in this system. Most of the patients do not follow ten years data. This score is not validated in population other than British.(Chia, 2011). It also has another disadvantage. As it is using age as a factor for cardiovascular disease risk, it is unable to identify those who are at risk but younger. As compare to some other trials

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