Concordancia de las escalas de riesgo cardiovascular Framingham y PROCAM en pacientes de consulta externa de medicina interna del Hospital José Carrasco Arteaga 2016

Abstract

Background: Framingham and PROCAM cardiovascular risk scales are well known and used in the world, but even though theirwide acceptance, they are not applicable in all populations. At present, there are several concordance studies between these models, in these studies a great variability in the results is observed. General Objective: determine the concordance of Framingham and PROCAM cardiovascular risk scales for outpatients of internal medicine at Hospital José Carrasco Arteaga 2016. Methodology: descriptive correlation study; we analyzed 500 clinical records of outpatients of internal medicine at Hospital José Carrasco Arteaga during the period January-December 2016. Information was collected on: age, sex, diabetes mellitus, smoking, family history of early cardiovascular disease, systolic blood pressure and diastolic, total cholesterol, HDL cholesterol, LDL cholesterol and triglycerides. The method used was indirect observation, the technique was the application of cardiovascular risk scales. The information was computed in the software: Excel 2013, PSPP 0.10.1 and Epidat 4.1. The qualitative variables were expressed in frequencies and percentages, the quantitative variables in means and dispersed measures. To analyze the concordance with Cohen's kappa index and the Bland and Altman method. Results: Cohen's Kappa index was moderate (Kappa 0.5246, p<0.0001). Conclusions: The agreement between the cardiovascular risk scales PROCAM and Framingham is moderate, this decreases with increasing cardiovascular risk.