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Improvement in Cardiovascular Risk Prediction with Electronic Health Records.

ABSTRACT: The aim of this study was to compare the QRISKII, an electronic health data-based risk score, to the Framingham Risk Score (FRS) and atherosclerotic cardiovascular disease (ASCVD) score. Risk estimates were calculated for a cohort of 8783 patients, and the patients were followed up from November 29, 2012, through June 1, 2015, for a cardiovascular disease (CVD) event. During follow-up, 246 men and 247 women had a CVD event. Cohen's kappa statistic for the comparison of the QRISKII and FRS was 0.22 for men and 0.23 for women, with the QRISKII classifying more patients in the higher-risk groups. The QRISKII and ASCVD were more similar with kappa statistics of 0.49 for men and 0.51 for women. The QRISKII shows increased discrimination with area under the curve (AUC) statistics of 0.65 and 0.71, respectively, compared to the FRS (0.59 and 0.66) and ASCVD (0.63 and 0.69). These results demonstrate that incorporating additional data from the electronic health record (EHR) may improve CVD risk stratification.

SUBMITTER: Pike MM 

PROVIDER: S-EPMC4874910 | biostudies-literature | 2016 Jun

REPOSITORIES: biostudies-literature

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Improvement in Cardiovascular Risk Prediction with Electronic Health Records.

Pike Mindy M MM   Decker Paul A PA   Larson Nicholas B NB   St Sauver Jennifer L JL   Takahashi Paul Y PY   Roger Véronique L VL   Rocca Walter A WA   Miller Virginia M VM   Olson Janet E JE   Pathak Jyotishman J   Bielinski Suzette J SJ  

Journal of cardiovascular translational research 20160309 3

The aim of this study was to compare the QRISKII, an electronic health data-based risk score, to the Framingham Risk Score (FRS) and atherosclerotic cardiovascular disease (ASCVD) score. Risk estimates were calculated for a cohort of 8783 patients, and the patients were followed up from November 29, 2012, through June 1, 2015, for a cardiovascular disease (CVD) event. During follow-up, 246 men and 247 women had a CVD event. Cohen's kappa statistic for the comparison of the QRISKII and FRS was 0.  ...[more]

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