Estimation of CVD Events by Use of QRISK and ASCVD Risk Assessments

Objective: To predict the incidence of CVD event by evaluating risk factors using QRISK and ASCVD risk assessment tools. Methodology: It was a prospective observational study conducted in intensive care unit (ICU), medical wards, surgical wards, and high intensive care unit (HICU) of Bangalore Baptist Hospital for 6 months from October 2017 till March 2018. All patients diagnosed with cardiovascular disease (CVD) in medical, surgery, and HICU and ICU inwards. The patient data collection was used to collect all the details like inpatient number, age, sex, social status, laboratory data, weight, height, Blood Pressure (BP), family history and therapeutic management. Then the data was introduced to QRISK and ASCVD risk score calculators and the risk for development of CVD in each patient was determined and risk score was observed for each risk factor in the study sample. Results: QRISK and ASCVD predicted the risk factor for developing CHD; BMI values, tobacco use, alcohol consumption, diabetes, Total Cholesterol. QRISK and ASCVD risk scores were used to classify individuals according to Low, Moderate and High risk factor, the percentage was respectively (31%, 32% and 37%) for ASCVD and (24%, 28% and 48%) for QRISK. Using QRISK and ASCVD, we observed that patients with high BMI values, smokers, alcoholics, diabetics and patients with high TC levels were more likely to have high risk of developing CVDs. Conclusion: Risk Score tools helped in investigating the status of cardiovascular patients and predicting incidence of CVDs events in 10 years by determining risk factors.