دورية أكاديمية
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Comparison of performances of SIREN or MFSRS in stroke risk prediction in an African environment.

التفاصيل البيبلوغرافية
العنوان: Comparison of performances of SIREN or MFSRS in stroke risk prediction in an African environment.
المؤلفون: Onwuakagba IU; Department of Medical Rehabilitation, College of Health Sciences, Nnamdi Azikiwe University, Nnewi Campus, Nnewi, Anambra State, Nigeria., Okoye EC; Department of Medical Rehabilitation, College of Health Sciences, Nnamdi Azikiwe University, Nnewi Campus, Nnewi, Anambra State, Nigeria. emc.okoye@unizik.edu.ng., Kanu FC; Department of Medical Rehabilitation, College of Health Sciences, Nnamdi Azikiwe University, Nnewi Campus, Nnewi, Anambra State, Nigeria., Kalu CM; Department of Medical Rehabilitation, College of Health Sciences, Nnamdi Azikiwe University, Nnewi Campus, Nnewi, Anambra State, Nigeria., Akosile CO; Department of Medical Rehabilitation, College of Health Sciences, Nnamdi Azikiwe University, Nnewi Campus, Nnewi, Anambra State, Nigeria.
المصدر: BMC public health [BMC Public Health] 2024 Feb 05; Vol. 24 (1), pp. 368. Date of Electronic Publication: 2024 Feb 05.
نوع المنشور: Comparative Study; Journal Article
اللغة: English
بيانات الدورية: Publisher: BioMed Central Country of Publication: England NLM ID: 100968562 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2458 (Electronic) Linking ISSN: 14712458 NLM ISO Abbreviation: BMC Public Health Subsets: MEDLINE
أسماء مطبوعة: Original Publication: London : BioMed Central, [2001-
مواضيع طبية MeSH: Stroke*/epidemiology , Stroke*/ethnology , Stroke*/etiology , West African People*/statistics & numerical data, Adult ; Humans ; Middle Aged ; Young Adult ; Cross-Sectional Studies ; Hypertension/epidemiology ; Hypertension/complications ; Hypertriglyceridemia ; Risk Factors ; Risk Assessment/statistics & numerical data ; Nigeria/epidemiology
مستخلص: Background: The Modified Framingham Stroke Risk Score (MFSRS) is a widely utilized stroke risk assessment algorithm usually applied in international comparison. The Stroke Investigative Research and Educational Network (SIREN) is the only known African-specific stroke risk assessment algorithm.
Aims and Objectives: To compare stroke risk estimates from the SIREN and the MFSRS in an African community.
Methods: This was a population-based cross-sectional survey involving consecutively recruited 310 consenting adult residents (mean age = 37.21 ± 15.84 years) of a Nigerian community. Risk factors of stroke were assessed among the participants and were utilized in calculating stroke risk estimates on the MFSRS and the SIREN. The obtained data were analyzed using descriptive statistics and the Spearman-rank order correlation test at an alpha level of 0.05.
Results: The percentage stroke risk scores estimated by the SIREN and the MFSRS were 34.5% and 6.79% respectively. The most prevalent risk factors among the participants were hypertriglyceridemia (100.0%), raised waist-hip ratio (50.6%), hypercholesterolemia (45.5), physical inactivity (43.2%), psychological stress (41.3%), and hypertension (37.7%). Only two (hypertriglyceridemia and high blood pressure) out of the six factors considered in the MFSRS were rated among the first 10 most impactful risks by the SIREN. There was a weak correlation between the total scores on the MFSRS and the SIREN (rho = 0.39; p < 0.01) suggesting that the two ratings were discordant.
Conclusion: There were disagreements between the risk estimates on the SIREN and MFSRS with SIREN having a higher estimate that corresponded with the literature; this may be suggesting a poorer estimation of stroke risks by the MFSRS in an African environment. There is a need for large African-based quality control studies to determine and address these lapses.
(© 2024. The Author(s).)
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فهرسة مساهمة: Keywords: Africa; Comparison; MFSRS; SIREN; Stroke risk factors
تواريخ الأحداث: Date Created: 20240204 Date Completed: 20240206 Latest Revision: 20240302
رمز التحديث: 20240303
مُعرف محوري في PubMed: PMC10840284
DOI: 10.1186/s12889-024-17886-3
PMID: 38311723
قاعدة البيانات: MEDLINE
الوصف
تدمد:1471-2458
DOI:10.1186/s12889-024-17886-3