Use of the RISKO Heart Hazard Appraisal to Quantify Coronary Artery Disease (CAD) Burden

2.50
Hdl Handle:
http://hdl.handle.net/10755/161254
Type:
Presentation
Title:
Use of the RISKO Heart Hazard Appraisal to Quantify Coronary Artery Disease (CAD) Burden
Abstract:
Use of the RISKO Heart Hazard Appraisal to Quantify Coronary Artery Disease (CAD) Burden
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2007
Author:Barnason, Susan, PhD, RN
P.I. Institution Name:University of Nebraska Medical Center
Contact Address:, 7687 Phares Dr., Lincoln, NE, 68516, USA
Co-Authors:L. Zimmerman, J. Nieveen, P. Schulz, M. Hertzog, C. Miller, and D. Rasmussen, College of Nursing, University of Nebraska Medical Center, Lincoln, NE
Approximately 80-85% of coronary artery disease (CAD) patients has one or more of the conventional CAD risk factors: hypertension, hyperlipidemia, cigarette smoking, and Diabetes. It would be useful to be able to quantify CAD burden to determine the impact of the disease on patient outcomes. The purpose of this study was to examine baseline functional status and functional capacity by CAD burden groups. In this study, CAD burden was measured using the RISKO Heart Hazard Appraisal tool. The RISKO score is one score comprised of weighted scores based on a patient's blood pressure, body weight, serum cholesterol & use of tobacco; with the score being further risk adjusted if the patient has diabetes. The score can range from 0 to 27; with a higher score indicating more CAD risk. Researchers have used low (0-5), medium (6-11) and high (> 12) RISKO ranges to indicate cardiovascular risk. In this study, these same score ranges were used to quantify CAD burden into low, medium and high categories. For this study, a convenience sample of 152 subjects, aged > 65 years and older, and who had been consecutively enrolled in a larger randomized clinical trial (RCT), was evaluated. There were no significant differences by CAD burden group on demographic (e.g., gender) or clinical (e.g., ejection fraction) variables. Functional status was measured using the physiological (general health, physical, role-physical and pain) and psychosocial (vitality, role-emotional, social and mental) subscales of the Medical Outcomes Study Short Form (MOS SF)-36. Functional capacity was measured using the Duke Activity Status Index (DASI). Subjects in the highest CAD burden group had significantly [F (2,147) = 3.45, p<.05] poorer general health functioning (M = 68 + 19.5); compared to mean scores of the low (M = 78 + 15.0) and medium (M = 76 + 15.0) CAD burden groups. Functional capacity (DASI scores) was significantly [F (2,147) = 5.43, p<.01] lower for the highest CAD burden group (M = 24 + 13.3); compared to the low (M = 36 + 15.6) and medium (M = 34 + 15.6) CAD burden groups. These findings suggest that the RISKO categories may be a useful measure of CAD burden; and therefore, helpful to clinicians in evaluating the impact of CAD burden on relevant cardiac patient outcomes.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleUse of the RISKO Heart Hazard Appraisal to Quantify Coronary Artery Disease (CAD) Burdenen_GB
dc.identifier.urihttp://hdl.handle.net/10755/161254-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Use of the RISKO Heart Hazard Appraisal to Quantify Coronary Artery Disease (CAD) Burden</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2007</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Barnason, Susan, PhD, RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Nebraska Medical Center</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">, 7687 Phares Dr., Lincoln, NE, 68516, USA</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">sbarnaso@unmc.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">L. Zimmerman, J. Nieveen, P. Schulz, M. Hertzog, C. Miller, and D. Rasmussen, College of Nursing, University of Nebraska Medical Center, Lincoln, NE</td></tr><tr><td colspan="2" class="item-abstract">Approximately 80-85% of coronary artery disease (CAD) patients has one or more of the conventional CAD risk factors: hypertension, hyperlipidemia, cigarette smoking, and Diabetes. It would be useful to be able to quantify CAD burden to determine the impact of the disease on patient outcomes. The purpose of this study was to examine baseline functional status and functional capacity by CAD burden groups. In this study, CAD burden was measured using the RISKO Heart Hazard Appraisal tool. The RISKO score is one score comprised of weighted scores based on a patient's blood pressure, body weight, serum cholesterol &amp; use of tobacco; with the score being further risk adjusted if the patient has diabetes. The score can range from 0 to 27; with a higher score indicating more CAD risk. Researchers have used low (0-5), medium (6-11) and high (&gt; 12) RISKO ranges to indicate cardiovascular risk. In this study, these same score ranges were used to quantify CAD burden into low, medium and high categories. For this study, a convenience sample of 152 subjects, aged &gt; 65 years and older, and who had been consecutively enrolled in a larger randomized clinical trial (RCT), was evaluated. There were no significant differences by CAD burden group on demographic (e.g., gender) or clinical (e.g., ejection fraction) variables. Functional status was measured using the physiological (general health, physical, role-physical and pain) and psychosocial (vitality, role-emotional, social and mental) subscales of the Medical Outcomes Study Short Form (MOS SF)-36. Functional capacity was measured using the Duke Activity Status Index (DASI). Subjects in the highest CAD burden group had significantly [F (2,147) = 3.45, p&lt;.05] poorer general health functioning (M = 68 + 19.5); compared to mean scores of the low (M = 78 + 15.0) and medium (M = 76 + 15.0) CAD burden groups. Functional capacity (DASI scores) was significantly [F (2,147) = 5.43, p&lt;.01] lower for the highest CAD burden group (M = 24 + 13.3); compared to the low (M = 36 + 15.6) and medium (M = 34 + 15.6) CAD burden groups. These findings suggest that the RISKO categories may be a useful measure of CAD burden; and therefore, helpful to clinicians in evaluating the impact of CAD burden on relevant cardiac patient outcomes.</td></tr></table>en_GB
dc.date.available2011-10-26T23:18:23Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T23:18:23Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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