Application Of "Evaluation Method Of10-year Morbid Risk Of Ischemic Cardiovascular Diseases In Asymptomatic Adults" In Dyslipdemia Management In Hangzhou Community

ObjectiveThe purpose of this study is to understand the exposure condition of cardiovascular disease risk factors in the target population in Hangzhou, and evaluate the risk of ischemic cardiovascular diseases. Besides, it will verify the applicability of "Evaluation Method of10-year Morbid Risk of Ischemic Cardiovascular Diseases (ICVD) in Asymptomatic Adults", and improve the quality of community health services via appropriate technical supports.Methods1. Sample:21336adults in Hangzhou district, including the target population were carried out through convenience sampling.2. Survey instruments and contents:The aim of the study is to understand the exposure situation of ICVD risk factors in target population in Hangzhou. We used the evaluation method to understand the10-year risk ICVD of target population, and explore how the related factors affect the10-year risk ICVD.3. Statistical analysis are carried out using SPSS20.0for Windows. Statistical methods used includes general statistical description (such as mean and standard deviation), spearman correlation analysis, Pearson chi-square test, one-way analysis of variance and non-conditional logistic regression analysis.Results1. The prevalence rate of dyslipidemia in21336respondents was89.5%. The detection rate of increasing total cholesterol and decreasing high density lipoprotein were both higher in male than in female, and the detection rate of increasing low density lipoprotein was lower in male than in female, between which the differences were statistically significant.2. Among the respondents, the prevalence rate of hypertension, diabetes mellitus, coronary heart disease, metabolic syndrome were58.2%,18.5%,3.2%,3.2%, respectively.38.3%of the respondents were overweight or obesity,29.2%smoked.3. Analyzing the cardiovascular risk factors aggregation in different genders and ages shows that: the risk factors aggregation of dyslipidemia, hypertension, diabetes mellitus, overweight and smoking was63.2%. Female had lower aggregation than male, and there was a positive correlation between ages and the risk factors aggregation.4. By non-conditional logistic regression analysis, the statistical significant factors for ICVD were SBP (OR=5.770), diabetes mellitus (OR=5.645), body mass index (OR=4.376), smoking (OR=3.506), age (OR=2.380), and gender (OR=0.930) was a protective factor for ICVD.5. The ICVD risk assessment result of the respondents shows that the10-year ICVD risks of～39,40～,45～,50～,55～,60～,65～,70～,75～,80～,85～years old were0.82%、1.31%、1.87%、2.53%、3.70%、5.40%、7.60%、10.20%、12.90%、16.30%、18.90%, respectively, which were higher than the reference indicators of ICVD risk in corresponding age groups. Conclusion1. The risk of ICVD in residents with dyslipidemia in Hangzhou is high.2. The application of the evaluation method serves as an important guidance in the comprehensive intervention and control and programming of targeted interventions.3. The evaluation method can be used for screening of the middle-risk group and high-risk group of ICVD effectively.4. The risk factors included in the evaluation method are easily accessible so that the evaluation method is a comprehensive economic feasible assessment tool which can be popularized.