English summaries 48/2007 vsk 62 s. 4507 - 4513

English summary: THE FINRISK FUNCTION: ESTIMATION OF THE RISK OF CORONARY EVENTS AND STROKE IN THE FINNISH POPULATION

Erkki VartiainenTiina LaatikainenVeikko SalomaaPekka JousilahtiMarkku PeltonenPekka Puska

FINRISK cardiovascular risk factor surveys were carried out in 1982, 1987 and 1992 in three areas of Finland among the population aged 30-64 years. The incidence of serious coronary heart disease events and stroke events was identified from the National Causes-of-Death Register and the National Hospital Discharge Register. Of 8116 men 376 had an incident coronary event and 190 had a stroke during the 10-year follow-up period, and out of 8874 women 152 had an incident coronary event and 119 had incident stroke.

The FINRISK function was calculated using a logistic regression model. The risk for a major coronary event (fatal or non-fatal) among men was:

Coronary risk = (1/(1+exp(11.213 - 0.0802*age - 0.6260*smoking - 0.3293*cholesterol - 0.0166*systolic blood pressure + 0.5893*HDL-cholesterol - 0.7417*diabetes - 0.3138*parents' infarction)))*100

Stroke risk = (1/1(exp(11.6994 - 0.1153*age - 0.4881* smoking - 0.0149 * systolic blood pressure + 0.4406 * HDL-cholesterol - 0.879 * diabetes - 0.2933* parents' stroke)))*100

Among women the risk was:

Coronary risk = (1/(1+exp(11.839 - 0.0962*age-0.8776*smoking - 0.2119*cholesterol - 0.0175*systolic blood pressure + 1.1009*HDL-cholesterol - 1.0303*diabetes - 0.4090*parents' infarction)))*100

Stroke risk = (1/(1 + exp(7.9766 - 0.0633*age - 0.4163* smoking - 0.00893* systolic blood pressure + 0.7636 * HDL-cholesterol - 1.2383 * diabetes - 0.547* parents' stroke)))*100

Cardiovascular risk was calculated by adding the coronary risk and stroke risk.

The risk function can be used in clinical practice for estimating the patient's risk and also in health education for motivating people to change their health behaviour.

Kirjoittaja

Erkki Vartiainen
LKT, tutkimusprofessori, osaston johtaja
Kansanterveyslaitos, Terveyden edistämisen ja kroonisten tautien
ehkäisyn osasto
erkki.vartiainen@ktl.fi
Tiina Laatikainen
LT, ylilääkäri
Kansanterveyslaitos, Terveyden edistämisen ja kroonisten tautien
ehkäisyn osasto
Veikko Salomaa
LKT, tutkimusprofessori
Kansanterveyslaitos, Terveyden edistämisen ja kroonisten tautien
ehkäisyn osasto
Pekka Jousilahti
LL, FT, tutkimusprofessori
Kansanterveyslaitos, Terveyden edistämisen ja kroonisten tautien
ehkäisyn osasto
ja Tampereen yliopisto, terveystieteen laitos
Markku Peltonen
FT, dosentti, erikoistukija
Kansanterveyslaitos, Terveyden edistämisen ja kroonisten tautien
ehkäisyn osasto
Pekka Puska
LKT, professori, pääjohtaja
Kansanterveyslaitos

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