QRisk 2 - to use or not to use - that is the question Essay

QRisk 2 - to use or not to use - that is the question - Essay Example2008)). Previously hardly a(prenominal) former(a) criterias want Framinghams criteria to assess cardiovascular risk factors and QRISK1 ar used so this new model is a point of discussion that either it has some conditional relation in the ontogenesis era or not.(Brindle, 2011). This requires collection of data from several studies which confirm been conducted in the recent past to compare between these models.(Hippisley-Cox, Coupland, et all. 2008). Generally, they all pointed come on that using QRISk 2 is not have similar effectiveness like the traditionalistic previous criteria as the risk factors described in this score are not single most important risk factors for development of cardiovascular indispositions but they have utmost importance.(Vogel, Bernitez, 2000). RATIONALE Cardiovascular risk factors predict 5-10 grade risk of development of cardiovascular disease as well as resulting mortality and mor bidity from that. (Koenig, 2003). There are few cardiac risk factors which have been defined previously like plus come along, male gender, smoking status, presence of Hypertension, Hyperlipidemias, Type 2 diabetes etc. presence of all or one of these factors leads to increase tendency towards development of cardiovascular disease.(Mola, Lloyd, 2002). There are few other factors which are recently developed. These include ethnicity of the patient, presence of rheumatoid arthritis, atrial fibrillation, chronic kidney disease and treated hypertension. Data shows that they also influence future prediction of cardiovascular morbidity and mortality. (Collins, Altman, 2010). CONS OF QRISK2 By using QRISK 2, we can find out some spirited risk persons who are at risk of developing disease(Hayman, Kamau, 2009) It also provides benefit by treating the patients who are labeled as low risk by traditional framinghoms criteria.(Mayor, 2010) Advantage of this system is that traditionally larger numbers of data can be included in the database. (Hippisley, Coupland, 2008) It is also the first study which uses so many factors as a risk of cardiovascular disease.(Parkes, 2010) Inclusion of ethnicity is also found to be important by some people as few diseases are more popular in a specific population (Giampaoli, Palmieri, 2004) Stroke is more common in older ones and poor countries. (Scott, 2010). QRISK system also addresses the problem of different effects on risk factors of increasing age(Vanuzzu, Pilotto, 2008) so they have introduced interaction variables between age and other risk factors to overcome this problem. (Cooney, Dudina, Graham,2009) PROS OF QRISK2 It results in superior age estimation in older age group. (Weirzbicki, 2009) QRISK over predicted the patients in only 0.4% of cases but it under predicted in 12% of cases.(Dalton, Soljak, 2011). It measures blood extort and BMI accurately but cholesterol measurement is poor. A study shows that it measured cholester ol of only 30% people who are at risk of developing disease.(Thomas, 2011). Also there is no validation of events and everything is based on computer records. Patients are included at different times in this system. Most of the patients do not follow ten years data. This score is not validated in population other than British.(Chia, 2011). It also has another disadvantage. As it is using age as a factor for cardiovascular disease risk, it is unable to identify those who are at risk but younger. As compare to some other trials