Framingham versus PROCAM para establecer el riesgo cardiovascular. ¿Existe diferencia?

Abstract

Introduction: cardiovascular diseases are the main cause of death worldwide, there are scales that allow determining the risk of suffering, hence the importance of studying their behavior in our population.Objective: to determine the concordance of the Framingham and PROCAM cardiovascular risk scales.Materials and methods: an analytical study was carried out with 500 patients between the ages of 35 and 65 who met the inclusion criteria, the data was taken from the clinical records of the outpatient clinic of Internal Medicine of the Hospital José Carrasco Arteaga, center third-level care, in the period January-December 2016. The agreement was established through the Cohen kappa index and the Bland and Altman method.Results: the kappa index calculated between the Framingham and PROCAM cardiovascular risk scales is 0.5246; (p <0.0001).Conclusion: the agreement found between Framingham and PROCAM is moderate. According to the Bland and Altman graph, the scales are more concordant in low values of cardiovascular risk