Difference between revisions of "Galen eCalcs - Calculator: CV Risk"
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== Description == | == Description == | ||
− | The Cardiovascular (CV) Risk calculator identifies a patient's 10 year and lifetime risk for atherosclerotic cardiovascular disease. This is defined by coronary death or nonfatal myocardial infarction and fatal or nonfatal stroke. | + | The Cardiovascular (CV) Risk calculator identifies a patient's 10 year and lifetime risk for atherosclerotic cardiovascular disease. This is defined by coronary death or nonfatal myocardial infarction and fatal or nonfatal stroke. The calculator can carry forward the patient's most recent CV Risk results. |
===Limitations=== | ===Limitations=== | ||
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The Ten Year Risk score can be calculated for patients between the ages of 40-79. | The Ten Year Risk score can be calculated for patients between the ages of 40-79. | ||
+ | |||
+ | ==Calculator Configuration Options== | ||
+ | {| class ="wikitable" | ||
+ | ! style="background:#d0e5f5" | Preference Name | ||
+ | ! style="background:#d0e5f5" | Valid Range | ||
+ | ! style="background:#d0e5f5" | Description | ||
+ | |-valign ="CENTER" | ||
+ | |Publishing || Checked / Unchecked || When checked, the calculator '''will''' display for users on the front end. <br>When unchecked, the calculator '''WILL NOT''' display for users on the front end. | ||
+ | |- | ||
+ | |Orderable Item Override || (BLANK) / G-CVRisk|| '''“(BLANK)”''' indicates that the global configuration options for Orderable Item will be used. <br>'''“G-CVRisk”''' indicates that the calculator specific value will be used and can display the specific calculator name in the chart output. | ||
+ | |} | ||
== Calculator Inputs == | == Calculator Inputs == | ||
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! style="background:#d0e5f5" | Description | ! style="background:#d0e5f5" | Description | ||
|-valign ="Top" | |-valign ="Top" | ||
− | |Age || Demographics || Patient Age | + | |Age || Demographics || Patient's Age |
|- | |- | ||
− | |Sex || Demographics || Patient Sex | + | |Sex || Demographics || Patient's Sex |
|- | |- | ||
− | |Race || Demographics || | + | |Race || Demographics || Patient's Race |
|- | |- | ||
|Total Cholesterol || Results || Patient's total cholesterol | |Total Cholesterol || Results || Patient's total cholesterol | ||
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|Diastolic Blood Pressure || Vital Signs || Patient's diastolic blood pressure in mm Hg | |Diastolic Blood Pressure || Vital Signs || Patient's diastolic blood pressure in mm Hg | ||
|- | |- | ||
− | | | + | |Hypertension Problem || Problems || Whether the patient has hypertension or not |
|- | |- | ||
|History of Diabetes || Problems || Whether the patient has diabetes or not | |History of Diabetes || Problems || Whether the patient has diabetes or not | ||
|- | |- | ||
− | | | + | |SmokerCurrent || Problems || Patient is a current smoker |
+ | |- | ||
+ | |SmokerNon || Problems || Patient never smoked | ||
+ | |- | ||
+ | |SmokerFormer || Problems || Patient is a former smoker | ||
+ | |- | ||
+ | |ASCVD|| Problems || Whether the patient has had ASCVD or not | ||
|- | |- | ||
|On a Statin || Medications || Statin medications | |On a Statin || Medications || Statin medications | ||
|- | |- | ||
|On Aspirin Therapy || Medications || Medications used for aspirin therapy | |On Aspirin Therapy || Medications || Medications used for aspirin therapy | ||
+ | |- | ||
+ | |Hypertension Medication || Medications || Hypertension medications | ||
+ | |- | ||
+ | |Age || Result || Age of patient used in previous calculator result's input | ||
+ | |- | ||
+ | |Total Cholesterol || Result || Total Cholesterol value used in previous calculator result's input | ||
+ | |- | ||
+ | |HDL Cholesterol || Result || HDL Cholesterol value used in previous calculator result's input | ||
+ | |- | ||
+ | |LDL Cholesterol || Result || LDL Cholesterol value used in previous calculator result's input | ||
+ | |- | ||
+ | |Systolic Blood Pressure || Result || Systolic blood pressure value used in previous calculator result's input | ||
+ | |- | ||
+ | |On Hypertension Treatment || Result || Whether or not the patient was on hypertension treatment according to the previous calculator result's input | ||
+ | |- | ||
+ | |History of Diabetes || Result || Whether or not the patient has a history of diabetes according to the previous calculator result's input | ||
+ | |- | ||
+ | |Smoking Status || Result || The patient's smoking status according to the previous calculator result's input | ||
+ | |- | ||
+ | |Smoking when Quit || Result || If the patient was a former smoker, when the patient quit smoking according to the previous calculator result's input | ||
|} | |} | ||
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! style="background:#d0e5f5" | Description | ! style="background:#d0e5f5" | Description | ||
|-valign ="TOP" | |-valign ="TOP" | ||
− | |Lifetime Risk | + | |Lifetime ASCVD Risk || Result || Patient's lifetime risk of cardiovascular disease |
+ | |- | ||
+ | |Current 10-Year ASCVD Risk || Result || Patient's 10-year risk of cardiovascular disease | ||
+ | |- | ||
+ | |Composite Updated 10-Year ASCVD Risk || Result || Patient's 10-year ASCVD Risk (%) when refining, using patient's current values | ||
+ | |- | ||
+ | |Current 10-Year ASCVD Risk Had No Treatment Been Initiated || Result || Patient's 10-year ASCVD Risk (%) when refining, using patient's previous values but current age | ||
+ | |- | ||
+ | |Previous 10-Year ASCVD Risk || Result || Patient's previous 10-year risk of cardiovascular disease value | ||
+ | |- | ||
+ | |Optimal 10-Year ASCVD Risk || Result || 10-year ASCVD Risk (%) for someone patient's age with optimal risk factor levels | ||
+ | |- | ||
+ | |Age || Result || Age of patient used in input | ||
+ | |- | ||
+ | |Total Cholesterol || Result || Total Cholesterol value used in input | ||
+ | |- | ||
+ | |HDL Cholesterol || Result || HDL Cholesterol value used in input | ||
+ | |- | ||
+ | |LDL Cholesterol || Result || LDL Cholesterol value used in input | ||
+ | |- | ||
+ | |Systolic Blood Pressure || Result || Systolic blood pressure value used in input | ||
+ | |- | ||
+ | |On Hypertension Treatment || Result || Whether or not the patient was on hypertension treatment according to the input | ||
+ | |- | ||
+ | |History of Diabetes || Result || Whether or not the patient has a history of diabetes according to the input | ||
+ | |- | ||
+ | |Smoking Status || Result || The patient's smoking status according to the input | ||
+ | |- | ||
+ | |Smoking when Quit || Result || If the patient was a former smoker, when the patient quit smoking according to the input | ||
+ | |- | ||
+ | |10-Year Result Interpretation || Result || The interpretation of the patient's 10-year risk (Low/Borderline/Intermediate/High/NA) | ||
+ | |- | ||
+ | |Baseline 10-Year Result Interpretation || Result || The interpretation of the patient's baseline 10-year risk (Low/Borderline/Intermediate/High/NA) | ||
+ | |- | ||
+ | |Composite Follow-up 10-Year Result Interpretation || Result || The interpretation of the patient's composite follow-up 10-year risk (Low/Borderline/Intermediate/High/NA) | ||
+ | |- | ||
+ | |Statin Therapy || Result || The patient's 10-year risk if statin therapy is initiated | ||
+ | |- | ||
+ | |Blood Pressure Drug Therapy || Result || The patient's 10-year risk if blood pressure drug therapy is initiated | ||
+ | |- | ||
+ | |Aspirin Therapy || Result || The patient's 10-year risk if aspirin therapy is initiated | ||
|- | |- | ||
− | | | + | |Smoking Cessation || Result || The patient's 10-year risk if the patient stops smoking |
|} | |} | ||
==References== | ==References== | ||
− | Updated Reference for Risk Estimator Plus: http://tools.acc.org/ASCVD-Risk-Estimator-Plus/#!/calculate/estimate/ | + | Updated Reference for Risk Estimator Plus: |
+ | http://tools.acc.org/ASCVD-Risk-Estimator-Plus/#!/calculate/estimate/ | ||
− | Original Reference: http://tools.acc.org/ASCVD-Risk-Estimator/ | + | Original Reference: |
+ | http://tools.acc.org/ASCVD-Risk-Estimator/ |
Latest revision as of 18:50, 13 November 2019
Description
The Cardiovascular (CV) Risk calculator identifies a patient's 10 year and lifetime risk for atherosclerotic cardiovascular disease. This is defined by coronary death or nonfatal myocardial infarction and fatal or nonfatal stroke. The calculator can carry forward the patient's most recent CV Risk results.
Limitations
Estimations are based on multiple populations and are applicable for White Caucasions and African Americans. For other ethnicities, it is recommended to use a different equation. The calcultor may underestimate for American Indians, South Asians and some Hispanics such as Puerto Ricans. The calculator may overestimate for Asian Americans and Mexican Americans.
Ranges
The Life Time Risk score can be calculated for patients between the ages of 20-59.
The Ten Year Risk score can be calculated for patients between the ages of 40-79.
Calculator Configuration Options
Preference Name | Valid Range | Description |
---|---|---|
Publishing | Checked / Unchecked | When checked, the calculator will display for users on the front end. When unchecked, the calculator WILL NOT display for users on the front end. |
Orderable Item Override | (BLANK) / G-CVRisk | “(BLANK)” indicates that the global configuration options for Orderable Item will be used. “G-CVRisk” indicates that the calculator specific value will be used and can display the specific calculator name in the chart output. |
Calculator Inputs
Input | Mapping Type | Description |
---|---|---|
Age | Demographics | Patient's Age |
Sex | Demographics | Patient's Sex |
Race | Demographics | Patient's Race |
Total Cholesterol | Results | Patient's total cholesterol |
HDL Cholesterol | Results | Patient's HDL Cholsterol |
LDL Cholesterol | Results | Patients' LDL Cholesterol |
Systolic Blood Pressure | Vital Signs | Patient's systolic blood pressure |
Diastolic Blood Pressure | Vital Signs | Patient's diastolic blood pressure in mm Hg |
Hypertension Problem | Problems | Whether the patient has hypertension or not |
History of Diabetes | Problems | Whether the patient has diabetes or not |
SmokerCurrent | Problems | Patient is a current smoker |
SmokerNon | Problems | Patient never smoked |
SmokerFormer | Problems | Patient is a former smoker |
ASCVD | Problems | Whether the patient has had ASCVD or not |
On a Statin | Medications | Statin medications |
On Aspirin Therapy | Medications | Medications used for aspirin therapy |
Hypertension Medication | Medications | Hypertension medications |
Age | Result | Age of patient used in previous calculator result's input |
Total Cholesterol | Result | Total Cholesterol value used in previous calculator result's input |
HDL Cholesterol | Result | HDL Cholesterol value used in previous calculator result's input |
LDL Cholesterol | Result | LDL Cholesterol value used in previous calculator result's input |
Systolic Blood Pressure | Result | Systolic blood pressure value used in previous calculator result's input |
On Hypertension Treatment | Result | Whether or not the patient was on hypertension treatment according to the previous calculator result's input |
History of Diabetes | Result | Whether or not the patient has a history of diabetes according to the previous calculator result's input |
Smoking Status | Result | The patient's smoking status according to the previous calculator result's input |
Smoking when Quit | Result | If the patient was a former smoker, when the patient quit smoking according to the previous calculator result's input |
Calculator Outputs
Output | Mapping Type | Description |
---|---|---|
Lifetime ASCVD Risk | Result | Patient's lifetime risk of cardiovascular disease |
Current 10-Year ASCVD Risk | Result | Patient's 10-year risk of cardiovascular disease |
Composite Updated 10-Year ASCVD Risk | Result | Patient's 10-year ASCVD Risk (%) when refining, using patient's current values |
Current 10-Year ASCVD Risk Had No Treatment Been Initiated | Result | Patient's 10-year ASCVD Risk (%) when refining, using patient's previous values but current age |
Previous 10-Year ASCVD Risk | Result | Patient's previous 10-year risk of cardiovascular disease value |
Optimal 10-Year ASCVD Risk | Result | 10-year ASCVD Risk (%) for someone patient's age with optimal risk factor levels |
Age | Result | Age of patient used in input |
Total Cholesterol | Result | Total Cholesterol value used in input |
HDL Cholesterol | Result | HDL Cholesterol value used in input |
LDL Cholesterol | Result | LDL Cholesterol value used in input |
Systolic Blood Pressure | Result | Systolic blood pressure value used in input |
On Hypertension Treatment | Result | Whether or not the patient was on hypertension treatment according to the input |
History of Diabetes | Result | Whether or not the patient has a history of diabetes according to the input |
Smoking Status | Result | The patient's smoking status according to the input |
Smoking when Quit | Result | If the patient was a former smoker, when the patient quit smoking according to the input |
10-Year Result Interpretation | Result | The interpretation of the patient's 10-year risk (Low/Borderline/Intermediate/High/NA) |
Baseline 10-Year Result Interpretation | Result | The interpretation of the patient's baseline 10-year risk (Low/Borderline/Intermediate/High/NA) |
Composite Follow-up 10-Year Result Interpretation | Result | The interpretation of the patient's composite follow-up 10-year risk (Low/Borderline/Intermediate/High/NA) |
Statin Therapy | Result | The patient's 10-year risk if statin therapy is initiated |
Blood Pressure Drug Therapy | Result | The patient's 10-year risk if blood pressure drug therapy is initiated |
Aspirin Therapy | Result | The patient's 10-year risk if aspirin therapy is initiated |
Smoking Cessation | Result | The patient's 10-year risk if the patient stops smoking |
References
Updated Reference for Risk Estimator Plus: http://tools.acc.org/ASCVD-Risk-Estimator-Plus/#!/calculate/estimate/
Original Reference: http://tools.acc.org/ASCVD-Risk-Estimator/