title: [Problem-specific grading in disease course assessment and calculation of the likelihood of transition of chronic cardiovascular diseases].
abstract: For the course rating of cardiovascular caused drop in efficiency a problem-specific grading is introduced, the characterization of which is composed of simple, non-invasive parameters. The grading is specified for 4 clinical diagnostic classes (hypertension, coronary heart diseases, pulmonary heart, "other heart and vessel diseases") and takes into consideration the frequent coincidence or connection of several diagnoses of heart and vessel diseases with each other. The choice of parameter and connection have to fulfil the demand, which is essential for the course rating of heart and vessel diseases, like practicability proportionate with the frequency of heart and vessel diseases, adequate registration of changes in severe degrees, statement about the patient and not about several parameters. Furthermore it has to make it possible to calculate provisional probabilities under variable conditions as well as to make possible a valuation of prognosis. For that purpose the construction of suitable matrixes is shown and an integral projection is represented, which is used for the interpretation of courses dependent on severe degrees. The conception of grading has the function to modify necessary parameters for inclusion in the hierarchy according to medical starting position (for instance primary mode of registration). The model which is applicable to level of population makes possible an electronic data - processing - based evaluation including algorithmic classification.
mesh_terms: D002318:Cardiovascular Diseases / Q000175:diagnosis*; D003327:Coronary Disease / Q000175:diagnosis; D006801:Humans; D006973:Hypertension / Q000175:diagnosis; D011379:Prognosis; D011660:Pulmonary Heart Disease / Q000175:diagnosis; D013223:Statistics as Topic
vernacular_title: Problemspezifisches Grading zur Verlaufsbeurteilung sowie zur Berechnung von Ubergangswahrscheinlichkeiten chronischer Herz-Kreislauf-Krankheiten.