title: [Assessment of cardiovascular risk in population groups. Comparison of Score system and Framingham in hypertensive patients].
abstract: OBJECTIVE
  Calculation of cardiovascular risk in populations allows for developing and assessing of intervention programs and adapting health resources. While the Framingham System has been used in the past, a group of European researchers have proposed a different method called the Score project. The purpose of this paper is to compare the value of both methods for assessing cardiovascular risk.
  
  
  METHODS
  In 6,775 evaluable hypertensive patients distributed over the 17 Spanish autonomous communities (ACs), the 10-year risk of experiencing a coronary event (CR) was calculated using the Framingham equation, while risk of coronary death (RCD) and vascular death (RVD) was calculated using the Score project system, both at baseline and after one year of blood pressure control with amlodipine at the required dose. A comparison was made of the capacity to detect risk differences by both methods between populations with known different risks, and in the same population as a result of blood pressure control.
  
  
  RESULTS
  Both the Score and the Framingham systems detected the significant decrease in both CR and RCD or RVD at one year of application of the CORONARIA study protocol. Risk decrease measured by any of the two methods was significant (p < 0.05) overall, by genders, and by ACs. However, the Score System, unlike the Framingham system, could not detect the reported differences in the mortality risk for coronary and vascular disease between the ACs of the North and the South-East parts of Spain.
authors.affiliation: Hospital Universitario La Fe, Valencia, España. hernandiz_amp@gva.es
authors.forename: J
authors.initials: J
authors.lastname: Cosín Aguilar
authors.forename: A
authors.initials: A
authors.lastname: Hernándiz Martínez
authors.forename: L
authors.initials: L
authors.lastname: Rodríguez Padial
authors.forename: J L
authors.initials: JL
authors.lastname: Zamorano Gómez
authors.forename: R
authors.initials: R
authors.lastname: Arístegui Urrestarazu
authors.forename: B
authors.initials: B
authors.lastname: Armada Peláez
authors.forename: A
authors.initials: A
authors.lastname: Aguilar Llopis
authors.forename: X
authors.initials: X
authors.lastname: Masramon Morell
mesh_terms: D000368:Aged; D002318:Cardiovascular Diseases / Q000453:epidemiology*; D005260:Female; D006801:Humans; D006973:Hypertension / Q000150:complications / Q000188:drug therapy; D008297:Male; D008875:Middle Aged; D018570:Risk Assessment; D013030:Spain