title: Impact of using different SCORE tables for estimating cardiovascular risk.
abstract: OBJECTIVE
  In Spain, various SCORE tables are available to estimate cardiovascular risk: tables for low-risk countries, tables calibrated for the Spanish population, and tables that include high-density lipoprotein values. The aim of this study is to assess the impact of using one or another SCORE table in clinical practice.
  
  
  METHODS
  In a cross-sectional study carried out in two primary health care centers, individuals aged 40 to 65 years in whom blood pressure and total cholesterol levels were recorded between March 2010 and March 2012 were selected. Patients with diabetes or a history of cardiovascular disease were excluded. Cardiovascular risk was calculated using SCORE for low-risk countries, SCORE with high-density lipoprotein cholesterol, and the calibrated SCORE.
  
  
  RESULTS
  Cardiovascular risk was estimated in 3716 patients. The percentage of patients at high or very high risk was 1.24% with SCORE with high-density lipoprotein cholesterol, 4.73% with the low-risk SCORE, and 15.44% with the calibrated SCORE (P<.01). Treatment with lipid-lowering drugs would be recommended in 10.23% of patients using the calibrated SCORE, 3.12% of patients using the low-risk SCORE, and 0.67% of patients using SCORE with high-density lipoprotein cholesterol.
  
  
  CONCLUSIONS
  The calibrated SCORE table classifies a larger number of patients at high or very high risk than the SCORE for low-risk countries or the SCORE with high-density lipoprotein cholesterol. Therefore, its use would imply treating more patients with lipid-lowering medication. Validation studies are needed to assess the most appropriate SCORE table for use in our setting.
authors.affiliation: Unidad de Investigación, Equip d'Atenció Primària Sardenya, Instituto de Investigación Biomédica Sant Pau (IIB-Sant Pau), Barcelona, Spain; Unidad Docente ACEBA, Barcelona, Spain. Electronic address: cbrotons@eapsardenya.cat.
authors.forename: Carlos
authors.initials: C
authors.lastname: Brotons
authors.affiliation: Unidad de Investigación, Equip d'Atenció Primària Sardenya, Instituto de Investigación Biomédica Sant Pau (IIB-Sant Pau), Barcelona, Spain; Unidad Docente ACEBA, Barcelona, Spain.
authors.forename: Irene
authors.initials: I
authors.lastname: Moral
authors.affiliation: Unidad de Investigación, Equip d'Atenció Primària Sardenya, Instituto de Investigación Biomédica Sant Pau (IIB-Sant Pau), Barcelona, Spain; Unidad Docente ACEBA, Barcelona, Spain; Departamento de Pediatría, Obstetricia y Ginecología, Medicina Preventiva y Salud Pública, Universitat Autònoma de Barcelona, Barcelona, Spain.
authors.forename: Núria
authors.initials: N
authors.lastname: Soriano
authors.affiliation: Unidad Docente ACEBA, Barcelona, Spain; EAP Dreta de l'Eixample, Barcelona, Spain.
authors.forename: Lluís
authors.initials: L
authors.lastname: Cuixart
authors.affiliation: Servicio de Epidemiología Clínica y Salud Pública, Instituto de Investigación Biomédica Sant Pau (IIB-Sant Pau), Barcelona, Spain.
authors.forename: Dimelza
authors.initials: D
authors.lastname: Osorio
authors.affiliation: Unidad de Investigación, Equip d'Atenció Primària Sardenya, Instituto de Investigación Biomédica Sant Pau (IIB-Sant Pau), Barcelona, Spain; Unidad Docente ACEBA, Barcelona, Spain.
authors.forename: David
authors.initials: D
authors.lastname: Bottaro
authors.affiliation: Unidad de Investigación, Equip d'Atenció Primària Sardenya, Instituto de Investigación Biomédica Sant Pau (IIB-Sant Pau), Barcelona, Spain; Unidad Docente ACEBA, Barcelona, Spain.
authors.forename: Mireia
authors.initials: M
authors.lastname: Puig
authors.affiliation: Unidad Docente ACEBA, Barcelona, Spain; EAP Dreta de l'Eixample, Barcelona, Spain.
authors.forename: Xavier
authors.initials: X
authors.lastname: Joaniquet
authors.affiliation: Unidad Docente ACEBA, Barcelona, Spain; EAP Dreta de l'Eixample, Barcelona, Spain.
authors.forename: Albert
authors.initials: A
authors.lastname: Marcos
authors.affiliation: Unidad de Investigación, Equip d'Atenció Primària Sardenya, Instituto de Investigación Biomédica Sant Pau (IIB-Sant Pau), Barcelona, Spain; Unidad Docente ACEBA, Barcelona, Spain.
authors.forename: Albert
authors.initials: A
authors.lastname: Casasa
mesh_terms: D000328:Adult; D000368:Aged; D001794:Blood Pressure; D002318:Cardiovascular Diseases / Q000097:blood / Q000453:epidemiology*; D008076:Cholesterol, HDL / Q000097:blood; D008078:Cholesterol, LDL / Q000097:blood; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D000960:Hypolipidemic Agents / Q000627:therapeutic use; D008297:Male; D008875:Middle Aged; D018570:Risk Assessment / Q000379:methods*; D012307:Risk Factors; D012907:Smoking / Q000453:epidemiology; D013030:Spain / Q000453:epidemiology
chemical_list: D008076:Cholesterol, HDL; D008078:Cholesterol, LDL; D000960:Hypolipidemic Agents
keywords: Cardiovascular risk; Edad vascular; Riesgo cardiovascular; SCORE; Vascular age