A Risk Score to Predict Hypertension in Primary Care Settings in Rural India.
We used the data of 297 participants (15-64 years old) from a cohort study (2003-2010) who were free from hypertension at baseline, to develop a risk score to predict hypertension by primary health care workers in rural India. Age ≥35 years, current smoking, prehypertension, and central obesity were significantly associated with incident hypertension. The optimal cutoff value of ≥3 had a sensitivity of 78.6%, specificity of 65.2%, positive predictive value of 41.1%, and negative predictive value of 90.8%. The area under the receiver operating characteristic curve of the risk score was 0.802 (95% confidence interval = 0.748-0.856). This simple and easy to administer risk score could be used to predict hypertension in primary care settings in rural India.
Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, Kerala, India The University of Melbourne, Parkville, VIC, Australia speaktosat@gmail.com.
Thirunavukkarasu
T
Sathish
Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, Kerala, India.
Srinivasan
S
Kannan
Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, Kerala, India.
P Sankara
PS
Sarma
Bielefeld University, Bielefeld, Germany.
Oliver
O
Razum
Monash University, Clayton, VIC, Australia.
Amanda Gay
AG
Thrift
Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, Kerala, India.
Kavumpurathu Raman
KR
Thankappan
D000293:Adolescent; D000328:Adult; D015331:Cohort Studies; D005260:Female; D006801:Humans; D006973:Hypertension / Q000453:epidemiology*; D007194:India / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D011237:Predictive Value of Tests; D011320:Primary Health Care; D018570:Risk Assessment / Q000379:methods; D012423:Rural Health / Q000706:statistics & numerical data*; D055815:Young Adult
India; Kerala; hypertension; incidence; primary care; risk score; screening