Self-screening for arteriosclerosis in middle-aged and elderly residents and the construction of a primary care initial screening tool
10.3969/j.issn.1006-5725.2024.14.008
- VernacularTitle:中老年居民动脉硬化自我筛查与基层医疗机构初筛工具构建
- Author:
Yue MENG
1
;
Li ZHENG
;
Jing ZHOU
;
Dashan WANG
;
Jin HU
;
Die WANG
;
You LI
;
Junhua WANG
;
Ziyun WANG
Author Information
1. 贵州医科大学公共卫生与健康学院,环境污染与疾病监控教育部重点实验室(贵阳 561113)
- Keywords:
arteriosclerosis;
screening model;
middle-aged adults;
nomogram graph;
primary care organization
- From:
The Journal of Practical Medicine
2024;40(14):1947-1951
- CountryChina
- Language:Chinese
-
Abstract:
Objective To establish a simple model for arteriosclerosis(AS)screening to provide a viable tool for the timely identification of AS risk among residents aged 40～65 years.Methods Data were obtained from the Sleep and Chronic Diseases Program in Fuquan City.The original dataset was divided into a training subset and a validation subset(80%:20%).LASSO and logistic regression models were used to screen variables,perform multivariate regression analyses.Internal validation was performed using the Bootstrap method.Nomogram Plot was constructed,and risk score thresholds were determined based on ROC curves to classify high-risk populations.Results RS Model was established to include age,gender,napping,sleep efficiency,sleep disorders,hyperten-sion and diabetes,with AUC=74.80%and a model risk score threshold=84.20.PHC Model was established to include age,gender,napping,sleep efficiency,systolic blood pressure,fasting blood glucose,and pulse variables,with AUC=82.80%and a risk score threshold of 78.00.Decision curves showed that both models performed well in terms of calibration and actual benefits for health management.Conclusion The two AS screening models exhibit acceptable accuracy and differentiation.Therefore,it can be applied in residents'self-health management and in primary care organizations'screening work in a large scale.
