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Cardiovascular disease risk prediction in older people: A qualitative study

British Journal of General Practice Oct 06, 2021

Taylor DA, Wallis KA, Feki S, et al. - It is important to consider a person's desire to know their cardiovascular disease (CVD) risk in order to inform clinical decision making for older people. In addition, risk prediction tools should offer separate event types instead of just composite outcomes.

  • This is a qualitative study of community-dwelling older people in New Zealand, including 39 participants (mean age 74 years) of Māori, Pacific, South Asian, and European ethnicities, to gauge older people’s views on CVD risk prediction and its evaluation.

  • Three key themes emerged, and there was familiarity with the terms ‘heart attack’ and ‘stroke’ as well as lifestyle risk factors for these events, in most participants.

  • Participants feared stroke and disability but showed less concern about a heart attack, which was viewed as resulting in less disability or swifter death.

  • These revelations and preferences were similar across ethnic groups.

  • All but two participants wished to be aware of their CVD risk, its management, and how to differentiate between CVD outcomes.

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