How cardiovascular risk varies with age, sex, and coronary risk factors : do standard risk scores give an accurate perspective ?
European Workshop in Aviation Cardiology. Symposium. Hanbury Manor, GBR, 1998/06/24.
The most precise data on trends of cardiovascular risk by age and sex come from national mortality statistics and not from risk factor scoring systems.
However, the former are insufficiently specific if based on 5-and 10-year age-groups, so that risk by single years of age needs to be interpolated.
The one per cent annual cardiovascular mortality (one event per million hours) used as an indicator for aircrew licensing is reached in England and Wales at age 64 years in men and age 71 years in women.
Prospective risk assessments for 5 or 10 years are inappropriate for licensing aircrew on an annual basis as they are heavily weighted by later years.
Compared with mortality trends for England and Wales, the age gradient for the Framingham absolute 10-year risk score was found to be too flat.
The life insurance concept of using age-specific risk and adding or subtracting years, using an appropriate relative or absolute risk factor scoring system, retains its attraction for aircrew licensing.
However, the ideal risk score, incorporating all relevant factors, is yet to be developed.
Mots-clés Pascal : Analyse risque, Appareil circulatoire pathologie, Homme, Facteur risque, Age, Sexe, Transport aérien, Licence, Qualification professionnelle, Femelle, Mâle, Assurance vie, Technique, Epidémiologie, Angleterre, Grande Bretagne, Royaume Uni, Europe
Mots-clés Pascal anglais : Risk analysis, Cardiovascular disease, Human, Risk factor, Age, Sex, Air transportation, Licence, Professional qualification, Female, Male, Life insurance, Technique, Epidemiology, England, Great Britain, United Kingdom, Europe
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Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0219655
Code Inist : 002B12A03. Création : 16/11/1999.