Polyscore of autonomic parameters for risk stratification of
the elderly general population: the Polyscore study

J 2021

Polyscore of autonomic parameters for risk stratification of the elderly general population: the Polyscore study

STEGER, Alexander, Michael DOMMASCH, Alexander MULLER, Daniel SINNECKER, Katharina M. HUSTER et. al.

Základní údaje

Originální název

Polyscore of autonomic parameters for risk stratification of the elderly general population: the Polyscore study

Autoři

Vydání

Europace, Oxford, Oxford University Press, 2021, 1099-5129

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30201 Cardiac and Cardiovascular systems

Stát vydavatele

Velká Británie a Severní Irsko

Utajení

není předmětem státního či obchodního tajemství

Odkazy

URL

Impakt faktor

Impact factor: 5.486

Kód RIV

RIV/00216224:14110/21:00121829

Organizační jednotka

Lékařská fakulta

DOI

http://dx.doi.org/10.1093/europace/euaa359

UT WoS

000657483300019

Klíčová slova anglicky

Elderly general population; Prospective validation; Autonomic markers; Risk assessment; Polyscore

Štítky

14110211, rivok

Příznaky

Mezinárodní význam, Recenzováno

Změněno: 24. 6. 2021 13:24, Mgr. Tereza Miškechová

Anotace

V originále

Aims Present society is constantly ageing and elderly frequently suffer from conditions that are difficult and/or costly to treat if detected late. Effective screening of the elderly is therefore needed so that those requiring detailed clinical work-up are identified early. We present a prospective validation of a screening strategy based on a Polyscore of seven predominantly autonomic, non-invasive risk markers. Methods and results Within a population-based survey in Germany (INVADE study), participants aged >= 60 years were enrolled between August 2013 and February 2015. Seven prospectively defined Polyscore components were obtained during 30-min continuous recordings of electrocardiogram, blood pressure, and respiration. Out of 1956 subjects, 168 were excluded due to atrial fibrillation, implanted pacemaker, or unsuitable recordings. All-cause mortality over a median 4-year follow-up was prospectively defined as the primary endpoint. The Polyscore divided the investigated population (n= 1788, median age: 72 years, females: 58%) into three predefined groups with low (n= 1405, 78.6%), intermediate (n = 326, 18.2%), and high risk (n = 57, 3.2%). During the follow-up, 82 (4.6%) participants died. Mortality in the Polyscore-defined risk groups was 3.4%, 7.4%, and 17.5%, respectively (P <0.0001). The Polyscore-based mortality prediction was independent of Framingham score, diabetes, chronic kidney disease, and major stroke and/or myocardial infarction history. It was particularly effective in those aged <75 years (n = 1145). Conclusion The Polyscore-based mortality risk assessment from short-term non-invasive recordings is effective in the elderly general population, especially those aged 60-74 years. Implementation of a comprehensive Polyscore screening of this age group is proposed to advance preventive medical care.

Citovat

STEGER, Alexander, Michael DOMMASCH, Alexander MULLER, Daniel SINNECKER, Katharina M. HUSTER, Teresa GOTZLER, Othmar GOTZLER, Alexander HAPFELMEIER, Kurt ULM, Petra BARTHEL, Katerina HNATKOVA, Karl-Ludwig LAUGWITZ, Marek MALÍK a Georg SCHMIDT. Polyscore of autonomic parameters for risk stratification of the elderly general population: the Polyscore study. Europace. Oxford: Oxford University Press, 2021, roč. 23, č. 5, s. 789-796. ISSN 1099-5129. Dostupné z: https://dx.doi.org/10.1093/europace/euaa359.

@article{1778201,
   author = {Steger, Alexander and Dommasch, Michael and Muller, Alexander and Sinnecker, Daniel and Huster, Katharina M. and Gotzler, Teresa and Gotzler, Othmar and Hapfelmeier, Alexander and Ulm, Kurt and Barthel, Petra and Hnatkova, Katerina and Laugwitz, KarlandLudwig and Malík, Marek and Schmidt, Georg},
   article_location = {Oxford},
   article_number = {5},
   doi = {http://dx.doi.org/10.1093/europace/euaa359},
   keywords = {Elderly general population; Prospective validation; Autonomic markers; Risk assessment; Polyscore},
   language = {eng},
   issn = {1099-5129},
   journal = {Europace},
   title = {Polyscore of autonomic parameters for risk stratification of the elderly general population: the Polyscore study},
   url = {https://www.sciencedirect.com/science/article/pii/S0278584620304814?via%3Dihub},
   volume = {23},
   year = {2021}
}

TY  - JOUR
ID  - 1778201
AU  - Steger, Alexander - Dommasch, Michael - Muller, Alexander - Sinnecker, Daniel - Huster, Katharina M. - Gotzler, Teresa - Gotzler, Othmar - Hapfelmeier, Alexander - Ulm, Kurt - Barthel, Petra - Hnatkova, Katerina - Laugwitz, Karl-Ludwig - Malík, Marek - Schmidt, Georg
PY  - 2021
TI  - Polyscore of autonomic parameters for risk stratification of the elderly general population: the Polyscore study
JF  - Europace
VL  - 23
IS  - 5
SP  - 789-796
EP  - 789-796
PB  - Oxford University Press
SN  - 10995129
KW  - Elderly general population
KW  - Prospective validation
KW  - Autonomic markers
KW  - Risk assessment
KW  - Polyscore
UR  - https://www.sciencedirect.com/science/article/pii/S0278584620304814?via%3Dihub
N2  - Aims Present society is constantly ageing and elderly frequently suffer from conditions that are difficult and/or costly to treat if detected late. Effective screening of the elderly is therefore needed so that those requiring detailed clinical work-up are identified early. We present a prospective validation of a screening strategy based on a Polyscore of seven predominantly autonomic, non-invasive risk markers. Methods and results Within a population-based survey in Germany (INVADE study), participants aged >= 60 years were enrolled between August 2013 and February 2015. Seven prospectively defined Polyscore components were obtained during 30-min continuous recordings of electrocardiogram, blood pressure, and respiration. Out of 1956 subjects, 168 were excluded due to atrial fibrillation, implanted pacemaker, or unsuitable recordings. All-cause mortality over a median 4-year follow-up was prospectively defined as the primary endpoint. The Polyscore divided the investigated population (n= 1788, median age: 72 years, females: 58%) into three predefined groups with low (n= 1405, 78.6%), intermediate (n = 326, 18.2%), and high risk (n = 57, 3.2%). During the follow-up, 82 (4.6%) participants died. Mortality in the Polyscore-defined risk groups was 3.4%, 7.4%, and 17.5%, respectively (P <0.0001). The Polyscore-based mortality prediction was independent of Framingham score, diabetes, chronic kidney disease, and major stroke and/or myocardial infarction history. It was particularly effective in those aged <75 years (n = 1145). Conclusion The Polyscore-based mortality risk assessment from short-term non-invasive recordings is effective in the elderly general population, especially those aged 60-74 years. Implementation of a comprehensive Polyscore screening of this age group is proposed to advance preventive medical care.
ER  -

STEGER, Alexander, Michael DOMMASCH, Alexander MULLER, Daniel SINNECKER, Katharina M. HUSTER, Teresa GOTZLER, Othmar GOTZLER, Alexander HAPFELMEIER, Kurt ULM, Petra BARTHEL, Katerina HNATKOVA, Karl-Ludwig LAUGWITZ, Marek MALÍK a Georg SCHMIDT. Polyscore of autonomic parameters for risk stratification of the elderly general population: the Polyscore study. \textit{Europace}. Oxford: Oxford University Press, 2021, roč.~23, č.~5, s.~789-796. ISSN~1099-5129. Dostupné z: https://dx.doi.org/10.1093/europace/euaa359.

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