Prevention & lipids

Prediction of individual lifetime cardiovascular risk and potential treatment benefit: development and recalibration of the LIFE-CVD2 model to four European risk regions

Eur J Prev CardiolPublished Risk prediction model development and external validation study

An erratum to this article was published (Eur J Prev Cardiol, 11 Nov 2024 ↗)

Authors' conclusion

By taking into account geographical differences in CVD incidence using contemporary representative data sources, the recalibrated LIFE-CVD2 model provides a more accurate tool for the prediction of lifetime risk and CVD-free life expectancy for individuals without previous CVD

Study context

Population
Apparently healthy individuals without established CVD, four European risk regions
Participants
687,135 individuals44 cohorts
Outcome
Lifetime risk of fatal and non-fatal CVD events (model discrimination and calibration)
Methodological detailsindividual participant data, 44 derivation cohorts in 13 countries, recalibrated to four European risk regions, competing-risk adjusted
  • Individual participant data
  • 44 derivation cohorts in 13 countries
  • Recalibrated to four European risk regions
  • Competing-risk adjusted

Performance

As reported in the abstract

Discrimination in external validation

Pooled C-index, external validation (1 657 707 individuals, 61 311 CVD events, 8 cohorts)

0.795

95% CI 0.767–0.822

Further findings

Estimated gain in CVD-free life expectancy, 50-year-old smoking woman, systolic blood pressure (SBP) 140 mmHg

Years

Lifelong 10 mmHg SBP reduction, low-risk region
0.9
Lifelong 10 mmHg SBP reduction, very high-risk region
1.6
Smoking cessation, low-risk region
3.6
Smoking cessation, very high-risk region
4.8

Original publication

Prediction of individual lifetime cardiovascular risk and potential treatment benefit: development and recalibration of the LIFE-CVD2 model to four European risk regions. Eur J Prev Cardiol. Published 16 May 2024. doi:10.1093/eurjpc/zwae174

Composed by AI from the published abstract and checked against it. How Briefs are made →

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