Table 2.
Coefficients of the Ochsner models for calculating 5-year risk of CHD, HF and stroke
| CHD | HF | Stroke | |
|---|---|---|---|
| Demographics | |||
| Age, years | 0.02143 | 0.03372 | 0.01705 |
| BMI, kg/m2 | − 0.00959 | 0.01053 | − 0.02817 |
| Sex | |||
| Man | 0.13083 | ||
| Race | |||
| Black | 0.22707 | 0.29277 | 0.03210 |
| Asian | − 0.70858 | − 0.91104 | − 0.21774 |
| Other | − 0.87601 | − 0.06151 | |
| Clinical or biomarkers | |||
| Systolic blood pressure, mmHg | 0.00213 | 0.00455 | 0.00990 |
| HbA1C, % | 0.05607 | 0.03734 | 0.09647 |
| LDL cholesterol, mg/dl | − 0.00078 | − 0.00374 | |
| HDL cholesterol, mg/dl | − 0.00847 | ||
| Triglycerides, mg/dl | 0.00067 | ||
| Estimated GFR, ml/min/1.73 m2 | 0.00292 | − 0.00108 | 0.00111 |
| Medical history | |||
| Hypertension history | 0.55760 | 0.59334 | 0.23297 |
| CHD history | 1.84915 | 0.37780 | 0.36549 |
| Heart failure history | 0.46568 | 1.88251 | 0.58397 |
| Stroke history | − 0.14675 | 0.18941 | 0.65132 |
| Medication prescription history | |||
| Hypolipidemic drugs | 0.34079 | ||
| Antidiabetic drugs | 0.05846 | ||
| Antihypertensive drugs | − 0.20982 | − 0.17883 |
All risk factors listed in Table 1 were considered for inclusion; the ones listed in Table 2 were also selected for inclusion. The 5-year risk of an outcome can be computed as 1 – . Here β is the coefficient, and x is the covariate vector for an individual patient within the Ochsner cohort. for the CHD, HF and stroke are 0.898, 0.928 and 0.975, respectively. For example, a 65-year-old white man with BMI 34.9 kg/m2, systolic blood pressure 143 mmHg, HbA1c 8.4%, LDL cholesterol 110 mg/dl, HDL cholesterol 45 mg/dl, triglycerides 145 mg/dl and estimated GFR 52 ml/min/1.73 m2 and with hypertension history, without CHD/HF/stroke history, and currently using antidiabetic and antihypertensive drugs, would have a 5-year CHD risk of 1 − 0.898^exp (0.02143 × 65 − 0.00959 × 34.9 + 0.13083 × 1 + 0.00213 × 143 + 0.05607 × 8.4 − 0.00078 × 110 − 0.00847 × 45 + 0.00292 × 52 + 0.55760 × 1 + 0.05846 × 1 − 0.20982 × 1 − 1.37) = 0.192 or 19.2% 5-year risk, where 1.37 is the mean
CHD coronary heart disease; HF heart failure; BMI body mass index; LDL low-density lipoprotein; HDL high-density lipoprotein; GFR glomerular filtration rate