Age Specific Models to Capture the Change in Risk Factor Contribution by Age to Short Term Primary Ischemic Stroke Risk.
Pubmed ID: 35250810
Pubmed Central ID: PMC8891452
Journal: Frontiers in neurology
Publication Date: Feb. 17, 2022
Authors: Hunter E, Kelleher JD
Cite As: Hunter E, Kelleher JD. Age Specific Models to Capture the Change in Risk Factor Contribution by Age to Short Term Primary Ischemic Stroke Risk. Front Neurol 2022 Feb 17;13:803749. doi: 10.3389/fneur.2022.803749. eCollection 2022.
Studies:
Abstract
Age is one of the most important risk factors when it comes to stroke risk prediction. However, including age as a risk factor in a stroke prediction model can give rise to a number of difficulties. Age often dominates the risk score, and also not all risk factors contribute proportionally to stroke risk by age. In this study we investigate a number of common stroke risk factors, using Framingham heart study data from the NHLBI Biologic Specimen and Data Repository Information Coordinating Center to determine if they appear to contribute proportionally by age to a stroke risk score. As we find evidence that there is some non-proportionality by age, we then create a set of logistic regression risk models that each predict the 5 year stroke risk for a different age group. The age group models are shown to be better calibrated when compared to a model for all ages that includes age as a risk factor. This suggests that to get better predictions for stroke risk it may be necessary to consider alternative methods for including age in stroke risk prediction models that account for the non-proportionality of the other risk factors as age changes.