Framingham Risk Score: From 1 Different Sources
an assessment tool that predicts a ten-year risk of developing cardiovascular disease based on gender, age, total and HDL cholesterol, blood pressure, and smoking, thereby enabling preventative treatment. It does not incorporate the presence of diabetes or familial history of cardiovascular disease into the scoring.
An aspect of personal behaviour or lifestyle, an environmental exposure, or an inborn or inherited characteristic, which, on the basis of scientific evidence, is known to be associated with health-related condition(s) considered important to prevent.... risk factor
A method of assessing at birth whether or not a baby requires resuscitation. The newborn is routinely assessed at 1 minute of age and again at 5 minutes, and a value of 0, 1 or 2 given to each of ?ve signs: colour, heart rate, muscle tone, respiratory (or breathing) e?ort, and the response to stimulation. A total score of 7 or more indicates that the newborn child is in excellent condition. An Apgar score of 5 or less at 15 or 20 minutes predicates an increased risk of subsequent CEREBRAL PALSY.... apgar score
The function of identifying and assessing problems that could occur and bring about losses legally, clinically or financially.... risk management
See RISK REGISTER.... at-risk register
The probability that an event will occur.... risk
The qualitative or quantitative estimation of the likelihood of adverse effects that may result from exposure to specified health hazards or from the absence of beneficial influences.... risk assessment
The process of analysing and comparing, on a single scale, the expected positive (benefits) and negative (risks, costs) results of an action, or lack of an action.... risk-benefit analysis
The probability of an event in a population as contrasted with relative risk. See “relative risk”.... absolute risk
A measure of treatment effect that compares the probability (or mean) of a type of outcome in the control group with that of a treatment group.... absolute risk reduction
A risk that has minimal detrimental effects or for which the benefits outweigh the potential hazards.... acceptable risk
In a total population, the proportion of disease incidence, or risk of the disease, that can be attributed to exposure to a specific risk factor; the difference between the risk in the total population and the risk in the unexposed group.... attributable risk
Initially driven by anxiety about the possibility of medical negligence cases, clinical risk management has evolved into the study of IATROGENIC DISEASE. The ?rst priority of risk managers is to ensure that all therapies in medicine are as safe as possible. Allied to this is a recognition that errors may occur even when error-prevention strategies are in place. Lastly, any accidents that occur are analysed, allowing a broader understanding of their cause. Risk management is generally centred on single adverse events. The threat of litigation is taken as an opportunity to expose unsafe conditions of practice and to put pressure on those with the authority to implement change. These might include senior clinicians, hospital management, the purchasing authorities, and even the Secretary of State for Health. Attention is focused on organisational factors rather than on the individuals involved in a speci?c case.... clinical risk management
A measure of an individual’s or group’s lack of normal social amenities such as proper housing, diet and warmth. It was devised in the 1980s to help assess the medical services needed by a socially deprived population.... deprivation score
The process of gathering, analysing and comparing an individual’s prognostic health characteristics with a standard age group, thereby predicting the likelihood that a person may develop a health problem.... health risk appraisal
A chemical, psychological, physiological, social, environmental or genetic factor or conditions that predisposes an individual to the development of a disease or injury.... health risk factor
More than one risk factor for the development of a disease or other outcome is present and their combined presence results in an increased risk. The increased risk may be due to the additive effects of the risks associated with the separate risk factors, or to synergism.... multiple risk / causation
The ratio of the risk of disease or death among the exposed to the risk among the unexposed; this usage is synonymous with risk ratio.... relative risk
An approach consisting of identifying and devoting more care to individuals or groups who, for biological, environmental or socioeconomic reasons, are at special risk of having their health impaired, contracting a specific disease, or having inadequate attention paid to their health problems.... risk approach
The practice of bringing several risks together for insurance purposes in order to balance the consequences of the realization of each individual risk.... risk pooling
Risk rating means that high-risk individuals will pay more than the average premium price.... risk rating
The practice of singling out or disaggregating a particular risk from a pool of insured risks.... risk selection
The distribution of financial risk among parties furnishing a service. For example, if a hospital and a group of medical practitioners form a corporation to provide health care at a fixed price, a risk-sharing arrangement would entail both the hospital and the group being held liable if expenses were to exceed revenues.... risk sharing
Score expressed as a deviation from the mean value, in standard deviation units. ... z score
a scoring system to assess the state of the maternal cervix and position of the fetal head to determine the ease or difficulty with which labour may be induced.... bishop score
a quantification of the amount of calcium seen in the coronary arteries on a CT scan, calcium being a marker of severe coronary artery disease.... calcium score
a clinical scoring system used to predict the one- and two-year survival rates of patients with chronic liver disease. The score is determined by the assessment of two clinical signs (the presence of ascites and *hepatic encephalopathy) and three biochemical markers (serum bilirubin level, serum albumin level, and prothrombin time).... child–turcotte–pugh score
a numerical score from two to ten, which is the sum of the two *Gleason grades given to the most common and second most common pattern of prostate cancer seen in the tumour.... gleason score
(IPSS) a self-administered questionnaire, completed by men with *lower urinary tract symptoms, which consists of seven questions based on the extent of symptoms and a single quality-of-life question. It gives a numerical score, on a scale of 0 to 35, to indicate the severity of the patient’s symptoms. A score of 0–7 indicates mild symptoms, 8–19 moderate symptoms, and 20–35 severe symptoms. The quality-of-life question is scored from 0–6.... international prostate symptom score
a scoring system used for newborn babies who may be withdrawing from maternal opioids or other (usually nonprescription) drugs. See neonatal abstinence syndrome.... lipsitz score
an assessment tool for newborn babies, consisting of a chart in which a combination of *vital signs, neurological involvement, observation of blue skin and lips, and level of behavioural response indicate the appropriate level of concern. It is colour-coordinated from red to green to enable standardized escalation of concerns about the sick baby.... neonatal early warning score
(RMI) a scoring system that combines ultrasound findings, menopausal status and age, and serum CA125 levels to give an estimate of the risk of malignancy in a woman with a mass in the Fallopian tubes or ovaries. If the total RMI score is <200 the risk of malignancy is considered to be low. If the total RMI score is >200 the chances of malignancy are raised and management should be planned with a gynaecological oncologist.... risk of malignancy index
a measure of bone mineral density used to evaluate the degree of bone thinning detected on *DEXA scanning. An individual’s T score is the number of standard deviations above or below the mean reference value for young healthy adults. By convention, a score above –1 is considered normal, a score between –1 and –2.5 indicates osteopenia, and a score below –2.5 indicates *osteoporosis.... t score
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