Revista Habanera de Ciencias Médicas
Índice de riesgo de disglucemia con variables objetivas y prueba de glucosa de una hora
By Rubén González Tabares, Gilda Monteagudo Peña, Yoselín González Montero and 2 others.
Abstract
Introduction
When fasting blood glucose is 5.6 mmol/L or higher, it is essential to identify individuals with persistent dysglycemia.
Objective
To validate a dysglycemia risk index based on objective variables and the one-hour oral glucose tolerance test. Material and Methods: A cross-sectional, analytical, technology assessment study was conducted in three stages. In the first stage, a dysglycemia risk index was constructed using binary logistic regression from 922 patients evaluated with the one-hour oral glucose tolerance test (1-hour OGTT) in Matanzas. In the second stage, internal validation was performed. In the third stage, the index was validated in 1.071 patients from Havana with similar characteristics. The diagnostic value was compared with the ADA risk test using receiver operating characteristic curve, sensitivity, specificity, predictive values, and Youden index.