Articles Vol. 67 No. 9 25/09/2026

SCORE-VN CARDIOVASCULAR RISK STRATIFICATION AND ASSOCIATED FACTORS AMONG MALE INPATIENTS WITH PRIMARY GOUT AT NAM DINH GENERAL HOSPITAL, 2025–2026

Pham Thi Thoa, Nguyen Vinh Ngoc, Le Thi Lieu, Phung Duc Tam, Ngo Thi Thuc Nhan, Dang Thi Ngoc Cuc
DOI: 10.52163/yhc.v67i9.6615
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Abstract

Objective: To describe SCORE-VN cardiovascular risk stratification and explore associations between selected characteristics not directly included in the SCORE-VN inputs and high–very high risk among male inpatients with primary gout. Methods: This cross-sectional study included 135 men aged 40–69 years with primary gout diagnosed according to the 2015 ACR/EULAR criteria and admitted to Nam Dinh General Hospital from August 2025 to August 2026. SCORE-VN was calculated using age, sex, smoking, systolic blood pressure, total cholesterol and HDL-C. Logistic regression estimates are reported as odds ratios (ORs) and 95% confidence intervals (CIs), not as risk ratios. Results: The mean SCORE-VN was 11.01 ± 7.67%; 77.04% were classified as high–very high risk and 53.33% as very high risk. In a six-variable model, gout duration ≥5 years (aOR 9.66; 95% CI 2.91–32.10; p<0.001), tophi (aOR 3.92; 95% CI 1.09–14.09; p=0.036), and ≥2 gout flares/year (aOR 13.46; 95% CI 3.33–54.41; p<0.001) were associated with high–very high SCORE-VN classification. Conclusion: High–very high SCORE-VN classification was common in this selected sample of male inpatients with primary gout. The observed associations are cross-sectional and do not establish causality or predict observed cardiovascular events.

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