To obtain the score enter the following information on the person under assessment:

Age last birthday: enter whole number of years Years
Sex: enter "M" or "F"  
SIMD score*: enter two decimals; if not known, enter "20"  
Family history: enter "Y" or "N"†  
Diabetes: enter"Y" or "N"†  
Current cigarette smoker: enter "Y" or "N"§  
   If Yes: enter number of cigarettes per day  
Systolic blood pressure (SBP): enter in mmHg mmHg
Total cholesterol (mmol/l): enter mmol/l and two decimals mmol/l
HDL cholesterol (mmol/l): enter mmol/l and two decimals mmol/l



Further Information


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Authors:
Mark Woodward and Hugh Tunstall-Pedoe, Cardiovascular Epidemiology Unit, Institute of Cardiovascular Research, University of Dundee, Scotland.

Disclaimer: This is a development version of the ASSIGN score which has not been accepted as yet for clinical use. Similarly, the Framingham cardiovascular score is provided solely for purposes of comparison during development of ASSIGN and has been simplified to exclude left ventricular hypertrophy. For clinical use, official Framingham sources should be consulted. The authors and sponsors accept no responsibility for clinical use or misuse of these scores.





Notes:

* SIMD is the Scottish Index of Multiple Deprivation. It is calculated for residential areas, such as postcodes, and ranges from 0.54 to 87.6. By population fifths from 1 (least deprived) to 5 (most deprived) the categories are: 1= 0.54 to 7.63; 2=7.64 to 13.49: 3= 13.50 to 21.16: 4= 21.18 to 33.93, and 5 = 33.94 to 87.60

† Enter N if answer is not known

† ‘ Family history’ is coronary heart disease or stroke in a parent or sibling below age 60 years OR other strong evidence of family or ethnic susceptibility, such as several close relatives affected when young.

§ Enter Y if smoking, on average, one or more per day, else N.

If values are unknown for some variables, an approximate score may be derived from using the following age/sex specific average values found for those without pre-existing cardiovascular disease, with no missing values, in the Scottish Health Survey of 2003:

Age (yrs) Male Female
Serum total cholesterol
30-39 5.50 5.11
40-49 5.77 5.64
50-59 6.02 6.29
60+ 5.72 6.37

HDL- Cholesterol
30-39 1.35 1.58
40-49 1.37 1.64
50-59 1.40 1.71
60+ 1.36 1.66

Systolic blood pressure
30-39 128 116
40-49 130 121
50-59 133 131
60+ 141 139

Cigarettes per day (for smokers)
30-39 13 14
40-49 17 16
50-59 20 14
60+ 16 15