Trial Outcomes & Findings for Assessment of Coronary Artery Calcium in Active Duty Enlisted Military Members With 10 or More Years of Service (NCT NCT02009930)

NCT ID: NCT02009930

Last Updated: 2020-06-09

Results Overview

Percent of active duty enlisted military members with 10 or more years of military service determined to have a prevalence of atherosclerosis based on CAC risk category. The CAC risk category (scale), is derived from the CAC score (i.e., an estimate of the degree of atherosclerosis present in each participant's coronary arteries, reported as a number), and percentage by age to establish risk of future CV events. There are 5 risk categories: Low risk = CAC of 0 and no cardiovascular (CV) risk factors, Low - Moderate risk = CAC of 0 with CV risk factors, Moderate - High risk: CAC 1-100 and percentile for age \<75%, High risk = CAC 100-399 or percentile for age \>75%, Very high risk = CAC \>100 and percentile for age \>90% or CAC \>400". Low risk is the best outcome, and very high risk is the worst.

Recruitment status

TERMINATED

Target enrollment

112 participants

Primary outcome timeframe

within 10 days of CT scan

Results posted on

2020-06-09

Participant Flow

5 withdrawn

Participant milestones

Participant milestones
Measure
Coronary Artery Calcium (CAC) / Framingham Risk Score (FRS)
Coronary Artery Calcium (CAC) scores are reported as a numerical value and a percentage for age that is then regarded in terms of risk categories. The Framingham Risk Score (FRS) is a standard of care for estimating risk of a cardiovascular event over the next 10 years
Overall Study
STARTED
112
Overall Study
COMPLETED
107
Overall Study
NOT COMPLETED
5

Reasons for withdrawal

Reasons for withdrawal
Measure
Coronary Artery Calcium (CAC) / Framingham Risk Score (FRS)
Coronary Artery Calcium (CAC) scores are reported as a numerical value and a percentage for age that is then regarded in terms of risk categories. The Framingham Risk Score (FRS) is a standard of care for estimating risk of a cardiovascular event over the next 10 years
Overall Study
withdrawn
5

Baseline Characteristics

5 withdrawn

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Coronary Artery Calcium (CAC) / Framingham Risk Score (FRS)
n=107 Participants
Coronary Artery Calcium (CAC) scores are reported as a numerical value and a percentage for age that is then regarded in terms of risk categories. The Framingham Risk Score (FRS) is a standard of care for estimating risk of a cardiovascular event over the next 10 years
Age, Continuous
40.78505 years
STANDARD_DEVIATION 5.037647 • n=107 Participants
Sex: Female, Male
Female
3 Participants
n=107 Participants • 5 withdrawn
Sex: Female, Male
Male
104 Participants
n=107 Participants • 5 withdrawn
More than one cardiovascular risk factor
107 Participants
n=107 Participants • 5 withdrawn

PRIMARY outcome

Timeframe: within 10 days of CT scan

Percent of active duty enlisted military members with 10 or more years of military service determined to have a prevalence of atherosclerosis based on CAC risk category. The CAC risk category (scale), is derived from the CAC score (i.e., an estimate of the degree of atherosclerosis present in each participant's coronary arteries, reported as a number), and percentage by age to establish risk of future CV events. There are 5 risk categories: Low risk = CAC of 0 and no cardiovascular (CV) risk factors, Low - Moderate risk = CAC of 0 with CV risk factors, Moderate - High risk: CAC 1-100 and percentile for age \<75%, High risk = CAC 100-399 or percentile for age \>75%, Very high risk = CAC \>100 and percentile for age \>90% or CAC \>400". Low risk is the best outcome, and very high risk is the worst.

Outcome measures

Outcome measures
Measure
Coronary Artery Calcium (CAC)
n=107 Participants
Compare CAC risk categories (low, low-mod, mod-high and very high) between groups
CAC Risk Category
Compare CAC risk categories (low, low - moderate, moderate -high, high, and very high) between groups
Prevalence of Atherosclerosis
16 Participants

PRIMARY outcome

Timeframe: within 10 days of CT scan

Percent/Number of subject that were reclassified from FRS to CAC risk category using CAC scores. The CAC risk category (scale) = CAC score (estimated degree of calcium in coronary arteries, a number) + percentage by age to establish risks of future CV events. There are 5 risk categories: low, low - moderate, moderate - high, very high. The Framingham risk category (scale) = FRS to estimate the risk of a CV event over the next 10 years. The FRS uses age, systolic blood pressure, high-density lipoprotein (HDL) cholesterol level, total cholesterol level, and smoking status to create a score that is converted into a 10-year CV disease risk % that correlates into a risk category: low, moderate, moderate - high risk, very high. For both scales, low is the best and very high is the worst outcome

Outcome measures

Outcome measures
Measure
Coronary Artery Calcium (CAC)
n=107 Participants
Compare CAC risk categories (low, low-mod, mod-high and very high) between groups
CAC Risk Category
Compare CAC risk categories (low, low - moderate, moderate -high, high, and very high) between groups
Rate of Reclassification
lower risk category
5 Participants
Rate of Reclassification
higher risk category
99 Participants
Rate of Reclassification
same risk category
3 Participants

PRIMARY outcome

Timeframe: within 10 days of CT scan

Population: The data is separated into two rows for each arm. Each row corresponds to a group. Participants were placed into one of the two groups based on certain criteria. Each group has a different number of participants analyzed. The total for both groups (rows) is equal to the overall number of participants analyzed

Compare FRS risk category to CAC risk category for enlisted subjects with at least 10 years of service and at least one additional CV risk factor to determine how well the results correlate with one another using the Spearman's Rank Correlation Coefficient. The CAC risk category (scale) = CAC score (estimated degree of calcium in coronary arteries, a number) + percentage by age to establish risks of future CV events. There are 5 risk categories: low, low - moderate, moderate - high, very high. The Framingham risk category (scale) = FRS to estimate the risk of a CV event over the next 10 years. The FRS uses age, systolic blood pressure, high-density lipoprotein (HDL) cholesterol level, total cholesterol level, and smoking status to create a score that is converted into a 10-year CV disease risk % that correlates into a risk category: low, moderate, moderate - high risk, very high. For both scales, low is the best and very high is the worst outcome

Outcome measures

Outcome measures
Measure
Coronary Artery Calcium (CAC)
n=107 Participants
Compare CAC risk categories (low, low-mod, mod-high and very high) between groups
CAC Risk Category
n=107 Participants
Compare CAC risk categories (low, low - moderate, moderate -high, high, and very high) between groups
Compare FRS to the CAC - At Least One Additional Risk Factor
at least 1 additional risk factor
56 Participants
56 Participants
Compare FRS to the CAC - At Least One Additional Risk Factor
no additional risk factors
51 Participants
51 Participants

SECONDARY outcome

Timeframe: within 10 days of CT scan

Population: The data is separated into two rows for each arm. Each row corresponds to a group. Participants were placed into one of the two groups based on certain criteria. Each group has a different number of participants analyzed. The total for both groups (rows) is equal to the overall number of participants analyzed

Compare FRS category and CAC risk category for those meeting and not meeting criteria for metabolic syndrome. Calculate Fisher's Exact test statistic and associated p values to look at the relationship between the presence/absence of metabolic syndrome and the FRS and CAC risk category. The CAC risk category (scale) = CAC score (estimated degree of calcium in coronary arteries, a number) + percentage by age to establish risks of future CV events. There are 5 risk categories: low, low - moderate, moderate - high, very high. The Framingham risk category (scale) = FRS to estimate the risk of a CV event over the next 10 years. The FRS uses age, systolic blood pressure, high-density lipoprotein (HDL) cholesterol level, total cholesterol level, and smoking status to create a score that is converted into a 10-year CV disease risk % that correlates into a risk category: low, moderate, moderate - high risk, very high. For both scales, low is the best and very high is the worst outcome

Outcome measures

Outcome measures
Measure
Coronary Artery Calcium (CAC)
n=107 Participants
Compare CAC risk categories (low, low-mod, mod-high and very high) between groups
CAC Risk Category
n=107 Participants
Compare CAC risk categories (low, low - moderate, moderate -high, high, and very high) between groups
Metabolic Syndrome - Compare FRS to CAC
metabolic syndrome · very high risk
0 Participants
0 Participants
Metabolic Syndrome - Compare FRS to CAC
no metabolic syndrome · low - moderate / moderate risk
0 Participants
73 Participants
Metabolic Syndrome - Compare FRS to CAC
no metabolic syndrome · moderate - high risk
4 Participants
4 Participants
Metabolic Syndrome - Compare FRS to CAC
no metabolic syndrome · high risk
0 Participants
5 Participants
Metabolic Syndrome - Compare FRS to CAC
no metabolic syndrome · very high risk
0 Participants
2 Participants
Metabolic Syndrome - Compare FRS to CAC
no metabolic syndrome · low risk
80 Participants
0 Participants
Metabolic Syndrome - Compare FRS to CAC
metabolic syndrome · low risk
19 Participants
0 Participants
Metabolic Syndrome - Compare FRS to CAC
metabolic syndrome · low - moderate / moderate risk
1 Participants
18 Participants
Metabolic Syndrome - Compare FRS to CAC
metabolic syndrome · moderate - high risk
3 Participants
4 Participants
Metabolic Syndrome - Compare FRS to CAC
metabolic syndrome · high risk
0 Participants
1 Participants

SECONDARY outcome

Timeframe: within 10 days of CT scan

Population: The data is separated into two rows for each arm. Each row corresponds to a group. Participants were placed into one of the two groups based on certain criteria. Each group has a different number of participants analyzed. The total for both groups (rows) is equal to the overall number of participants analyzed

Compare FRS category to CAC risk category for those who lived in the dorms \> 5 years and \< 5 years. Calculate Fisher's Exact test statistic and associated p values to look at the relationship between those who lived in the dorms \> 5 years and \< 5 years and the FRS and CAC risk category. The CAC risk category (scale) = CAC score (estimated degree of calcium in coronary arteries, a number) + percentage by age to establish risks of future CV events. There are 5 risk categories: low, low - moderate, moderate - high, very high. The Framingham risk category (scale) = FRS to estimate the risk of a CV event over the next 10 years. The FRS uses age, systolic blood pressure, high-density lipoprotein (HDL) cholesterol level, total cholesterol level, and smoking status to create a score that is converted into a 10-year CV disease risk % that correlates into a risk category: low, moderate, moderate - high risk, very high. For both scales, low is the best and very high is the worst outcome

Outcome measures

Outcome measures
Measure
Coronary Artery Calcium (CAC)
n=107 Participants
Compare CAC risk categories (low, low-mod, mod-high and very high) between groups
CAC Risk Category
n=107 Participants
Compare CAC risk categories (low, low - moderate, moderate -high, high, and very high) between groups
Living in the Dorms - Compare FRS to CAC
> 5 years living in dorms · low risk
9 Participants
0 Participants
Living in the Dorms - Compare FRS to CAC
> 5 years living in dorms · low - moderate / moderate risk
0 Participants
7 Participants
Living in the Dorms - Compare FRS to CAC
> 5 years living in dorms · moderate - high risk
1 Participants
1 Participants
Living in the Dorms - Compare FRS to CAC
> 5 years living in dorms · high risk
0 Participants
2 Participants
Living in the Dorms - Compare FRS to CAC
> 5 years living in dorms · very high risk
0 Participants
0 Participants
Living in the Dorms - Compare FRS to CAC
< 5 years living in dorms · low risk
90 Participants
0 Participants
Living in the Dorms - Compare FRS to CAC
< 5 years living in dorms · low - moderate / moderate risk
1 Participants
84 Participants
Living in the Dorms - Compare FRS to CAC
< 5 years living in dorms · moderate - high risk
6 Participants
7 Participants
Living in the Dorms - Compare FRS to CAC
< 5 years living in dorms · high risk
0 Participants
4 Participants
Living in the Dorms - Compare FRS to CAC
< 5 years living in dorms · very high risk
0 Participants
2 Participants

SECONDARY outcome

Timeframe: within 10 days of CT scan

Population: 1 subject had no data. Data are separated into 2 rows (groups). Participants were placed into 1 of 2 groups based on certain criteria. Each group has a different number of participants. The total for both groups (rows) is equal to the overall number of participants analyzed

Compare FRS category to CAC risk category for those with and without PT failures. Calculate Fischer's Exact test statistic and associated p values to look at the relationship between those with and without PT failures and the FRS and CAC risk category. The CAC risk category (scale) = CAC score (estimated degree of calcium in coronary arteries, a number) + percentage by age to establish risks of future CV events. There are 5 risk categories: low, low - moderate, moderate - high, very high. The Framingham risk category (scale) = FRS to estimate the risk of a CV event over the next 10 years. The FRS uses age, systolic blood pressure, high-density lipoprotein (HDL) cholesterol level, total cholesterol level, and smoking status to create a score that is converted into a 10-year CV disease risk % that correlates into a risk category: low, moderate, moderate - high risk, very high. For both scales, low is the best and very high is the worst outcome

Outcome measures

Outcome measures
Measure
Coronary Artery Calcium (CAC)
n=106 Participants
Compare CAC risk categories (low, low-mod, mod-high and very high) between groups
CAC Risk Category
n=106 Participants
Compare CAC risk categories (low, low - moderate, moderate -high, high, and very high) between groups
Physical Fitness (PT) Failures - Compare FRS to CAC
with PT failure · low risk
48 Participants
0 Participants
Physical Fitness (PT) Failures - Compare FRS to CAC
with PT failure · low - moderate / moderate risk
0 Participants
46 Participants
Physical Fitness (PT) Failures - Compare FRS to CAC
with PT failure · moderate - high risk
5 Participants
3 Participants
Physical Fitness (PT) Failures - Compare FRS to CAC
with PT failure · high risk
0 Participants
2 Participants
Physical Fitness (PT) Failures - Compare FRS to CAC
with PT failure · very high risk
0 Participants
2 Participants
Physical Fitness (PT) Failures - Compare FRS to CAC
without PT failure · low risk
50 Participants
0 Participants
Physical Fitness (PT) Failures - Compare FRS to CAC
without PT failure · low - moderate / moderate risk
1 Participants
44 Participants
Physical Fitness (PT) Failures - Compare FRS to CAC
without PT failure · moderate - high risk
2 Participants
5 Participants
Physical Fitness (PT) Failures - Compare FRS to CAC
without PT failure · high risk
0 Participants
4 Participants
Physical Fitness (PT) Failures - Compare FRS to CAC
without PT failure · very high risk
0 Participants
0 Participants

SECONDARY outcome

Timeframe: within 10 days of CT scan

Population: Unable to perform statistical test for 10-14 years of service due to small number of subjects (7). Data are separated into 4 rows (groups). Participants were placed into 1 of 4 groups based on certain criteria. Each group has a different number of participants. The total for all groups (rows) is equal to the overall number of participants analyzed

Compare FRS category to CAC risk category for those with 10-14, 15-19, 20-24 and 25+ years of military service. Calculate Fisher's Exact test statistic and associated p values to look at the relationship between those with 10-14, 15-19, 20-24 and 25+ years of military service and FRS \& CAC risk category. The CAC risk category (scale) = CAC score (estimated degree of calcium in coronary arteries, a number) + percentage by age to establish risks of future CV events. There are 5 risk categories: low, low - moderate, moderate - high, very high. The Framingham risk category (scale) = FRS to estimate the risk of a CV event over the next 10 years. The FRS uses age, systolic blood pressure, high-density lipoprotein and total cholesterol levels, and smoking status to create a score that is converted into a 10-year CV disease risk % that correlates into a risk category: low, moderate, moderate - high risk, very high. For both scales, low is the best and very high is the worst outcome

Outcome measures

Outcome measures
Measure
Coronary Artery Calcium (CAC)
n=100 Participants
Compare CAC risk categories (low, low-mod, mod-high and very high) between groups
CAC Risk Category
n=100 Participants
Compare CAC risk categories (low, low - moderate, moderate -high, high, and very high) between groups
Years of Military Service - Compare FRS to CAC
15-19 years of military service · low risk
40 Participants
0 Participants
Years of Military Service - Compare FRS to CAC
15-19 years of military service · low - moderate / moderate risk
0 Participants
40 Participants
Years of Military Service - Compare FRS to CAC
15-19 years of military service · moderate - high
4 Participants
1 Participants
Years of Military Service - Compare FRS to CAC
15-19 years of military service · high risk
0 Participants
3 Participants
Years of Military Service - Compare FRS to CAC
15-19 years of military service · very high risk
0 Participants
0 Participants
Years of Military Service - Compare FRS to CAC
20-24 years of military service · low risk
39 Participants
0 Participants
Years of Military Service - Compare FRS to CAC
20-24 years of military service · low - moderate / moderate risk
1 Participants
35 Participants
Years of Military Service - Compare FRS to CAC
20-24 years of military service · moderate - high
0 Participants
1 Participants
Years of Military Service - Compare FRS to CAC
20-24 years of military service · high risk
0 Participants
3 Participants
Years of Military Service - Compare FRS to CAC
20-24 years of military service · very high risk
0 Participants
1 Participants
Years of Military Service - Compare FRS to CAC
25 or more years of military service · low risk
14 Participants
0 Participants
Years of Military Service - Compare FRS to CAC
25 or more years of military service · low - moderate / moderate risk
0 Participants
9 Participants
Years of Military Service - Compare FRS to CAC
25 or more years of military service · moderate - high
2 Participants
6 Participants
Years of Military Service - Compare FRS to CAC
25 or more years of military service · high risk
0 Participants
0 Participants
Years of Military Service - Compare FRS to CAC
25 or more years of military service · very high risk
0 Participants
1 Participants

SECONDARY outcome

Timeframe: within 10 days of CT scan

Population: No data collected for this analysis. Due to the relatively small sample size with positive CAC scores, sub-analyses for patients with 2 or more risk factors were not performed. This may be an area for investigation if a larger study population were enrolled

Compare FRS category to CAC risk category for those with 1 risk factor (RF), vs 2 RF, vs 3 RF, vs 4 RF, vs 5 CV risk factors. Calculate Fisher's Exact test statistic and associated p values to look at the relationship between those with 1 RF, vs 2 RF, vs 3 RF, vs 4 RF, vs 5 CV RF and the FRS \& CAC risk category. The CAC risk category (scale) = CAC score (estimated degree of calcium in coronary arteries, a number) + percentage by age to establish risks of future CV events. There are 5 risk categories: low, low - moderate, moderate - high, very high. The Framingham risk category (scale) = FRS to estimate the risk of a CV event over the next 10 years. The FRS uses age, systolic blood pressure, high-density lipoprotein and total cholesterol levels, and smoking status to create a score that is converted into a 10-year CV disease risk % that correlates into a risk category: low, moderate, moderate - high risk, very high. For both scales, low is the best and very high is the worst outcome

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: within 10 days of CT scan

Population: The data is separated into two rows. Each row corresponds to a group. Participants were placed into one of the two groups based on certain criteria. Each group has a different number of participants analyzed. The total for both groups (rows) is equal to the overall number of participants analyzed

Compare CAC risk category between two groups, those that meet criteria for metabolic syndrome and those that do not, to see if there is an association between the groups and CAC risk category. The number of participants in each risk category will be added. Then the total number for each group will be used to calculate the correlation using Fisher's Exact test and reported as a p value. The CAC risk category (scale) = CAC score (estimated degree of calcium in coronary arteries, a number) + percentage by age to establish risks of future CV events. There are 5 risk categories: low, low - moderate, moderate - high, high, very high. Low risk is the best outcome, and very high risk is the worst

Outcome measures

Outcome measures
Measure
Coronary Artery Calcium (CAC)
n=107 Participants
Compare CAC risk categories (low, low-mod, mod-high and very high) between groups
CAC Risk Category
Compare CAC risk categories (low, low - moderate, moderate -high, high, and very high) between groups
Metabolic Syndrome - CAC
metabolic syndrome · low risk
0 Participants
Metabolic Syndrome - CAC
metabolic syndrome · low - moderate risk
18 Participants
Metabolic Syndrome - CAC
metabolic syndrome · moderate - high risk
4 Participants
Metabolic Syndrome - CAC
metabolic syndrome · high risk
1 Participants
Metabolic Syndrome - CAC
metabolic syndrome · very high risk
0 Participants
Metabolic Syndrome - CAC
no metabolic syndrome · low risk
0 Participants
Metabolic Syndrome - CAC
no metabolic syndrome · low - moderate risk
73 Participants
Metabolic Syndrome - CAC
no metabolic syndrome · moderate - high risk
4 Participants
Metabolic Syndrome - CAC
no metabolic syndrome · high risk
5 Participants
Metabolic Syndrome - CAC
no metabolic syndrome · very high risk
2 Participants

SECONDARY outcome

Timeframe: within 10 days of CT scan

Population: The data is separated into two rows. Each row corresponds to a group. Participants were placed into one of the two groups based on certain criteria. Each group has a different number of participants analyzed. The total for both groups (rows) is equal to the overall number of participants analyzed

Compare CAC risk category between two groups, those who lived in the dorm for \> 5 years and \< 5 years, to see if there is an association between the groups and CAC risk category. The number of participants in each risk category will be added. Then the total number for each group will be used to calculate the correlation using Fisher's Exact test and reported as a p value. The CAC risk category (scale) = CAC score (estimated degree of calcium in coronary arteries, a number) + percentage by age to establish risks of future CV events. There are 5 risk categories: low, low - moderate, moderate - high, high, very high. Low risk is the best outcome, and very high risk is the worst outcome

Outcome measures

Outcome measures
Measure
Coronary Artery Calcium (CAC)
n=107 Participants
Compare CAC risk categories (low, low-mod, mod-high and very high) between groups
CAC Risk Category
Compare CAC risk categories (low, low - moderate, moderate -high, high, and very high) between groups
Living in the Doors - CAC
> 5 years living in dorms · low risk
0 Participants
Living in the Doors - CAC
> 5 years living in dorms · low - moderate risk
7 Participants
Living in the Doors - CAC
> 5 years living in dorms · moderate - high risk
1 Participants
Living in the Doors - CAC
> 5 years living in dorms · high risk
2 Participants
Living in the Doors - CAC
> 5 years living in dorms · very high risk
0 Participants
Living in the Doors - CAC
< 5 years living in dorms · low risk
0 Participants
Living in the Doors - CAC
< 5 years living in dorms · low - moderate risk
84 Participants
Living in the Doors - CAC
< 5 years living in dorms · moderate - high risk
7 Participants
Living in the Doors - CAC
< 5 years living in dorms · high risk
4 Participants
Living in the Doors - CAC
< 5 years living in dorms · very high risk
2 Participants

SECONDARY outcome

Timeframe: within 10 days of CT scan

Population: 1 subject had no data. Data are separated into 2 rows (groups). Participants were placed into 1 of 2 groups based on certain criteria. Each group has a different number of participants. The total for both groups (rows) is equal to the overall number of participants analyzed

Compare CAC risk category between two groups, those with and without a PT failures, to see if there is an association between the groups and CAC risk category. The number of participants in each risk category will be added. Then the total number for each group will be used to calculate the correlation using Fisher's Exact test and reported as a p value. The CAC risk category (scale) = CAC score (estimated degree of calcium in coronary arteries, a number) + percentage by age to establish risks of future CV events. There are 5 risk categories: low, low - moderate, moderate - high, very high. Low risk is the best outcome, and very high risk is the worst outcome

Outcome measures

Outcome measures
Measure
Coronary Artery Calcium (CAC)
n=106 Participants
Compare CAC risk categories (low, low-mod, mod-high and very high) between groups
CAC Risk Category
Compare CAC risk categories (low, low - moderate, moderate -high, high, and very high) between groups
PT Failures - CAC
with PT failures · low risk
0 Participants
PT Failures - CAC
with PT failures · low - moderate risk
46 Participants
PT Failures - CAC
with PT failures · moderate - high risk
3 Participants
PT Failures - CAC
with PT failures · high risk
2 Participants
PT Failures - CAC
with PT failures · very high risk
2 Participants
PT Failures - CAC
without PT failures · low risk
0 Participants
PT Failures - CAC
without PT failures · low - moderate risk
44 Participants
PT Failures - CAC
without PT failures · moderate - high risk
5 Participants
PT Failures - CAC
without PT failures · high risk
4 Participants
PT Failures - CAC
without PT failures · very high risk
0 Participants

SECONDARY outcome

Timeframe: within 10 days of CT scan

Population: The data is separated into 4 rows. Each row corresponds to a group. Participants were placed into one of the 4 groups based on certain criteria. Each group has a different number of participants analyzed. The total for all groups (rows) is equal to the overall number of participants analyzed

Compare CAC risk category among groups, those with 10-14, 15-19, 20-24, and 25+ years of military service, to see if there is an association between overall years of military service and CAC risk category. The number of participants in each risk category will be added. Then the total number for each group will be used to calculate the correlation using Fisher's Exact test and reported as a p value. The CAC risk category (scale) = CAC score (estimated degree of calcium in coronary arteries, a number) + percentage by age to establish risks of future CV events. There are 5 risk categories: low, low - moderate, moderate - high, very high. Low risk is the best outcome, and very high risk is the worst outcome

Outcome measures

Outcome measures
Measure
Coronary Artery Calcium (CAC)
n=107 Participants
Compare CAC risk categories (low, low-mod, mod-high and very high) between groups
CAC Risk Category
Compare CAC risk categories (low, low - moderate, moderate -high, high, and very high) between groups
Years of Military Service - CAC
10-14 years of military service · low risk
0 Participants
Years of Military Service - CAC
10-14 years of military service · low - moderate risk
7 Participants
Years of Military Service - CAC
10-14 years of military service · moderate - high risk
0 Participants
Years of Military Service - CAC
10-14 years of military service · high risk
0 Participants
Years of Military Service - CAC
10-14 years of military service · very high risk
0 Participants
Years of Military Service - CAC
15-19 years of military service · low risk
0 Participants
Years of Military Service - CAC
15-19 years of military service · low - moderate risk
40 Participants
Years of Military Service - CAC
15-19 years of military service · moderate - high risk
1 Participants
Years of Military Service - CAC
15-19 years of military service · high risk
3 Participants
Years of Military Service - CAC
15-19 years of military service · very high risk
0 Participants
Years of Military Service - CAC
20-24 years of military service · low risk
0 Participants
Years of Military Service - CAC
20-24 years of military service · low - moderate risk
35 Participants
Years of Military Service - CAC
20-24 years of military service · moderate - high risk
1 Participants
Years of Military Service - CAC
20-24 years of military service · high risk
3 Participants
Years of Military Service - CAC
20-24 years of military service · very high risk
1 Participants
Years of Military Service - CAC
25 or more years of military service · low risk
0 Participants
Years of Military Service - CAC
25 or more years of military service · low - moderate risk
9 Participants
Years of Military Service - CAC
25 or more years of military service · moderate - high risk
6 Participants
Years of Military Service - CAC
25 or more years of military service · high risk
0 Participants
Years of Military Service - CAC
25 or more years of military service · very high risk
1 Participants

SECONDARY outcome

Timeframe: within 10 days of CT scan

Population: No data collected for this analysis. Due to the relatively small sample size with positive CAC scores, sub-analyses for patients with 2 or more risk factors were not performed. This may be an area for investigation if a larger study population were enrolled

Compare CAC risk category among groups, those with 1 risk factor (RF) vs. 2 RF, vs 3 RF, vs 4 RF, vs 5 RF (as listed in the inclusion criteria), to see if there is an association between the groups and CAC risk category. The number of participants in each risk category will be added. Then the total number for each group will be used to calculate the correlation using Fisher's Exact test and reported as a p value. The CAC risk category (scale) = CAC score (estimated degree of calcium in coronary arteries, a number) + percentage by age to establish risks of future CV events. There are 5 risk categories: low, low - moderate, moderate - high, very high. Low risk is the best outcome, and very high risk is the worst outcome

Outcome measures

Outcome data not reported

Adverse Events

Compare CAC and FRS

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Elijah Burton

David Grant Medical Center, Travis Air Force Base

Phone: 707-423-7950

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place