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Screening for cardiovascular risk factors in adults with serious mental illness: a review of the evidence

BACKGROUND: Adults with serious mental illness have a mortality rate two to three times higher than the overall US population, much of which is due to somatic conditions, especially cardiovascular disease. Given the disproportionately high prevalence of cardiovascular risk factors in the population...

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Autores principales: Baller, Julia B, McGinty, Emma E, Azrin, Susan T, Juliano-Bult, Denise, Daumit, Gail L
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4376086/
https://www.ncbi.nlm.nih.gov/pubmed/25885367
http://dx.doi.org/10.1186/s12888-015-0416-y
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author Baller, Julia B
McGinty, Emma E
Azrin, Susan T
Juliano-Bult, Denise
Daumit, Gail L
author_facet Baller, Julia B
McGinty, Emma E
Azrin, Susan T
Juliano-Bult, Denise
Daumit, Gail L
author_sort Baller, Julia B
collection PubMed
description BACKGROUND: Adults with serious mental illness have a mortality rate two to three times higher than the overall US population, much of which is due to somatic conditions, especially cardiovascular disease. Given the disproportionately high prevalence of cardiovascular risk factors in the population with SMI, screening for these conditions is an important first step for timely diagnosis and appropriate treatment. This comprehensive literature review summarizes screening rates for cardiovascular risk factors in the population with serious mental illness. METHODS: Relevant articles published between 2000 and 2013 were identified using the EMBASE, PsychInfo, PubMed, SCOPUS and Web of Science databases. We reviewed 10 studies measuring screening rates for obesity, diabetes, dyslipidemia, and hypertension in the population with serious mental illness. Two reviewers independently extracted information on screening rates, study population, and study setting. RESULTS: Rates of screening varied considerably by time period, study population, and data source for all medical conditions. For example, rates of lipid testing for antipsychotic users ranged from 6% to 85%. For some conditions, rates of screening were consistently high. For example, screening rates for hypertension ranged from 79% - 88%. CONCLUSIONS: There is considerable variation in screening of cardiovascular risk factors in the population with serious mental illness, with significant need for improvement in some study populations and settings. Implementation of standard screening protocols triggered by diagnosis of serious mental illness or antipsychotic use may be promising avenues for ensuring timely diagnosis and treatment of cardiovascular risk factors in this population. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s12888-015-0416-y) contains supplementary material, which is available to authorized users.
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spelling pubmed-43760862015-03-28 Screening for cardiovascular risk factors in adults with serious mental illness: a review of the evidence Baller, Julia B McGinty, Emma E Azrin, Susan T Juliano-Bult, Denise Daumit, Gail L BMC Psychiatry Research Article BACKGROUND: Adults with serious mental illness have a mortality rate two to three times higher than the overall US population, much of which is due to somatic conditions, especially cardiovascular disease. Given the disproportionately high prevalence of cardiovascular risk factors in the population with SMI, screening for these conditions is an important first step for timely diagnosis and appropriate treatment. This comprehensive literature review summarizes screening rates for cardiovascular risk factors in the population with serious mental illness. METHODS: Relevant articles published between 2000 and 2013 were identified using the EMBASE, PsychInfo, PubMed, SCOPUS and Web of Science databases. We reviewed 10 studies measuring screening rates for obesity, diabetes, dyslipidemia, and hypertension in the population with serious mental illness. Two reviewers independently extracted information on screening rates, study population, and study setting. RESULTS: Rates of screening varied considerably by time period, study population, and data source for all medical conditions. For example, rates of lipid testing for antipsychotic users ranged from 6% to 85%. For some conditions, rates of screening were consistently high. For example, screening rates for hypertension ranged from 79% - 88%. CONCLUSIONS: There is considerable variation in screening of cardiovascular risk factors in the population with serious mental illness, with significant need for improvement in some study populations and settings. Implementation of standard screening protocols triggered by diagnosis of serious mental illness or antipsychotic use may be promising avenues for ensuring timely diagnosis and treatment of cardiovascular risk factors in this population. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s12888-015-0416-y) contains supplementary material, which is available to authorized users. BioMed Central 2015-03-21 /pmc/articles/PMC4376086/ /pubmed/25885367 http://dx.doi.org/10.1186/s12888-015-0416-y Text en © Baller et al.; licensee BioMed Central. 2015 This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Baller, Julia B
McGinty, Emma E
Azrin, Susan T
Juliano-Bult, Denise
Daumit, Gail L
Screening for cardiovascular risk factors in adults with serious mental illness: a review of the evidence
title Screening for cardiovascular risk factors in adults with serious mental illness: a review of the evidence
title_full Screening for cardiovascular risk factors in adults with serious mental illness: a review of the evidence
title_fullStr Screening for cardiovascular risk factors in adults with serious mental illness: a review of the evidence
title_full_unstemmed Screening for cardiovascular risk factors in adults with serious mental illness: a review of the evidence
title_short Screening for cardiovascular risk factors in adults with serious mental illness: a review of the evidence
title_sort screening for cardiovascular risk factors in adults with serious mental illness: a review of the evidence
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4376086/
https://www.ncbi.nlm.nih.gov/pubmed/25885367
http://dx.doi.org/10.1186/s12888-015-0416-y
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