Cargando…
Undiagnosed cardiovascular disease prior to cardiovascular death in individuals with severe mental illness
OBJECTIVE: To examine whether individuals with schizophrenia (SCZ) or bipolar disorder (BD) had equal likelihood of not being diagnosed with cardiovascular disease (CVD) prior to cardiovascular death, compared to individuals without SCZ or BD. METHODS: Multivariate logistic regression analysis inclu...
Autores principales: | , , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2019
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6619029/ https://www.ncbi.nlm.nih.gov/pubmed/30844079 http://dx.doi.org/10.1111/acps.13017 |
_version_ | 1783433906313232384 |
---|---|
author | Heiberg, I. H. Jacobsen, B. K. Balteskard, L. Bramness, J. G. Næss, Ø. Ystrom, E. Reichborn‐Kjennerud, T. Hultman, C. M. Nesvåg, R. Høye, A. |
author_facet | Heiberg, I. H. Jacobsen, B. K. Balteskard, L. Bramness, J. G. Næss, Ø. Ystrom, E. Reichborn‐Kjennerud, T. Hultman, C. M. Nesvåg, R. Høye, A. |
author_sort | Heiberg, I. H. |
collection | PubMed |
description | OBJECTIVE: To examine whether individuals with schizophrenia (SCZ) or bipolar disorder (BD) had equal likelihood of not being diagnosed with cardiovascular disease (CVD) prior to cardiovascular death, compared to individuals without SCZ or BD. METHODS: Multivariate logistic regression analysis including nationwide data of 72 451 cardiovascular deaths in the years 2011–2016. Of these, 814 had a SCZ diagnosis and 673 a BD diagnosis in primary or specialist health care. RESULTS: Individuals with SCZ were 66% more likely (OR: 1.66; 95% CI: 1.39–1.98), women with BD were 38% more likely (adjusted OR: 1.38; 95% CI: 1.04–1.82), and men with BD were equally likely (OR: 0.88, 95% CI: 0.63–1.24) not to be diagnosed with CVD prior to cardiovascular death, compared to individuals without SMI. Almost all (98%) individuals with SMI and undiagnosed CVD had visited primary or specialized somatic health care prior to death, compared to 88% among the other individuals who died of CVD. CONCLUSION: Individuals with SCZ and women with BD are more likely to die due to undiagnosed CVD, despite increased risk of CVD and many contacts with primary and specialized somatic care. Strengthened efforts to prevent, recognize, and treat CVD in individuals with SMI from young age are needed. |
format | Online Article Text |
id | pubmed-6619029 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-66190292019-07-22 Undiagnosed cardiovascular disease prior to cardiovascular death in individuals with severe mental illness Heiberg, I. H. Jacobsen, B. K. Balteskard, L. Bramness, J. G. Næss, Ø. Ystrom, E. Reichborn‐Kjennerud, T. Hultman, C. M. Nesvåg, R. Høye, A. Acta Psychiatr Scand Original Articles OBJECTIVE: To examine whether individuals with schizophrenia (SCZ) or bipolar disorder (BD) had equal likelihood of not being diagnosed with cardiovascular disease (CVD) prior to cardiovascular death, compared to individuals without SCZ or BD. METHODS: Multivariate logistic regression analysis including nationwide data of 72 451 cardiovascular deaths in the years 2011–2016. Of these, 814 had a SCZ diagnosis and 673 a BD diagnosis in primary or specialist health care. RESULTS: Individuals with SCZ were 66% more likely (OR: 1.66; 95% CI: 1.39–1.98), women with BD were 38% more likely (adjusted OR: 1.38; 95% CI: 1.04–1.82), and men with BD were equally likely (OR: 0.88, 95% CI: 0.63–1.24) not to be diagnosed with CVD prior to cardiovascular death, compared to individuals without SMI. Almost all (98%) individuals with SMI and undiagnosed CVD had visited primary or specialized somatic health care prior to death, compared to 88% among the other individuals who died of CVD. CONCLUSION: Individuals with SCZ and women with BD are more likely to die due to undiagnosed CVD, despite increased risk of CVD and many contacts with primary and specialized somatic care. Strengthened efforts to prevent, recognize, and treat CVD in individuals with SMI from young age are needed. John Wiley and Sons Inc. 2019-03-29 2019-06 /pmc/articles/PMC6619029/ /pubmed/30844079 http://dx.doi.org/10.1111/acps.13017 Text en © 2019 The Authors Acta Psychiatrica Scandinavica Published by John Wiley & Sons Ltd. This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Articles Heiberg, I. H. Jacobsen, B. K. Balteskard, L. Bramness, J. G. Næss, Ø. Ystrom, E. Reichborn‐Kjennerud, T. Hultman, C. M. Nesvåg, R. Høye, A. Undiagnosed cardiovascular disease prior to cardiovascular death in individuals with severe mental illness |
title | Undiagnosed cardiovascular disease prior to cardiovascular death in individuals with severe mental illness |
title_full | Undiagnosed cardiovascular disease prior to cardiovascular death in individuals with severe mental illness |
title_fullStr | Undiagnosed cardiovascular disease prior to cardiovascular death in individuals with severe mental illness |
title_full_unstemmed | Undiagnosed cardiovascular disease prior to cardiovascular death in individuals with severe mental illness |
title_short | Undiagnosed cardiovascular disease prior to cardiovascular death in individuals with severe mental illness |
title_sort | undiagnosed cardiovascular disease prior to cardiovascular death in individuals with severe mental illness |
topic | Original Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6619029/ https://www.ncbi.nlm.nih.gov/pubmed/30844079 http://dx.doi.org/10.1111/acps.13017 |
work_keys_str_mv | AT heibergih undiagnosedcardiovasculardiseasepriortocardiovasculardeathinindividualswithseverementalillness AT jacobsenbk undiagnosedcardiovasculardiseasepriortocardiovasculardeathinindividualswithseverementalillness AT balteskardl undiagnosedcardiovasculardiseasepriortocardiovasculardeathinindividualswithseverementalillness AT bramnessjg undiagnosedcardiovasculardiseasepriortocardiovasculardeathinindividualswithseverementalillness AT næssø undiagnosedcardiovasculardiseasepriortocardiovasculardeathinindividualswithseverementalillness AT ystrome undiagnosedcardiovasculardiseasepriortocardiovasculardeathinindividualswithseverementalillness AT reichbornkjennerudt undiagnosedcardiovasculardiseasepriortocardiovasculardeathinindividualswithseverementalillness AT hultmancm undiagnosedcardiovasculardiseasepriortocardiovasculardeathinindividualswithseverementalillness AT nesvagr undiagnosedcardiovasculardiseasepriortocardiovasculardeathinindividualswithseverementalillness AT høyea undiagnosedcardiovasculardiseasepriortocardiovasculardeathinindividualswithseverementalillness |