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dc.contributor.authorHeiberg, Ina Heidi
dc.contributor.authorJacobsen, Bjarne K.
dc.contributor.authorBalteskard, Lise
dc.contributor.authorBramness, Jørgen Gustav
dc.contributor.authorNæss, Øyvind
dc.contributor.authorYstrøm, Eivind
dc.contributor.authorReichborn-Kjennerud, Ted
dc.contributor.authorHultman, Christina M.
dc.contributor.authorNesvåg, Ragnar
dc.contributor.authorHøye, Anne
dc.date.accessioned2019-09-27T07:40:05Z
dc.date.available2019-09-27T07:40:05Z
dc.date.issued2019-03-07
dc.description.abstract<p><i>Objective - </i>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. <p><i>Methods - </i>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. <p><i>Results - </i>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. <p><i>Conclusion - </i>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.en_US
dc.description.sponsorshipNorthern Norway Regional Health Authorityen_US
dc.descriptionSource at <a href=https://doi.org/10.1111/acps.13017>https://doi.org/10.1111/acps.13017</a>.en_US
dc.identifier.citationHeiberg, I.H., Jacobsen, B.K., Balteskard, L., Bramness, J.G., Næss, Ø., Ystrøm, E, ... Høye, A. (2019). Undiagnosed cardiovascular disease prior to cardiovascular death in individuals with severe mental illness. <i>Acta Psychiatrica Scandinavica, 139</i>(6), 558-571. https://doi.org/10.1111/acps.13017en_US
dc.identifier.cristinIDFRIDAID 1702738
dc.identifier.doi10.1111/acps.13017
dc.identifier.issn0001-690X
dc.identifier.issn1600-0447
dc.identifier.urihttps://hdl.handle.net/10037/16283
dc.language.isoengen_US
dc.publisherWileyen_US
dc.relation.ispartofHeiberg, I.H. (2019). Mortality, substance use disorder and cardiovascular health care in persons with severe mental illness. (Doctoral thesis). <a href=https://hdl.handle.net/10037/16284>https://hdl.handle.net/10037/16284</a>.
dc.relation.journalActa Psychiatrica Scandinavica
dc.relation.urihttps://onlinelibrary.wiley.com/doi/epdf/10.1111/acps.13017
dc.rights.accessRightsopenAccessen_US
dc.subjectVDP::Social science: 200::Psychology: 260::Personality psychology: 264en_US
dc.subjectVDP::Samfunnsvitenskap: 200::Psykologi: 260::Personlighetspsykologi: 264en_US
dc.subjectschizophreniaen_US
dc.subjectbipolar disorderen_US
dc.subjectcardiovascular diseasesen_US
dc.subjectdeathen_US
dc.subjectadulten_US
dc.subjecttreatment delayen_US
dc.subjectdelayed diagnosisen_US
dc.titleUndiagnosed cardiovascular disease prior to cardiovascular death in individuals with severe mental illnessen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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