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Diagnostic tests and treatment procedures performed prior to cardiovascular death in individuals with severe mental illness

Permanent lenke
https://hdl.handle.net/10037/17657
DOI
https://doi.org/10.1111/acps.13157
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Åpne
article.pdf (281.6Kb)
Publisert versjon (PDF)
Dato
2020-02-29
Type
Journal article
Tidsskriftartikkel
Peer reviewed

Forfatter
Heiberg, Ina Heidi; Nesvåg, Ragnar; Balteskard, Lise; Bramness, Jørgen Gustav; Hultman, Christina M.; Næss, Øyvind; Reichborn-Kjennerud, Ted; Ystrøm, Eivind; Jacobsen, Bjarne K.; Høye, Anne
Sammendrag

Objective - To examine whether severe mental illnesses (i.e., schizophrenia or bipolar disorder) affected diagnostic testing and treatment for cardiovascular diseases in primary and specialized health care.

Methods - We performed a nationwide study of 72 385 individuals who died from cardiovascular disease, of whom 1487 had been diagnosed with severe mental illnesses. Log‐binomial regression analysis was applied to study the impact of severe mental illnesses on the uptake of diagnostic tests (e.g., 24‐h blood pressure, glucose/HbA1c measurements, electrocardiography, echocardiography, coronary angiography, and ultrasound of peripheral vessels) and invasive cardiovascular treatments (i.e., revascularization, arrhythmia treatment, and vascular surgery).

Results - Patients with and without severe mental illnesses had similar prevalences of cardiovascular diagnostic tests performed in primary care, but patients with schizophrenia had lower prevalences of specialized cardiovascular examinations (prevalence ratio (PR) 0.78; 95% CI 0.73–0.85). Subjects with severe mental illnesses had lower prevalences of invasive cardiovascular treatments (schizophrenia, PR 0.58; 95% CI 0.49–0.70, bipolar disorder, PR 0.78; 95% CI 0.66–0.92). The prevalence of invasive cardiovascular treatments was similar in patients with and without severe mental illnesses when cardiovascular disease was diagnosed before death.

Conclusion - Better access to specialized cardiovascular examinations is important to ensure equal cardiovascular treatments among individuals with severe mental illnesses.

Er en del av
Heiberg, I.H. (2019). Mortality, substance use disorder and cardiovascular health care in persons with severe mental illness. (Doctoral thesis). https://hdl.handle.net/10037/16284.
Forlag
Wiley
Sitering
Heiberg IH, Nesvåg R, Balteskard L, Bramness JG, Hultman CM, Næss Ø, Reichborn-Kjennerud T, Ystrøm E, Jacobsen bk, Høye A. Diagnostic tests and treatment procedures performed prior to cardiovascular death in individuals with severe mental illness. Acta Psychiatrica Scandinavica. 2020
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Copyright 2020 The Author(s)

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