Pearsall, R., Shaw, R. J. , McLean, G., Connolly, M., Hughes, K. A., Boyle, J. G., Park, J., Smith, D. J. and Mackay, D. (2019) Health screening, cardiometabolic disease and adverse health outcomes in individuals with severe mental illness. BJPsych Open, 5(6), e97. (doi: 10.1192/bjo.2019.76) (PMID:31699180) (PMCID:PMC6854356)
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Abstract
Background: Poor physical health in severe mental illness (SMI) remains a major issue for clinical practice. Aims: To use electronic health records of routinely collected clinical data to determine levels of screening for cardiometabolic disease and adverse health outcomes in a large sample (n = 7718) of patients with SMI, predominantly schizophrenia and bipolar disorder. Method: We linked data from the Glasgow Psychosis Clinical Information System (PsyCIS) to morbidity records, routine blood results and prescribing data. Results: There was no record of routine blood monitoring during the preceding 2 years for 16.9% of the cohort. However, monitoring was poorer for male patients, younger patients aged 16–44, those with schizophrenia, and for tests of cholesterol, triglyceride and glycosylated haemoglobin. We estimated that 8.0% of participants had diabetes and that lipids levels, and use of lipid-lowering medication, was generally high. Conclusions: Electronic record linkage identified poor health screening and adverse health outcomes in this vulnerable patient group. This approach can inform the design of future interventions and health policy.
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