Health screening, cardiometabolic disease and adverse health outcomes in individuals with severe mental illness

Robert Pearsall; Richard J Shaw; Gary McLean; Moira Connolly; Kate A Hughes; James G Boyle; John Park; Daniel J Smith; Daniel Mackay

doi:10.1192/bjo.2019.76

Health screening, cardiometabolic disease and adverse health outcomes in individuals with severe mental illness

Robert Pearsall, Richard J Shaw, Gary McLean, Moira Connolly, Kate A Hughes, James G Boyle, John Park, Daniel J Smith, Daniel Mackay

Research output: Contribution to journal › Article › peer-review

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.

Original language	English
Pages (from-to)	e97
Journal	BJPsych Open
Volume	5
Issue number	6
DOIs	https://doi.org/10.1192/bjo.2019.76
Publication status	Published - 8 Nov 2019

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10.1192/bjo.2019.76

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title = "Health screening, cardiometabolic disease and adverse health outcomes in individuals with severe mental illness",

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.",

author = "Robert Pearsall and Shaw, {Richard J} and Gary McLean and Moira Connolly and Hughes, {Kate A} and Boyle, {James G} and John Park and Smith, {Daniel J} and Daniel Mackay",

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T1 - Health screening, cardiometabolic disease and adverse health outcomes in individuals with severe mental illness

AU - Pearsall, Robert

AU - Shaw, Richard J

AU - McLean, Gary

AU - Connolly, Moira

AU - Hughes, Kate A

AU - Boyle, James G

AU - Park, John

AU - Smith, Daniel J

AU - Mackay, Daniel

PY - 2019/11/8

Y1 - 2019/11/8

N2 - 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.

AB - 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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DO - 10.1192/bjo.2019.76

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SN - 2056-4724

VL - 5

SP - e97

JO - BJPsych Open

JF - BJPsych Open

IS - 6

ER -

Health screening, cardiometabolic disease and adverse health outcomes in individuals with severe mental illness

Abstract

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