Cardiovascular and respiratory risk factors and symptoms among general practice patients with long-term mental illness
Kendrick, T. (1996) Cardiovascular and respiratory risk factors and symptoms among general practice patients with long-term mental illness British Journal of Psychiatry, 169, (6), pp. 733-739.
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BACKGROUND: In the past, psychiatric in-patients suffered increased cardiovascular and respiratory mortality. The present study investigated whether increased risks persist among patients in the community and are being addressed in general practice.
METHOD: A survey of 101 long-term mentally ill adults in 16 general practices in the South Thames (West) Region.
RESULTS: Twenty-six patients were found to be obese (body mass index > 30 kg/m2), 53 were current smokers and 11 were hypertensive (mean systolic blood pressure > 160 mmHg or mean diastolic blood pressure > 100 mmHg, or both). Twenty-one reported daily cough and sputum, 24 shortness of breath, 11 wheezing and seven chest pain on exertion. These rates were significantly higher than population rates in a contemporary national survey. Nearly all the risk factors were recorded in the general practice records but few attempts to intervene were apparent.
CONCLUSIONS: Long-term mentally ill patients remain at increased risk of cardiovascular and respiratory problems in the community. Primary care teams should make special efforts to tackle risk factors among this group.
|Keywords:||smoking, middle aged, epidemiology, comorbidity, chest pain, obstructive, pressure, mentally ill, patient care team, illness, statistics & numerical data, research support, general practice, humans, body mass index, mental illness, blood pressure, risk factors, cardiovascular diseases, risk, pain, lung diseases, general-practice, population, long-term care, sputum, cough, research, female, exertion, primary-care, hypertension, patients, obesity, problems, utilization, symptoms, England, care, records, community, mortality, mental disorders, chronic disease, blood, male, london, long term mental illness, family practice, adult, adults, primary care|
|Date Deposited:||03 Sep 2008|
|Last Modified:||16 Apr 2017 17:30|
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