Screening for cardiovascular risk factors in adults with serious mental illness: a review of the evidence.
Screening for cardiovascular risk factors in adults with serious mental illness: a review of the evidence.
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DOI：
10.1186/s12888-015-0416-y
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发表时间：
2015-03-21
期刊：
影响因子：
4.4
通讯作者：
Daumit GL
中科院分区：
文献类型：
--
作者：
Baller JB;McGinty EE;Azrin ST;Juliano-Bult D;Daumit GL
患有严重精神疾病的成年人的死亡率是美国总人口的两到三倍，其中大部分是由于躯体疾病，尤其是心血管疾病。鉴于严重精神障碍人群中心血管危险因素的患病率过高，对这些疾病进行筛查是及时诊断和适当治疗的重要第一步。这篇全面的文献综述总结了严重精神疾病人群心血管危险因素的筛查率。使用EMBASE、PsychInfo、PubMed、SCOPUS和Web of Science数据库对2000年至2013年间发表的相关文章进行了识别。我们回顾了10项研究，测量了严重精神疾病人群中肥胖、糖尿病、血脂异常和高血压的筛查率。两名评论者独立地提取了筛查率、研究人群和研究环境的信息。筛查率因时间段、研究人群和所有医疗条件的数据来源而有很大差异。例如，抗精神病药物使用者的脂质检测率从6%到85%不等。在某些情况下，筛查率一直很高。例如，高血压的筛查率从79%到88%不等。在患有严重精神疾病的人群中，心血管危险因素的筛查存在相当大的差异，在一些研究人群和环境中存在显著的改进需要。实施由严重精神疾病诊断或抗精神病药物使用引发的标准筛查方案可能是确保及时诊断和治疗这一人群心血管危险因素的有希望的途径。本文的在线版本（doi:10.1186/s12888-015-0416-y）包含补充材料，授权用户可以使用。
Adults with serious mental illness have a mortality rate two to three times higher than the overall US population, much of which is due to somatic conditions, especially cardiovascular disease. Given the disproportionately high prevalence of cardiovascular risk factors in the population with SMI, screening for these conditions is an important first step for timely diagnosis and appropriate treatment. This comprehensive literature review summarizes screening rates for cardiovascular risk factors in the population with serious mental illness. Relevant articles published between 2000 and 2013 were identified using the EMBASE, PsychInfo, PubMed, SCOPUS and Web of Science databases. We reviewed 10 studies measuring screening rates for obesity, diabetes, dyslipidemia, and hypertension in the population with serious mental illness. Two reviewers independently extracted information on screening rates, study population, and study setting. Rates of screening varied considerably by time period, study population, and data source for all medical conditions. For example, rates of lipid testing for antipsychotic users ranged from 6% to 85%. For some conditions, rates of screening were consistently high. For example, screening rates for hypertension ranged from 79% - 88%. There is considerable variation in screening of cardiovascular risk factors in the population with serious mental illness, with significant need for improvement in some study populations and settings. Implementation of standard screening protocols triggered by diagnosis of serious mental illness or antipsychotic use may be promising avenues for ensuring timely diagnosis and treatment of cardiovascular risk factors in this population. The online version of this article (doi:10.1186/s12888-015-0416-y) contains supplementary material, which is available to authorized users.
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影响因子：
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作者：
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