Screening for cardiovascular risk factors in adults with serious mental illness: A review of the evidence

Julia B. Baller, Emma Beth McGinty, Susan T. Azrin, Denise Juliano-Bult, Gail L Daumit

Research output: Contribution to journalArticle

Abstract

Background: 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. Methods: 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. Results: 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%. Conclusions: 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.

Original languageEnglish (US)
Article number55
JournalBMC Psychiatry
Volume15
Issue number1
DOIs
StatePublished - Mar 21 2015

Fingerprint

Population
Antipsychotic Agents
Hypertension
Information Storage and Retrieval
Dyslipidemias
PubMed
Cardiovascular Diseases
Obesity
Databases
Lipids
Mortality

ASJC Scopus subject areas

  • Psychiatry and Mental health

Cite this

Screening for cardiovascular risk factors in adults with serious mental illness : A review of the evidence. / Baller, Julia B.; McGinty, Emma Beth; Azrin, Susan T.; Juliano-Bult, Denise; Daumit, Gail L.

In: BMC Psychiatry, Vol. 15, No. 1, 55, 21.03.2015.

Research output: Contribution to journalArticle

@article{b10ed207a7f945e5b255c32aa7c0cd1b,
title = "Screening for cardiovascular risk factors in adults with serious mental illness: A review of the evidence",
abstract = "Background: 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. Methods: 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. Results: 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{\%}. Conclusions: 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.",
author = "Baller, {Julia B.} and McGinty, {Emma Beth} and Azrin, {Susan T.} and Denise Juliano-Bult and Daumit, {Gail L}",
year = "2015",
month = "3",
day = "21",
doi = "10.1186/s12888-015-0416-y",
language = "English (US)",
volume = "15",
journal = "BMC Psychiatry",
issn = "1471-244X",
publisher = "BioMed Central",
number = "1",

}

TY - JOUR

T1 - Screening for cardiovascular risk factors in adults with serious mental illness

T2 - A review of the evidence

AU - Baller, Julia B.

AU - McGinty, Emma Beth

AU - Azrin, Susan T.

AU - Juliano-Bult, Denise

AU - Daumit, Gail L

PY - 2015/3/21

Y1 - 2015/3/21

N2 - Background: 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. Methods: 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. Results: 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%. Conclusions: 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.

AB - Background: 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. Methods: 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. Results: 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%. Conclusions: 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.

UR - http://www.scopus.com/inward/record.url?scp=84925834131&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84925834131&partnerID=8YFLogxK

U2 - 10.1186/s12888-015-0416-y

DO - 10.1186/s12888-015-0416-y

M3 - Article

C2 - 25885367

AN - SCOPUS:84925834131

VL - 15

JO - BMC Psychiatry

JF - BMC Psychiatry

SN - 1471-244X

IS - 1

M1 - 55

ER -