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Quality of clinical management of cardiometabolic risk factors in patients with severe mental illness in a specialist mental health care setting.

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Title: Quality of clinical management of cardiometabolic risk factors in patients with severe mental illness in a specialist mental health care setting.
Authors: Ringen, Petter A. (AUTHOR), Lund-Stenvold, Elisabeth (AUTHOR), Andreassen, Ole A. (AUTHOR), Gaarden, Torfinn L. (AUTHOR), Hartberg, Cecilie B. (AUTHOR), Johnsen, Erik (AUTHOR), Myklatun, Silje (AUTHOR), Osnes, Kåre (AUTHOR), Sørensen, Kirsten (AUTHOR), Sørensen, Kjetil (AUTHOR), Vaaler, Arne (AUTHOR), Tonstad, Serena (AUTHOR), Engh, John A. (AUTHOR), Høye, Anne (AUTHOR)
Source: Nordic Journal of Psychiatry. Nov2022, Vol. 76 Issue 8, p602-609. 8p.
Subjects: People with mental illness, Mental health services, Disease risk factors, Mental illness, Total quality management, Nurse practitioners
Abstract: Cardiometabolic disease in patients with severe mental illness is a major cause of shortened life expectancy. There is sparse evidence of real-world clinical risk prevention practice. We investigated levels of assessments of cardiometabolic risk factors and risk management interventions in patients with severe mental illness in the Norwegian mental health service according to an acknowledged international standard. We collected data from 264 patients residing in six country-wide health trusts for: (a) assessments of cardiometabolic risk and (b) assessments of levels of risk reducing interventions. Logistic regressions were employed to investigate associations between risk and interventions. Complete assessments of all cardiometabolic risk variables were performed in 50% of the participants and 88% thereof had risk levels requiring intervention according to the standard. Smoking cessation advice was provided to 45% of daily smokers and 4% were referred to an intervention program. Obesity was identified in 62% and was associated with lifestyle interventions. Reassessment of psychotropic medication was done in 28% of the obese patients. Women with obesity were less likely to receive dietary advice, and use of clozapine or olanzapine reduced the chances for patients with obesity of getting weight reducing interventions. Nearly nine out of the ten participants were identified as being at cardiometabolic high risk and only half of the participants were adequately screened. Women with obesity and patients using antipsychotics with higher levels of cardiometabolic side effects had fewer adequate interventions. The findings underscore the need for standardized recommendations for identification and provision of cardiometabolic risk reducing interventions in all patients with severe mental illness. [ABSTRACT FROM AUTHOR]
Copyright of Nordic Journal of Psychiatry is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Quality of clinical management of cardiometabolic risk factors in patients with severe mental illness in a specialist mental health care setting.
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  Data: <searchLink fieldCode="AR" term="%22Ringen%2C+Petter+A%2E%22">Ringen, Petter A.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Lund-Stenvold%2C+Elisabeth%22">Lund-Stenvold, Elisabeth</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Andreassen%2C+Ole+A%2E%22">Andreassen, Ole A.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Gaarden%2C+Torfinn+L%2E%22">Gaarden, Torfinn L.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Hartberg%2C+Cecilie+B%2E%22">Hartberg, Cecilie B.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Johnsen%2C+Erik%22">Johnsen, Erik</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Myklatun%2C+Silje%22">Myklatun, Silje</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Osnes%2C+Kåre%22">Osnes, Kåre</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Sørensen%2C+Kirsten%22">Sørensen, Kirsten</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Sørensen%2C+Kjetil%22">Sørensen, Kjetil</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Vaaler%2C+Arne%22">Vaaler, Arne</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Tonstad%2C+Serena%22">Tonstad, Serena</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Engh%2C+John+A%2E%22">Engh, John A.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Høye%2C+Anne%22">Høye, Anne</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Nordic+Journal+of+Psychiatry%22">Nordic Journal of Psychiatry</searchLink>. Nov2022, Vol. 76 Issue 8, p602-609. 8p.
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  Data: <searchLink fieldCode="DE" term="%22People+with+mental+illness%22">People with mental illness</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+health+services%22">Mental health services</searchLink><br /><searchLink fieldCode="DE" term="%22Disease+risk+factors%22">Disease risk factors</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+illness%22">Mental illness</searchLink><br /><searchLink fieldCode="DE" term="%22Total+quality+management%22">Total quality management</searchLink><br /><searchLink fieldCode="DE" term="%22Nurse+practitioners%22">Nurse practitioners</searchLink>
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  Data: Cardiometabolic disease in patients with severe mental illness is a major cause of shortened life expectancy. There is sparse evidence of real-world clinical risk prevention practice. We investigated levels of assessments of cardiometabolic risk factors and risk management interventions in patients with severe mental illness in the Norwegian mental health service according to an acknowledged international standard. We collected data from 264 patients residing in six country-wide health trusts for: (a) assessments of cardiometabolic risk and (b) assessments of levels of risk reducing interventions. Logistic regressions were employed to investigate associations between risk and interventions. Complete assessments of all cardiometabolic risk variables were performed in 50% of the participants and 88% thereof had risk levels requiring intervention according to the standard. Smoking cessation advice was provided to 45% of daily smokers and 4% were referred to an intervention program. Obesity was identified in 62% and was associated with lifestyle interventions. Reassessment of psychotropic medication was done in 28% of the obese patients. Women with obesity were less likely to receive dietary advice, and use of clozapine or olanzapine reduced the chances for patients with obesity of getting weight reducing interventions. Nearly nine out of the ten participants were identified as being at cardiometabolic high risk and only half of the participants were adequately screened. Women with obesity and patients using antipsychotics with higher levels of cardiometabolic side effects had fewer adequate interventions. The findings underscore the need for standardized recommendations for identification and provision of cardiometabolic risk reducing interventions in all patients with severe mental illness. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Nordic Journal of Psychiatry is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1080/08039488.2022.2039288
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        PageCount: 8
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      – SubjectFull: Disease risk factors
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              Text: Nov2022
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