Recording of cardiovascular risk factors by general practitioners in patients with schizophrenia.

Autor: Castillejos MC; 1Department of Personality, Assessment and Psychological Treatment, Faculty of Psychology Andalusian Group of Psychosocial Research (GAP), University of Malaga, Campus Teatinos, 29071 Malaga, Spain., Martín-Pérez C; 2North East Granada Sanitary District, Clinical Management Unit at Marquesado, Andalusian Health Service, Carretera los Pozos, 18518 Alquife, Granada Spain., García-Ruiz A; 3Department of Health Economics and the Rational Drug Use of Medicines. Faculty of Medicine, University of Malaga, Campus Teatinos, 29071 Malaga, Spain., Mayoral-Cleries F; 4Clinical Management Unit of Mental Health of the Regional Hospital of Malaga. Andalusian Health Service, Biomedical Research Institute of Malaga (IBIMA), Plaza del Hospital, 29009 Malaga, Spain., Moreno-Küstner B; 5Department of Personality, Assessment and Psychological Treatment, Faculty of Psychology. Andalusian Group of Psychosocial Research (GAP). Biomedical Research Institute of Malaga (IBIMA), University of Malaga, Campus Teatinos, 29071 Malaga, Spain.
Jazyk: angličtina
Zdroj: Annals of general psychiatry [Ann Gen Psychiatry] 2020 May 19; Vol. 19, pp. 34. Date of Electronic Publication: 2020 May 19 (Print Publication: 2020).
DOI: 10.1186/s12991-020-00284-5
Abstrakt: Background: Patients with schizophrenia and related disorders (SRD) are more predisposed to having cardiovascular risk factors (CVRFs) compared to the general population due to a combination of lifestyle factors and exposure to antipsychotic medications. We aimed to analyse the documentation practices of CVRFs by general practitioners (GPs) and its associations with patient variables in a sample of persons with SRD.
Methods: An observational, cross-sectional study was conducted in 13 primary care centres (PCCs) in Malaga (Spain). The population comprised all patients with SRD who were in contact with a GP residing in the study area. The number of CVRFs (type 2 diabetes mellitus, hypertension, hypercholesterolaemia, obesity and smoking) recorded by GPs were analysed by considering patients' demographic and clinical variables and use of primary care services. We performed descriptive, bivariate and multivariate regression analyses.
Results: A total of 494 patients were included; CVRFs were not recorded in 59.7% of the patients. One CVRF was recorded in 42.1% of patients and two or more CVRFs were recorded in 16.1% of patients. Older age, living in an urban area and a higher number of visits to the GP were associated with a higher number of CVRFs recorded.
Conclusion: The main finding in this study is that both patients' demographic variables as well as use of primary care services were found to be related to the documentation of CVRFs in patients with SRD by GPs.
Competing Interests: Competing interestsNone.
(© The Author(s) 2020.)
Databáze: MEDLINE
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