Undiagnosed cardiovascular disease prior to cardiovascular death in individuals with severe mental illness
OBJECTIVE: To examine whether individuals with schizophrenia (SCZ) or bipolar disorder (BD) had equal likelihood of not being diagnosed with cardiovascular disease (CVD) prior to cardiovascular death, compared to individuals without SCZ or BD. METHODS: Multivariate logistic regression analysis inclu...
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Online Access: | http://hdl.handle.net/11250/2633279 https://doi.org/10.1111/acps.13017 |
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ftsykehusinnlhf:oai:sihf.brage.unit.no:11250/2633279 2024-03-03T08:47:23+00:00 Undiagnosed cardiovascular disease prior to cardiovascular death in individuals with severe mental illness Heiberg, Ina Heidi Jacobsen, Bjarne K. Balteskard, Lise Bramness, Jørgen Gustav Næss, Øyvind Ystrøm, Eivind Reichborn-Kjennerud, Ted Hultman, Christina M. Nesvåg, Ragnar Høye, Anne Norway 2019 application/pdf http://hdl.handle.net/11250/2633279 https://doi.org/10.1111/acps.13017 eng eng John Wiley & Sons Ltd. https://onlinelibrary.wiley.com/doi/epdf/10.1111/acps.13017 Acta Psychiatrica Scandinavica. 2019, 139 (6), 558-571. urn:issn:0001-690X http://hdl.handle.net/11250/2633279 https://doi.org/10.1111/acps.13017 cristin:1702738 Navngivelse 4.0 Internasjonal http://creativecommons.org/licenses/by/4.0/deed.no © 2019 The Authors. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. 558-571 139 Acta Psychiatrica Scandinavica 6 adult bipolar disorder cardiovascular diseases death delayed diagnosis schizophrenia treatment delay Journal article Peer reviewed 2019 ftsykehusinnlhf https://doi.org/10.1111/acps.13017 2024-02-02T11:32:30Z OBJECTIVE: To examine whether individuals with schizophrenia (SCZ) or bipolar disorder (BD) had equal likelihood of not being diagnosed with cardiovascular disease (CVD) prior to cardiovascular death, compared to individuals without SCZ or BD. METHODS: Multivariate logistic regression analysis including nationwide data of 72 451 cardiovascular deaths in the years 2011-2016. Of these, 814 had a SCZ diagnosis and 673 a BD diagnosis in primary or specialist health care. RESULTS: Individuals with SCZ were 66% more likely (OR: 1.66; 95% CI: 1.39-1.98), women with BD were 38% more likely (adjusted OR: 1.38; 95% CI: 1.04-1.82), and men with BD were equally likely (OR: 0.88, 95% CI: 0.63-1.24) not to be diagnosed with CVD prior to cardiovascular death, compared to individuals without SMI. Almost all (98%) individuals with SMI and undiagnosed CVD had visited primary or specialized somatic health care prior to death, compared to 88% among the other individuals who died of CVD. CONCLUSION: Individuals with SCZ and women with BD are more likely to die due to undiagnosed CVD, despite increased risk of CVD and many contacts with primary and specialized somatic care. Strengthened efforts to prevent, recognize, and treat CVD in individuals with SMI from young age are needed. This study was supported by a research grant from the Northern Norway Regional Health Authority (PFP1236‐15). publishedVersion Article in Journal/Newspaper Northern Norway Sykehuset Innlandet HF: SIHF Open Archive Norway Acta Psychiatrica Scandinavica 139 6 558 571 |
institution |
Open Polar |
collection |
Sykehuset Innlandet HF: SIHF Open Archive |
op_collection_id |
ftsykehusinnlhf |
language |
English |
topic |
adult bipolar disorder cardiovascular diseases death delayed diagnosis schizophrenia treatment delay |
spellingShingle |
adult bipolar disorder cardiovascular diseases death delayed diagnosis schizophrenia treatment delay Heiberg, Ina Heidi Jacobsen, Bjarne K. Balteskard, Lise Bramness, Jørgen Gustav Næss, Øyvind Ystrøm, Eivind Reichborn-Kjennerud, Ted Hultman, Christina M. Nesvåg, Ragnar Høye, Anne Undiagnosed cardiovascular disease prior to cardiovascular death in individuals with severe mental illness |
topic_facet |
adult bipolar disorder cardiovascular diseases death delayed diagnosis schizophrenia treatment delay |
description |
OBJECTIVE: To examine whether individuals with schizophrenia (SCZ) or bipolar disorder (BD) had equal likelihood of not being diagnosed with cardiovascular disease (CVD) prior to cardiovascular death, compared to individuals without SCZ or BD. METHODS: Multivariate logistic regression analysis including nationwide data of 72 451 cardiovascular deaths in the years 2011-2016. Of these, 814 had a SCZ diagnosis and 673 a BD diagnosis in primary or specialist health care. RESULTS: Individuals with SCZ were 66% more likely (OR: 1.66; 95% CI: 1.39-1.98), women with BD were 38% more likely (adjusted OR: 1.38; 95% CI: 1.04-1.82), and men with BD were equally likely (OR: 0.88, 95% CI: 0.63-1.24) not to be diagnosed with CVD prior to cardiovascular death, compared to individuals without SMI. Almost all (98%) individuals with SMI and undiagnosed CVD had visited primary or specialized somatic health care prior to death, compared to 88% among the other individuals who died of CVD. CONCLUSION: Individuals with SCZ and women with BD are more likely to die due to undiagnosed CVD, despite increased risk of CVD and many contacts with primary and specialized somatic care. Strengthened efforts to prevent, recognize, and treat CVD in individuals with SMI from young age are needed. This study was supported by a research grant from the Northern Norway Regional Health Authority (PFP1236‐15). publishedVersion |
format |
Article in Journal/Newspaper |
author |
Heiberg, Ina Heidi Jacobsen, Bjarne K. Balteskard, Lise Bramness, Jørgen Gustav Næss, Øyvind Ystrøm, Eivind Reichborn-Kjennerud, Ted Hultman, Christina M. Nesvåg, Ragnar Høye, Anne |
author_facet |
Heiberg, Ina Heidi Jacobsen, Bjarne K. Balteskard, Lise Bramness, Jørgen Gustav Næss, Øyvind Ystrøm, Eivind Reichborn-Kjennerud, Ted Hultman, Christina M. Nesvåg, Ragnar Høye, Anne |
author_sort |
Heiberg, Ina Heidi |
title |
Undiagnosed cardiovascular disease prior to cardiovascular death in individuals with severe mental illness |
title_short |
Undiagnosed cardiovascular disease prior to cardiovascular death in individuals with severe mental illness |
title_full |
Undiagnosed cardiovascular disease prior to cardiovascular death in individuals with severe mental illness |
title_fullStr |
Undiagnosed cardiovascular disease prior to cardiovascular death in individuals with severe mental illness |
title_full_unstemmed |
Undiagnosed cardiovascular disease prior to cardiovascular death in individuals with severe mental illness |
title_sort |
undiagnosed cardiovascular disease prior to cardiovascular death in individuals with severe mental illness |
publisher |
John Wiley & Sons Ltd. |
publishDate |
2019 |
url |
http://hdl.handle.net/11250/2633279 https://doi.org/10.1111/acps.13017 |
op_coverage |
Norway |
geographic |
Norway |
geographic_facet |
Norway |
genre |
Northern Norway |
genre_facet |
Northern Norway |
op_source |
558-571 139 Acta Psychiatrica Scandinavica 6 |
op_relation |
https://onlinelibrary.wiley.com/doi/epdf/10.1111/acps.13017 Acta Psychiatrica Scandinavica. 2019, 139 (6), 558-571. urn:issn:0001-690X http://hdl.handle.net/11250/2633279 https://doi.org/10.1111/acps.13017 cristin:1702738 |
op_rights |
Navngivelse 4.0 Internasjonal http://creativecommons.org/licenses/by/4.0/deed.no © 2019 The Authors. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. |
op_doi |
https://doi.org/10.1111/acps.13017 |
container_title |
Acta Psychiatrica Scandinavica |
container_volume |
139 |
container_issue |
6 |
container_start_page |
558 |
op_container_end_page |
571 |
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1792503569103978496 |