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

Mª Carmen Castillejos1, Carlos Martín-Pérez2, Antonio García-Ruiz3

  • 11Department of Personality, Assessment and Psychological Treatment, Faculty of Psychology Andalusian Group of Psychosocial Research (GAP), University of Malaga, Campus Teatinos, 29071 Malaga, Spain.

Annals of General Psychiatry
|May 30, 2020
PubMed

Insights

General practitioners (GPs) recorded fewer cardiovascular risk factors (CVRFs) in patients with schizophrenia and related disorders (SRD). Documentation varied with patient demographics and primary care service use.

Area of Science:

  • Medical research
  • Public health
  • Primary care

Background:

  • Patients with schizophrenia and related disorders (SRD) exhibit higher cardiovascular risk factors (CVRFs) due to lifestyle and antipsychotic medication use.
  • Understanding CVRF documentation by general practitioners (GPs) is crucial for managing this high-risk population.

Purpose of the Study:

  • To analyze the documentation practices of CVRFs by GPs in patients with SRD.
  • To investigate associations between CVRF documentation and patient variables.

Main Methods:

  • Observational, cross-sectional study in 13 primary care centers in Malaga, Spain.
  • Analysis of recorded CVRFs (diabetes, hypertension, hypercholesterolemia, obesity, smoking) in patients with SRD.
  • Descriptive, bivariate, and multivariate regression analyses considering demographic, clinical, and service use variables.

Main Results:

  • CVRFs were not recorded in 59.7% of 494 patients with SRD.
  • One CVRF was recorded in 42.1%, and two or more in 16.1% of patients.
  • Older age, urban residence, and higher GP visit frequency correlated with more recorded CVRFs.

Conclusions:

  • GP documentation of CVRFs in patients with SRD is influenced by patient demographic variables.
  • Increased use of primary care services is associated with better CVRF documentation in this population.
Abstract

Keywords:
Cardiovascular disordersMedical comorbidityMental healthPrimary careSevere mental illness

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