Key result
Users of mental health services had an ischaemic heart disease mortality rate almost twice as high as the general population (MRR 1.91 for males, 1.90 for females), despite similar hospital admission rates.
Why the study?
Does mental illness affect the rates of ischaemic heart disease hospital admissions, revascularisation procedures, and deaths compared to the general population?
Population
210,129 users of mental health services in Western Australia during 1980-1998
Comparison
Mental illness (psychiatric patients) vs General population
Design
Cohort
Follow-up
1980-1998
Authors
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Excess IHD mortality in mental health service users despite similar admissions; leaves open care disparities and needs targeted research.
Cohort (n=210,129)
Does mental illness affect the rates of ischaemic heart disease hospital admissions, revascularisation procedures, and deaths compared to the general population?
Effect estimate: MRR 1.91 (95% CI 1.82-2.00)
Psychiatric patients experience excess IHD mortality and receive fewer revascularisation procedures compared to the general population, highlighting a significant disparity in cardiovascular care.
Lawrence et al. (2003) conducted a cohort in Mental illness (n=210,129). Mental illness vs. General population was evaluated on Ischaemic heart disease mortality (Males) (MRR 1.91, 95% CI 1.82-2.00). Users of mental health services had an ischaemic heart disease mortality rate almost twice as high as the general population (MRR 1.91 for males, 1.90 for females), despite similar hospital admission rates.
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