Key result
Rural psychiatric inpatients show ~3.8-fold higher 10-year CVD risk than matched healthy controls.
Why the study?
Does rural psychiatric inpatient status correlate with an increased estimated 10-year cardiovascular risk compared to matched healthy controls?
Cross-Sectional (n=57)
No
Does rural psychiatric inpatient status correlate with an increased estimated 10-year cardiovascular risk compared to matched healthy controls?
Rural psychiatric inpatients possess a significantly elevated cardiovascular risk—nearly 4-fold that of matched healthy individuals—highlighting an urgent need to integrate routine cardiovascular risk assessment and intervention into psychiatric inpatient care.
Answers are grounded in this paper and cite their sources.
Rural psychiatric inpatients show elevated 10-year CVD risk; leaves open whether screening or integrated care improves outcomes.
Cardiovascular risk was evaluated in patients admitted to rural inpatient psychiatric services over a one-year period in a sparsely populated region of the United Kingdom. Care records were analysed for risk factor recording, and cardiovascular risk estimated using the QRISK3 calculator, which estimates 10-year risk of myocardial infarction or stroke. Of eligible patients, risk factor recording as part of routine care was completed in 86% of possible QRISK3 inputs, enabling QIRSK3 estimation in all eligible patients. QRISK3 for this group was significantly raised relative to an age, sex and ethnicity-matched population, and high risk of cardiovascular disease (QRISK3 score >10%) was detected in 28% of patients. The results demonstrate that there is significant unmet need in rural patients for cardiovascular risk reduction that could be identified as part of routine care. An opportunity exists to integrate mental and physical healthcare by routinely assessing cardiovascular risk in rural psychiatric inpatients. Resources and training are needed to produce this risk information and act on it.
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Woodall et al. (2023) conducted a cross-sectional in Serious mental illness (psychiatric inpatients) (n=57). Rural psychiatric inpatient status (serious mental illness) vs. Theoretical healthy controls matched for age, sex, and ethnicity was evaluated on QRISK3 score (10-year risk of myocardial infarction or stroke) (RR 3.8, 95% CI 2.6-5.0, p=<0.001). Rural psychiatric inpatients had a significantly elevated 10-year risk of cardiovascular disease, with a relative risk of 3.8 compared to age, sex, and ethnicity-matched theoretical healthy controls.
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