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April 27, 2012International Journal of Health Care Quality Assurance

Physical health of patients with severe mental illness

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Why the study?

Does the introduction of a physical health monitoring sheet improve cardiovascular risk parameters in male patients with severe mental illness?

Population

Male patients with severe mental illness treated with antipsychotic medication on a 15-bedded medium secure…

Comparison

Introduction of a physical health monitoring… vs Baseline data.

Design

Cohort

Follow-up

1 year

Authors

KVKamini VasudevWestern UniversityPTPratish B. ThakkarTees, Esk and Wear Valleys NHS Foundation TrustNMNicola MitchesonSt Nicholas Hospital

Discussion

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Member takes

Overview

May support monitoring sheets for lipid and 10-year risk reduction in severe mental illness; leaves open effects on BMI, obesity, BP, and smoking.

Structured PICO

Does the introduction of a physical health monitoring sheet improve cardiovascular risk parameters in male patients with severe mental illness?

P
Population
Male patients with severe mental illness (SMI) treated with antipsychotic medication on a 15-bedded medium secure forensic psychiatric rehabilitation unit.
I
Intervention
Introduction of a physical health monitoring sheet in patients' records as a prompt to regularly monitor physical health parameters, over a period of one year.
C
Comparator
Baseline data (prior to the introduction of the monitoring sheet).
O
Outcome
Feasibility of maintaining a physical health monitoring sheet and its impact on physical health parameters (serum lipids, cardiovascular risk, BMI, central obesity, high blood pressure, and smoking status).surrogate

Implementing a physical health monitoring sheet in a psychiatric rehabilitation unit improved cardiovascular risk screening and reduced serum lipids and 10-year cardiovascular risk.

Limitations

  • small sample size
  • male gender only
  • specific nature of the ward

Cite This Study

Vasudev et al. (2012) studied this question.

synapsesocial.com/papers/6a711fd05671bbf00bc2d513https://doi.org/10.1108/09526861211221527
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Improving physical health monitoring for out-patients on antipsychotic medication2010 · 18 citations
  2. 2Impact of a nurse-led intervention to improve screening for cardiovascular risk factors in people with severe mental illnesses. Phase-two cluster randomised feasibility trial of community mental health teams2010 · 81 citations
  3. 3Atypical antipsychotic monitoring in the Kilkenny Mental Health Services2005 · 10 citations
  4. 4Relative risk of diabetes, dyslipidaemia, hypertension and the metabolic syndrome in people with severe mental illnesses: Systematic review and metaanalysis2008 · 208 citations
  5. 5Distribution of body fat and risk of coronary heart disease in men and women2008 · 176 citations