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首页> 外文期刊>Nordic journal of psychiatry. >Cardiovascular risk in patients admitted for psychosis compared with findings from a population-based study.
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Cardiovascular risk in patients admitted for psychosis compared with findings from a population-based study.

机译：与基于人群的研究结果相比，精神病患者的心血管风险更高。

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BACKGROUND: Schizophrenia and related psychoses are associated with excess morbidity and mortality from cardiovascular disease (CVD). Single-site studies on CVD-related risk factors in representative samples of acutely admitted inpatients are scarce. AIMS: To assess the levels of risk factors related to CVD in patients acutely admitted to hospital for symptoms of psychosis. METHODS: Eligible patients aged 18-65 years were included consecutively in the Bergen Psychosis Project (BPP). CVD-related risk factors were recorded at admittance and at discharge or after 6 weeks at the latest. The recordings of 218 patients with psychosis (BPP) were compared with the findings of 50,219 subjects from the population-based Nord-Trondelag Health Study 1995-97 (HUNT2) survey. RESULTS: Diastolic blood pressures were higher for BPP women and men, whereas body mass indexes (BMIs) and total cholesterol levels were higher in HUNT2 women and men. On categorical measures, smoking was more prevalent in the patients compared with the HUNT2 subjects. Metabolic syndrome was present in 11.8% and 21.9% of BPP women and men, respectively. At discharge or 6 weeks from admission, 3.2% and 18.6% of BPP women and men, respectively, had metabolic syndrome. BMIs and total cholesterol levels had worsened during the inpatient treatment period. Only one patient had a diagnosis corresponding to the CVD risk found, and only four patients received antidiabetics, antihypertensives or lipid-lowering drugs. CONCLUSIONS: Some CVD-related risk factors were high in the patients at admission, some worsened and CVD risk factors seem to be suboptimally addressed, which should warrant increased awareness on the topic in clinical practice.
机译：背景：精神分裂症和相关的精神病与心血管疾病（CVD）的高发病率和死亡率相关。在急诊住院患者代表性样本中，单点研究CVD相关危险因素的研究很少。目的：评估因精神病症状而急性入院的患者与CVD相关的危险因素水平。方法：符合条件的18-65岁患者被连续纳入卑尔根精神病项目（BPP）。在入院时和出院时或最晚6周后记录与CVD相关的危险因素。将218名精神病患者（BPP）的记录与基于人口的1995-97年Nord-Trondelag健康研究（HUNT2）调查的50,219名受试者的发现进行了比较。结果：BPP男女的舒张压较高，而HUNT2男女的体重指数（BMI）和总胆固醇水平较高。在分类指标上，与HUNT2受试者相比，吸烟在患者中更为普遍。 BPP男女中分别有11.8％和21.9％存在代谢综合征。在出院或入院后6周，分别有3.2％和18.6％的BPP女性和男性患有代谢综合征。在住院治疗期间，BMI和总胆固醇水平恶化。只有一名患者的诊断与发现的CVD风险相对应，只有四名患者接受了抗糖尿病药，降压药或降脂药。结论：入院患者中一些与CVD相关的危险因素较高，某些情况恶化且CVD危险因素似乎未得到最佳解决，这应在临床实践中应引起人们对该主题的更多认识。

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