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Woodall A, Prosser A, Griffiths M, Shooter B, Garfitt J, Walker L, Buchan I. Cardiovascular risk estimation in rural psychiatric inpatient populations: Cross-sectional preliminary study. Psychiatry Res Commun 2023; 3:100103. [PMID: 37654699 PMCID: PMC7614998 DOI: 10.1016/j.psycom.2023.100103] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 09/02/2023]
Abstract
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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Affiliation(s)
- Alan Woodall
- Bronllys Hospital, Powys Teaching Health Board, Brecon, LD3 OLY, Wales, United Kingdom
- Department of Primary Care and Mental Health, Institute of Population Health, University of Liverpool, L69 3GF, Wales, United Kingdom
| | - Amy Prosser
- Bronllys Hospital, Powys Teaching Health Board, Brecon, LD3 OLY, Wales, United Kingdom
| | - Millie Griffiths
- Bronllys Hospital, Powys Teaching Health Board, Brecon, LD3 OLY, Wales, United Kingdom
| | - Ben Shooter
- Bronllys Hospital, Powys Teaching Health Board, Brecon, LD3 OLY, Wales, United Kingdom
| | - Joy Garfitt
- Bronllys Hospital, Powys Teaching Health Board, Brecon, LD3 OLY, Wales, United Kingdom
| | - Lauren Walker
- Department of Clinical Pharmacology, Institute of Systems, Molecular and Integrative Biology, University of Liverpool, L69 7DE, United Kingdom
| | - Iain Buchan
- Department of Public Health, Policy and Systems, Institute of Population Health, University of Liverpool, L69 3GF, United Kingdom
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