Cardiovascular risk estimation in rural psychiatric inpatient populations: Cross-sectional preliminary study.

Woodall, Alan ORCID: 0000-0003-2933-0508, Prosser, Amy, Griffiths, Millie, Shooter, Ben, Garfitt, Joy, Walker, Lauren ORCID: 0000-0002-3827-4387 and Buchan, Iain ORCID: 0000-0003-3392-1650 (2023) Cardiovascular risk estimation in rural psychiatric inpatient populations: Cross-sectional preliminary study. Psychiatry research communications, 3 (1). 100103-.

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Official URL: http://dx.doi.org/10.1016/j.psycom.2023.100103

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.

Item Type:	Article
Uncontrolled Keywords:	Integrated care, Ischaemic heart disease, Mental health act detention, Risk reduction, Rurality, Serious mental illness, Stroke
Divisions:	Faculty of Health and Life Sciences Faculty of Health and Life Sciences > Clinical Directorate Faculty of Health and Life Sciences > Institute of Systems, Molecular and Integrative Biology
Depositing User:	Symplectic Admin
Date Deposited:	19 Apr 2023 10:13
Last Modified:	16 Sep 2023 09:38
DOI:	10.1016/j.psycom.2023.100103
Open Access URL:	https://doi.org/10.1016/j.psycom.2023.100103
Related URLs:	Author Publisher
URI:	https://livrepository.liverpool.ac.uk/id/eprint/3169743