Evidence map›Paper›PMID 27095252›Full record

ArticleBMC psychiatry2016

Use of an electronic metabolic monitoring form in a mental health service - a retrospective file audit.

Brenda Happell, Chris Platania-Phung, Cadeyrn J Gaskin, Robert Stanton

Open access · goldAbstract read
In one paragraph

Article in BMC psychiatry, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.4field-weighted citation impact, top 20% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 16 citations in OpenAlex.

  1. Observational
  2. Article
  3. [Antipsychotic prescription prevalence and metabolic monitoring of patients under chronic treatment].Revista de la Facultad de Ciencias Medicas (Cordoba, Argentina) · 2021
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Brenda HappellSynergy, Nursing and Midwifery Research Centre University of Canberra, Faculty of Health and ACT Health, Canberra, Australia.
Chris Platania-PhungSynergy, Nursing and Midwifery Research Centre University of Canberra, Faculty of Health and ACT Health, Canberra, Australia.
Cadeyrn J GaskinSchool of Medical and Applied Sciences, Central Queensland University, Bruce Highway, North Rockhampton, QLD, 4702, Australia.
Robert StantonSchool of Medical and Applied Sciences, Central Queensland University, Bruce Highway, North Rockhampton, QLD, 4702, Australia. r.stanton@cqu.edu.au.
Central Queensland University · AUUniversity of Canberra · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPeople with severe mental illness have poorer physical health, experience disparities in physical health care, and lead significantly shorter lives, compared to the general population. Routine metabolic monitoring is proposed as a method of identifying risk factors for metabolic abnormalities. Efforts to date suggest routine metabolic monitoring is both incomplete and ad-hoc, however. This present study reports on the recent implementation of a routine metabolic monitoring form at a mental health service in regional Australia.

methodsA retrospective file audit was undertaken on 721 consumers with electronic health records at the mental health service. Descriptive statistics were used to report the frequency of use of the metabolic monitoring form and the range of metabolic parameters that had been recorded.

resultsConsumers had an average age of 41.4 years (SD = 14.6), over half were male (58.4%), and the most common psychiatric diagnosis was schizophrenia (42.3%). The metabolic monitoring forms of 36% of consumers contained data. Measurements were most commonly recorded for weight (87.4% of forms), height (85.4%), blood pressure (83.5%), and body mass index (73.6%). Data were less frequently recorded for lipids (cholesterol, 56.3%; low density lipoprotein, 48.7%; high density lipoprotein, 51.7%; triglycerides, 55.2%), liver function (alanine aminotransferase, 66.3%; aspartate aminotransferase, 65.5%; gamma-glutamyl transpeptidase, 64.8%), renal function (urea, 66.3%; creatinine, 65.9%), fasting blood glucose (60.2%), and waist circumference (54.4%).

conclusionsThe metabolic monitoring forms in consumer electronic health records are not utilised in a manner that maximises their potential. The extent of the missing data suggests that the metabolic health of most consumers may not have been adequately monitored. Addressing the possible reasons for the low completion rate has the potential to improve the provision of physical health care for people with mental illness.

Indexed as

Medical AuditAdultAgedAustraliaBody Mass IndexFemaleHumansMaleMental DisordersMental Health ServicesMetabolic SyndromeMiddle AgedRetrospective StudiesRisk AssessmentRisk FactorsWaist CircumferenceCardiometabolicMental health serviceMonitoringPhysical healthSevere mental illness

Identifiers

PMID27095252
PMCPMC4837626
OpenAlexW2339176946

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.