Evidence map›Paper›PMID 31753047›Full record

ArticleThe British journal of psychiatry : the journal of mental science2020

Incidence of ischaemic heart disease and stroke among people with psychiatric disorders: retrospective cohort study.

Caroline A Jackson, Joannes Kerssens, Kelly Fleetwood, Daniel J Smith, Stewart W Mercer, Sarah H Wild

Open access · hybridAbstract read
In one paragraph

Article in The British journal of psychiatry : the journal of mental science, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 2 pooled it
3.1field-weighted citation impact, top 7% 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

23 citing papers in PubMed, 2 syntheses or guidelines pooled it, 46 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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  6. Article
  7. Health care workers' experiences of exercise in forensic psychiatry: a qualitative focus group study.International journal of qualitative studies on health and well-being · 2025
    Article
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  12. Secondary Stroke Prevention in People With Schizophrenia.Journal of the American Heart Association · 2024
    Article
  13. Article
  14. Article
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  16. Review
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  19. Review
  20. Cardiovascular risk in patients with severe mental illness in Italy.European psychiatry : the journal of the Association of European Psychiatrists · 2020
    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

6 authors at 3 institutions in 1 country.

Caroline A JacksonChancellor's Fellow, Usher Institute of Population Health Sciences and Informatics, University of Edinburgh, Scotland, UK.ORCID 0000-0002-2067-2811
Joannes KerssensPrincipal Information Analyst, Information Services Division, National Services Scotland, NHS Scotland, Scotland, UK.
Kelly FleetwoodStatistician, Usher Institute of Population Health Sciences and Informatics, University of Edinburgh, Scotland, UK.
Daniel J SmithProfessor, Institute of Health and Wellbeing, University of Glasgow, Scotland, UK.ORCID 0000-0002-2267-1951
Stewart W MercerProfessor, Usher Institute of Population Health Sciences and Informatics, University of Edinburgh, Scotland, UK.
Sarah H WildProfessor, Usher Institute of Population Health Sciences and Informatics, University of Edinburgh, Scotland, UK.ORCID 0000-0001-7824-2569
University of Edinburgh · GBNational Health Service Scotland · GBUniversity of Glasgow · GB

Funding

Medical Research Council MC_PC_17217Wellcome Trust
6 · The paper itself

Abstract

backgroundPsychiatric disorders are associated with increased risk of ischaemic heart disease (IHD) and stroke, but it is not known whether the associations or the role of sociodemographic factors have changed over time.

aimsTo investigate the association between psychiatric disorders and IHD and stroke, by time period and sociodemographic factors.

methodWe used Scottish population-based records from 1991 to 2015 to create retrospective cohorts with a hospital record for psychiatric disorders of interest (schizophrenia, bipolar disorder or depression) or no record of hospital admission for mental illness. We estimated incidence and relative risks of IHD and stroke in people with versus without psychiatric disorders by calendar year, age, gender and area-based deprivation level.

resultsIn all cohorts, incidence of IHD (645 393 events) and stroke (276 073 events) decreased over time, but relative risks decreased for depression only. In 2015, at the mean age at event onset, relative risks were 2- to 2.5-fold higher in people with versus without a psychiatric disorder. Age at incidence of outcome differed by cohort, gender and socioeconomic status. Relative but not absolute risks were generally higher in women than men. Increasing deprivation conveys a greater absolute risk of IHD for people with bipolar disorder or depression.

conclusionsDespite declines in absolute rates of IHD and stroke, relative risks remain high in those with versus without psychiatric disorders. Cardiovascular disease monitoring and prevention approaches may need to be tailored by psychiatric disorder and cardiovascular outcome, and be targeted, for example, by age and deprivation level.

Indexed as

Mental DisordersMyocardial IschemiaStrokeAgedFemaleHumansIncidenceMaleMiddle AgedRetrospective StudiesRisk Factorsbipolar disorderdepressionischaemic heart diseaseschizophreniaStroke

Identifiers

PMID31753047
PMCPMC7511900
OpenAlexW2991130189

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.