ArticleActa psychiatrica Scandinavica2020
Diagnostic tests and treatment procedures performed prior to cardiovascular death in individuals with severe mental illness.
Article in Acta psychiatrica Scandinavica, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.
- Respiratory disease in people with bipolar disorder: a systematic review and meta-analysis.Molecular psychiatry · 2025Pooled it
- Socioeconomic Position and Somatic Comorbidity in Mental Disorders.Acta psychiatrica Scandinavica · 2026Article
- Inclusion in the cancer patient pathway among cancer patients with and without pre-existing mental or substance use disorders: a nationwide register-based study.BMC public health · 2025Article
- The epidemiology of major depression among adults in Norway: an observational study on the concurrence between population surveys and registry data - a NCDNOR project.BMC public health · 2024Article
- Severe mental illness: cardiovascular risk assessment and management.European heart journal · 2024Article
- Exploring key determinants of health among individuals with serious mental Illness: qualitative insights from a first episode psychosis cohort, 20 years postdiagnosis.BMC psychiatry · 2023Article
- Disparities in cardiovascular disease and treatment in the Nordic countries.The Lancet regional health. Europe · 2023Review
- Effect of Telemedicine Use on Medical Spending and Health Care Utilization: A Machine Learning Approach.AJPM focus · 2023Article
- Peripheral artery disease in patients with schizophrenia as compared to controls.BMC cardiovascular disorders · 2023Article
- Coronary Artery Disease in Patients with Severe Mental Illness.Interventional cardiology (London, England) · 2023Review
- Educational attainment and mortality in schizophrenia.Acta psychiatrica Scandinavica · 2022Article
- Mortality gap and physical comorbidity of people with severe mental disorders: the public health scandal.Annals of general psychiatry · 2021Article
- Excess mortality and life-years lost in people with bipolar disorder: an 11-year population-based cohort study.Epidemiology and psychiatric sciences · 2021Article
- Cardiovascular disease in patients with severe mental illness.Nature reviews. Cardiology · 2021Review
- Identification and management of cardiometabolic risk in subjects with schizophrenia spectrum disorders: A Delphi expert consensus study.European psychiatry : the journal of the Association of European Psychiatrists · 2021Article
- Diagnostic tests and treatment procedures performed prior to cardiovascular death in individuals with severe mental illness.Acta psychiatrica Scandinavica · 2020Article
Corrections and comments
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Authors and funding
10 authors at 6 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo examine whether severe mental illnesses (i.e., schizophrenia or bipolar disorder) affected diagnostic testing and treatment for cardiovascular diseases in primary and specialized health care.
methodsWe performed a nationwide study of 72 385 individuals who died from cardiovascular disease, of whom 1487 had been diagnosed with severe mental illnesses. Log-binomial regression analysis was applied to study the impact of severe mental illnesses on the uptake of diagnostic tests (e.g., 24-h blood pressure, glucose/HbA1c measurements, electrocardiography, echocardiography, coronary angiography, and ultrasound of peripheral vessels) and invasive cardiovascular treatments (i.e., revascularization, arrhythmia treatment, and vascular surgery).
resultsPatients with and without severe mental illnesses had similar prevalences of cardiovascular diagnostic tests performed in primary care, but patients with schizophrenia had lower prevalences of specialized cardiovascular examinations (prevalence ratio (PR) 0.78; 95% CI 0.73-0.85). Subjects with severe mental illnesses had lower prevalences of invasive cardiovascular treatments (schizophrenia, PR 0.58; 95% CI 0.49-0.70, bipolar disorder, PR 0.78; 95% CI 0.66-0.92). The prevalence of invasive cardiovascular treatments was similar in patients with and without severe mental illnesses when cardiovascular disease was diagnosed before death.
conclusionBetter access to specialized cardiovascular examinations is important to ensure equal cardiovascular treatments among individuals with severe mental illnesses.
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