Death rate from isheamic heart disease in Western Australian psychiatric patients 1980–1998

Department of Public Health, The University of Western Australia, Perth, Australia.
The British Journal of Psychiatry (Impact Factor: 7.99). 02/2003; 182(1):31-6. DOI: 10.1192/bjp.182.1.31
Source: PubMed


People with mental illness suffer excess mortality due to physical illnesses.
To investigate the association between mental illness and ischaemic heart disease (IHD) hospital admissions, revascularisation procedures and deaths.
A population-based record-linkage study of 210 129 users of mental health services in Western Australia during 1980-1998. IHD mortality rates, hospital admission rates and rates of revascularisation procedures were compared with those of the general population.
IHD (not suicide) was the major cause of excess mortality in psychiatric patients. In contrast to the rate in the general population, the IHS mortality rate in psychiatric patients did not diminish over time. There was little difference in hospital admission rates for IHD between psychiatric patients and the general community, but much lower rates of revascularisation procedures with psychiatric patients, particularly in people with psychoses.
People with mental illness do not receive an equitable level of intervention for IHD. More attention to their general medical care is needed.

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    • "The use of antipsychotics, either briefly or long term, has been associated with increased body weight [11] [12]. Smoking rate, which is high among patients with schizophrenia [10], is also a well-known risk factor for cardiovascular disease. Patients with schizophrenia have been found to have an abnormal metabolic profiles. "
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    The Kaohsiung journal of medical sciences 11/2014; 30(11). DOI:10.1016/j.kjms.2014.09.002 · 0.80 Impact Factor
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    • "The physical health of people diagnosed with psychotic disorders is poor compared to the general population, and life expectancy is 15 years shorter (Brown et al., 2000; Osby et al., 2001; Lawrence et al., 2003; Bushe et al., 2010; Laursen, 2011). Rates of cardiovascular disease (CVD) in people diagnosed with psychotic disorders are higher (27%) than in the general population (16%) (Morgan et al., 2011) and account for more premature deaths than suicide (Brown et al., 2000; Osby et al., 2001; Lawrence et al., 2003; Bushe et al., 2010). The "
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    • "A number of studies have examined the receipt of medical and surgical care for those with cardiovascular disease. The evidence points to the conclusion that those with mental disorder are significantly less likely to receive invasive cardiac procedures that are known to benefit those with cardiovascular disease (Druss et al., 2000; Kisely et al., 2007; Laursen et al., 2009; Lawrence et al., 2003; Wu et al., 2013; Young & Foster, 2000), although 4 studies found no significant difference (Abrams et al., 2009; Jones & Carney, 2005; Petersen et al., 2003; Plomondon et al., 2007). "
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