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dc.contributor.authorHeiberg, Ina Heidi
dc.contributor.authorJacobsen, Bjarne K.
dc.contributor.authorBalteskard, Lise
dc.contributor.authorBramness, Jørgen Gustav
dc.contributor.authorNæss, Øyvind
dc.contributor.authorYstrøm, Eivind
dc.contributor.authorReichborn-Kjennerud, Ted
dc.contributor.authorHultman, Christina M.
dc.contributor.authorNesvåg, Ragnar
dc.contributor.authorHøye, Anne
dc.identifier.citationActa Psychiatrica Scandinavica. 2019, 139 (6), 558-571.nb_NO
dc.description.abstractOBJECTIVE: To examine whether individuals with schizophrenia (SCZ) or bipolar disorder (BD) had equal likelihood of not being diagnosed with cardiovascular disease (CVD) prior to cardiovascular death, compared to individuals without SCZ or BD. METHODS: Multivariate logistic regression analysis including nationwide data of 72 451 cardiovascular deaths in the years 2011-2016. Of these, 814 had a SCZ diagnosis and 673 a BD diagnosis in primary or specialist health care. RESULTS: Individuals with SCZ were 66% more likely (OR: 1.66; 95% CI: 1.39-1.98), women with BD were 38% more likely (adjusted OR: 1.38; 95% CI: 1.04-1.82), and men with BD were equally likely (OR: 0.88, 95% CI: 0.63-1.24) not to be diagnosed with CVD prior to cardiovascular death, compared to individuals without SMI. Almost all (98%) individuals with SMI and undiagnosed CVD had visited primary or specialized somatic health care prior to death, compared to 88% among the other individuals who died of CVD. CONCLUSION: Individuals with SCZ and women with BD are more likely to die due to undiagnosed CVD, despite increased risk of CVD and many contacts with primary and specialized somatic care. Strengthened efforts to prevent, recognize, and treat CVD in individuals with SMI from young age are needed.nb_NO
dc.description.sponsorshipThis study was supported by a research grant from the Northern Norway Regional Health Authority (PFP1236‐15).nb_NO
dc.publisherJohn Wiley & Sons Ltd.nb_NO
dc.rightsNavngivelse 4.0 Internasjonal*
dc.subjectadult; bipolar disorder; cardiovascular diseases; death; delayed diagnosis; schizophrenia; treatment delaynb_NO
dc.titleUndiagnosed cardiovascular disease prior to cardiovascular death in individuals with severe mental illnessnb_NO
dc.typeJournal articlenb_NO
dc.typePeer reviewednb_NO
dc.rights.holder© 2019 The Authors. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.nb_NO
dc.source.journalActa Psychiatrica Scandinavicanb_NO
cristin.unitnameDiv Elverum-Hamar

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