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dc.contributor.authorHeiberg, Ina Heidi
dc.contributor.authorNesvåg, Ragnar
dc.contributor.authorBalteskard, Lise
dc.contributor.authorBramness, Jørgen Gustav
dc.contributor.authorHultman, Christina M.
dc.contributor.authorNæss, Øyvind
dc.contributor.authorReichborn-Kjennerud, Ted
dc.contributor.authorYstrøm, Eivind
dc.contributor.authorJacobsen, Bjarne K.
dc.contributor.authorHøye, Anne
dc.identifier.citationActa Psychiatr Scand . 2020 May;141(5):439-451.en_US
dc.description.abstractObjective: To 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. Methods: We 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). Results: Patients 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. Conclusion: Better access to specialized cardiovascular examinations is important to ensure equal cardiovascular treatments among individuals with severe mental illnesses.en_US
dc.description.sponsorshipThis study was supported by a research grant from the Northern Norway Regional Health Authority (PFP1236-15).en_US
dc.rightsNavngivelse 4.0 Internasjonal*
dc.subjectbipolar disorder;en_US
dc.subjectcardiovascular diseases;en_US
dc.subjectdelivery of health care/standards;en_US
dc.titleDiagnostic tests and treatment procedures performed prior to cardiovascular death in individuals with severe mental illnessen_US
dc.typePeer revieweden_US
dc.typeJournal articleen_US
dc.rights.holder© 2020 The Authors. Acta Psychiatrica Scandinavica published by John Wiley & Sons Ltd. 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.en_US
dc.source.journalActa Psychiatrica Scandinavicaen_US

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Navngivelse 4.0 Internasjonal
Except where otherwise noted, this item's license is described as Navngivelse 4.0 Internasjonal