Medical comorbidities in patients with serious mental illness: a retrospective study of mental health patients attending an outpatient clinic in Qatar

Monica Zolezzi,1 Sara Abdulrhim,2 Nour Isleem,2 Farah Zahrah,2 Yassin Eltorki3 1Clinical Pharmacy and Practice, 2College of Pharmacy, Qatar University, 3Department of Pharmacy, Hamad Medical Corporation Mental Health Hospital, Doha, Qatar Background: The life span of individuals...

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Autores principales:	Zolezzi M, Abdulrhim S, Isleem N, Zahrah F, Eltorki Y
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2017
Materias:	Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/73226950c8b541ae866f66bb03763ec7
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spelling	oai:doaj.org-article:73226950c8b541ae866f66bb03763ec72021-12-02T12:20:51ZMedical comorbidities in patients with serious mental illness: a retrospective study of mental health patients attending an outpatient clinic in Qatar1178-2021https://doaj.org/article/73226950c8b541ae866f66bb03763ec72017-09-01T00:00:00Zhttps://www.dovepress.com/medical-comorbidities-in-patients-with-serious-mental-illness-a-retros-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021Monica Zolezzi,1 Sara Abdulrhim,2 Nour Isleem,2 Farah Zahrah,2 Yassin Eltorki3 1Clinical Pharmacy and Practice, 2College of Pharmacy, Qatar University, 3Department of Pharmacy, Hamad Medical Corporation Mental Health Hospital, Doha, Qatar Background: The life span of individuals with serious mental illness (SMI) is shorter compared to the general population. This excess mortality is mainly due to physical illness. The aim of the study was to investigate the prevalence rates of different physical illnesses in individuals with SMI and to examine how these are being managed.Methods: The study was a cross-sectional retrospective chart review of a cohort of patients with SMI. A comprehensive electronic data extraction tool using SurveyMonkey® was used to collect patient demographics, psychiatric and medical comorbidities, medications and all relevant physical assessments. Data were then first extrapolated into an Excel® spreadsheet and later to SPSS® for data analysis. A descriptive statistical approach was used to analyze the demographic and clinical data. Chi-square test for categorical variables and t-test for continuous variables were used to compare the demographic and clinical characteristics of the cohort.Results: A total of 336 patients with SMI were included for the retrospective chart review. The majority of these patients had a diagnosis of depression (50.3%), followed by schizophrenia (33.0%) and bipolar disorder (19.6%). Diabetes was the most frequent medical comorbidity, diagnosed in 16.1% of SMI patients, followed by hypertension (9.2%) and dyslipidemia (9.8%). Monitoring of comorbidity-associated risk factors and other relevant physical assessment parameters (such as blood pressure, weight, hemoglobin A1c [HbA1c], blood glucose and lipids) were documented in less than 50% of patients, and some parameters, such as smoking status, were not documented at all.Conclusion: Both, the literature and our cohort provide evidence that individuals with SMI are less likely to receive standard levels of care for their medical comorbidities. Keywords: serious mental illness, medical comorbidities, physical illness, psychiatric patientsZolezzi MAbdulrhim SIsleem NZahrah FEltorki YDove Medical PressarticleNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol Volume 13, Pp 2411-2418 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Zolezzi M Abdulrhim S Isleem N Zahrah F Eltorki Y Medical comorbidities in patients with serious mental illness: a retrospective study of mental health patients attending an outpatient clinic in Qatar
description	Monica Zolezzi,1 Sara Abdulrhim,2 Nour Isleem,2 Farah Zahrah,2 Yassin Eltorki3 1Clinical Pharmacy and Practice, 2College of Pharmacy, Qatar University, 3Department of Pharmacy, Hamad Medical Corporation Mental Health Hospital, Doha, Qatar Background: The life span of individuals with serious mental illness (SMI) is shorter compared to the general population. This excess mortality is mainly due to physical illness. The aim of the study was to investigate the prevalence rates of different physical illnesses in individuals with SMI and to examine how these are being managed.Methods: The study was a cross-sectional retrospective chart review of a cohort of patients with SMI. A comprehensive electronic data extraction tool using SurveyMonkey® was used to collect patient demographics, psychiatric and medical comorbidities, medications and all relevant physical assessments. Data were then first extrapolated into an Excel® spreadsheet and later to SPSS® for data analysis. A descriptive statistical approach was used to analyze the demographic and clinical data. Chi-square test for categorical variables and t-test for continuous variables were used to compare the demographic and clinical characteristics of the cohort.Results: A total of 336 patients with SMI were included for the retrospective chart review. The majority of these patients had a diagnosis of depression (50.3%), followed by schizophrenia (33.0%) and bipolar disorder (19.6%). Diabetes was the most frequent medical comorbidity, diagnosed in 16.1% of SMI patients, followed by hypertension (9.2%) and dyslipidemia (9.8%). Monitoring of comorbidity-associated risk factors and other relevant physical assessment parameters (such as blood pressure, weight, hemoglobin A1c [HbA1c], blood glucose and lipids) were documented in less than 50% of patients, and some parameters, such as smoking status, were not documented at all.Conclusion: Both, the literature and our cohort provide evidence that individuals with SMI are less likely to receive standard levels of care for their medical comorbidities. Keywords: serious mental illness, medical comorbidities, physical illness, psychiatric patients
format	article
author	Zolezzi M Abdulrhim S Isleem N Zahrah F Eltorki Y
author_facet	Zolezzi M Abdulrhim S Isleem N Zahrah F Eltorki Y
author_sort	Zolezzi M
title	Medical comorbidities in patients with serious mental illness: a retrospective study of mental health patients attending an outpatient clinic in Qatar
title_short	Medical comorbidities in patients with serious mental illness: a retrospective study of mental health patients attending an outpatient clinic in Qatar
title_full	Medical comorbidities in patients with serious mental illness: a retrospective study of mental health patients attending an outpatient clinic in Qatar
title_fullStr	Medical comorbidities in patients with serious mental illness: a retrospective study of mental health patients attending an outpatient clinic in Qatar
title_full_unstemmed	Medical comorbidities in patients with serious mental illness: a retrospective study of mental health patients attending an outpatient clinic in Qatar
title_sort	medical comorbidities in patients with serious mental illness: a retrospective study of mental health patients attending an outpatient clinic in qatar
publisher	Dove Medical Press
publishDate	2017
url	https://doaj.org/article/73226950c8b541ae866f66bb03763ec7
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Medical comorbidities in patients with serious mental illness: a retrospective study of mental health patients attending an outpatient clinic in Qatar

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