Treatment of ischaemic heart disease and stroke in individuals with psychosis under universal healthcare

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Author(s)
Kisely, Stephen
Campbell, Leslie Anne
Wang, Yan
Griffith University Author(s)
Year published
2009
Metadata
Show full item recordAbstract
Background Most data on the quality of vascular care for individuals with psychiatric conditions come from countries without universal healthcare. Aims To investigate the treatment of people with psychosis admitted for ischaemic heart disease or stroke under universal healthcare. Method A population-based study of administrative data comparing Canadians with and without a history of schizophrenia or related psychosis (n = 65 039). Results Of 49 248 admissions for ischaemic heart disease, 1285 had a history of psychosis. Despite a higher 1-year mortality, they were less likely to receive guideline-consistent treatment: e.g. ...
View more >Background Most data on the quality of vascular care for individuals with psychiatric conditions come from countries without universal healthcare. Aims To investigate the treatment of people with psychosis admitted for ischaemic heart disease or stroke under universal healthcare. Method A population-based study of administrative data comparing Canadians with and without a history of schizophrenia or related psychosis (n = 65 039). Results Of 49 248 admissions for ischaemic heart disease, 1285 had a history of psychosis. Despite a higher 1-year mortality, they were less likely to receive guideline-consistent treatment: e.g. coronary artery bypass grafting (adjusted odds ratio (OR) = 0.35, 95% CI 0.25-0.48), beta-blockers (adjusted OR = 0.82, 95% CI 0.71-0.95) and statins (adjusted OR = 0.51, 95% CI 0.41-0.63). Of 15 791 admissions for stroke, 594 had a history of psychosis. Despite higher 1-year mortality rates, they were less likely to receive cerebrovascular arteriography or warfarin. Conclusions People with a history of psychosis do not receive equitable levels of vascular care under universal healthcare.
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View more >Background Most data on the quality of vascular care for individuals with psychiatric conditions come from countries without universal healthcare. Aims To investigate the treatment of people with psychosis admitted for ischaemic heart disease or stroke under universal healthcare. Method A population-based study of administrative data comparing Canadians with and without a history of schizophrenia or related psychosis (n = 65 039). Results Of 49 248 admissions for ischaemic heart disease, 1285 had a history of psychosis. Despite a higher 1-year mortality, they were less likely to receive guideline-consistent treatment: e.g. coronary artery bypass grafting (adjusted odds ratio (OR) = 0.35, 95% CI 0.25-0.48), beta-blockers (adjusted OR = 0.82, 95% CI 0.71-0.95) and statins (adjusted OR = 0.51, 95% CI 0.41-0.63). Of 15 791 admissions for stroke, 594 had a history of psychosis. Despite higher 1-year mortality rates, they were less likely to receive cerebrovascular arteriography or warfarin. Conclusions People with a history of psychosis do not receive equitable levels of vascular care under universal healthcare.
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Journal Title
The British Journal of Psychiatry
Volume
195
Issue
6
Copyright Statement
© 2009 The Royal College of Psychiatrists. This is an author-produced electronic version of an article accepted for publication in the British Journal of Psychiatry. The definitive publisher-authenticated version is available online at http://bjp.rcpsych.org.
Subject
Biomedical and clinical sciences
Psychology
Other psychology not elsewhere classified