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Lookup NU author(s): Dr Aaron Liew
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Background and Objectives: Metabolic syndrome (visceral obesity, dyslipidaemia, hyperglycaemia, hypertension) is a substantial public health problem, especially amongst individuals receiving antipsychotic medication. Methods: We studied routine screening practices for metabolic syndrome amongst psychiatry outpatients receiving injected depot anti-psychotic medication at a clinic in Dublin, Ireland. Results: Our initial audit (n = 64) demonstrated variable levels of documentation of criteria for metabolic syndrome in outpatient files; e.g. weight was recorded in 1.6% of files, serum high density lipoprotein in 12.5%. As our intervention, we introduced a screening check-list comprising risk factors and criteria for metabolic syndrome, based on the definition of the International Diabetes Federation. Re-audit (n = 54) demonstrated significantly improved levels of documentation; e.g. weight was recorded in 61.1% of files. Notwithstanding these improvements, only 11 (20.4%) of 54 patient files examined in the re-audit, contained sufficient information to determine whether or not the patient fulfilled criteria for metabolic syndrome; of these, 3 patients (27.3%) fulfilled criteria for metabolic syndrome. There was, however, significant additional morbidity in relation to individual criteria (waist circumference, serum triglyceride level, systolic blood pressure and serum fasting glucose). Conclusions: We recommend enhanced attention be paid to metabolic morbidity in this patient group.
Author(s): O'Callaghan C, Liew AYL, Yusof MSD, Duffy R, Breen EG, Kinsley B, Kelly BD
Publication type: Article
Publication status: Published
Journal: European Journal of Psychiatry
Year: 2011
Volume: 25
Issue: 4
Pages: 213-222
Print publication date: 01/10/2011
ISSN (electronic): 0213-6163
Publisher: Universidad de Zaragoza
URL: http://dx.doi.org/10.4321/S0213-61632011000400004
DOI: 10.4321/S0213-61632011000400004
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