Acute Myocardial Infarction in Severe Mental Illness: Prevalence, Clinical Outcomes, and Process of Care in U.S. Hospitalizations

ConclusionSchizophrenia and ONOP are the only SMI subtypes associated with adverse clinical outcomes after AMI. However, all patients with SMI were less likely to receive invasive management for AMI, with female gender and schizophrenia diagnosis being the strongest predictors of conservative management. A multidisciplinary approach between psychiatrists and cardiologists could improve the outcomes of this high-risk population.RésuméContexteLe trouble mental grave (TMG) est associé à une augmentation de la mortalité cardiovasculaire. Nous avons étudié la prévalence des patients atteints d’un TMG qui avaient subi un infarctus aigu du myocarde (IAM) ainsi que les résultats cliniques et les stratégies de prise en charge chez ces patients.MéthodologieToutes les hospitalisations pour un IAM répertoriées dans la base de données National Inpatient Sample ont été incluses et stratifiées en 5 groupes selon l’état de santé mentale du patient : absence de TMG, schizophrénie, autres troubles psychotiques non organiques (ATPNO), trouble bipolaire et dépression majeure. Des analyses de régression ont été effectuées pour évaluer l’association (rapports de cotes [RC] ajustés, p ≤ 0,001 pour tous les résultats) entre les sous-types de TMG et les résultats cliniques.R&eacut...
Source: Canadian Journal of Cardiology - Category: Cardiology Source Type: research

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