title: The incidence of metabolic risk factors in an inpatient psychiatric setting.
abstract: Our study examines risk factors for metabolic syndrome on admission to an acute psychiatric facility and the incidence of medical referrals at discharge. Data on demographics, risk factors for metabolic syndrome, other health risk factors, medications, related diagnoses, and primary care providers and referrals were collected from 125 psychiatric patient charts. Comparison analysis was done for two groups: those with two or more risk factors for metabolic syndrome and those with less than two risk factors. Differences between groups were statistically significant for age, waist circumference, body mass index, high-density lipoprotein, triglycerides, and fasting glucose levels. Few patients were referred to their primary care provider for follow-up care. This study has clinical implications for improving assessment of psychiatric patients at risk for developing metabolic syndrome, for designing interventions to help patients adopt lifestyle changes to mitigate these risks, and for working toward fuller integration of psychiatric and primary care.
authors.affiliation: Department of Internal Medicine, McLean Hospital, Belmont.
authors.forename: Catherine
authors.initials: C
authors.lastname: Coakley
authors.forename: Paula
authors.initials: P
authors.lastname: Bolton
authors.forename: Linda
authors.initials: L
authors.lastname: Flaherty
authors.forename: Lynne M
authors.initials: LM
authors.lastname: Kopeski
authors.forename: Karen
authors.initials: K
authors.lastname: Slifka
authors.forename: Melissa A
authors.initials: MA
authors.lastname: Sutherland
mesh_terms: D000328:Adult; D014150:Antipsychotic Agents / Q000009:adverse effects* / Q000627:therapeutic use; D015897:Comorbidity; D003299:Cooperative Behavior; D005260:Female; D006801:Humans; D033183:Interdisciplinary Communication; D008297:Male; D024821:Metabolic Syndrome / Q000139:chemically induced* / Q000175:diagnosis / Q000451:nursing* / Q000523:psychology; D008875:Middle Aged; D009730:Nursing Assessment; D009733:Nursing Diagnosis; D010343:Patient Admission; D011320:Primary Health Care; D011618:Psychotic Disorders / Q000188:drug therapy* / Q000451:nursing* / Q000523:psychology; D012307:Risk Factors
chemical_list: D014150:Antipsychotic Agents