title: [Effectiveness of a joint project between primary care and mental health to improve the recording of cardiovascular risk factors in patients with psychosis].
abstract: OBJECTIVE
  To evaluate the effectiveness of a joint team intervention between primary care (PC) and mental health (MH) to improve information on cardiovascular risk factors (CVRF) in psychotic patients.
  
  
  METHODS
  Multicenter before-after intervention study.
  
  
  METHODS
  Seven primary care and 2 mental health centers in Barcelona participated.
  
  
  METHODS
  All patients between 18-65 years old with a confirmed diagnosis of psychosis assigned to PC teams (n = 690) are included.
  
  
  METHODS
  Shared clinical sessions, developing a joint GP-MH protocol and implement it.
  
  
  METHODS
  
  
  
  METHODS
  Gender, age, number of Appointments per center/year, smoking, blood pressure, body mass index (BMI), total cholesterol, HDL cholesterol, triglycerides, glucose, waist circumference (WC), Cardiovascular Risk.
  
  
  METHODS
  Comparison of CVRF records from 2008 to 2010 using statistical tests for paired data. Calculation of CVRF prevalence in accordance with metabolic syndrome criteria and the criteria for referral to GP.
  
  
  RESULTS
  The mean age was 42.3 (SD 11.4) years, with 67% males. All CVRF significantly Increased in clinical notes, particularly all blood test parameters and WC. More than 35% of patients had a CVRF according to metabolic syndrome criteria. Criteria to refer to PC physician (2010) identified: obesity 51.9%, 23.9% hypertension, high cholesterol 20.4% and 11.6% diabetes.
  
  
  CONCLUSIONS
  CVRF recording improvement. High percentage of patients needed GP intervention due to a CVRF.
authors: Medicina de Familia y Comunitaria, Centro de Atención Primaria Poble Nou, Servicio de Atención Primaria Litoral, Institut Català de la Salut, Barcelona, Spain. lydiavica@gmail.com
authors: Lidia
authors: L
authors: Viñas Cabrera
authors: María Isabel
authors: MI
authors: Fernández San-Martín
authors: Luis Miguel
authors: LM
authors: Martín López
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002318:Cardiovascular Diseases / Q000150:complications* / Q000453:epidemiology*; D005260:Female; D006801:Humans; D008297:Male; D008605:Mental Health Services; D008875:Middle Aged; D010348:Patient Care Team; D011320:Primary Health Care; D011618:Psychotic Disorders / Q000150:complications*; D018570:Risk Assessment; D012307:Risk Factors; D055815:Young Adult