title: Schizophrenia and the risk of cardiovascular diseases: a meta-analysis of thirteen cohort studies.
abstract: BACKGROUND
  Numerous studies have investigated the relationship between schizophrenia and the incidence of cardiovascular disease (CVD), but their results were not entirely consistent. Our study aimed to elucidate the association between schizophrenia and the risk of CVD by a meta-analysis of cohort studies.
  
  
  METHODS
  PubMed, the Cochrane Library, and EMBASE databases were searched to identify relevant studies that met the prespecified inclusion criteria. We also reviewed reference lists from the retrieved articles. Relative risks (RRs) and 95% confidence intervals (CIs) were extracted and pooled using the fixed-effect or random-effects models.
  
  
  RESULTS
  Thirteen studies involving 3,549,950 participants, with outcomes of CVD reported for 422,698, were included in the meta-analysis. The follow-up period ranged from 1.6 to 36.0 years. The meta-analysis found that the pooled RRs for schizophrenia compared with the reference group were 1.53 (95% CI: 1.27-1.86) for the incidence of CVD, 1.20 (95% CI: 0.93-1.53) for coronary heart disease (CHD), 1.71 (95% CI: 1.19-2.46) for stroke, and 1.81 (95% CI: 1.42-2.29) for congestive heart failure (CHF). Sensitivity analysis after the exclusion of a single cohort or using the unadjusted RRs yielded similar results to the primary overall estimations. No evidence of publication bias was observed.
  
  
  CONCLUSIONS
  Schizophrenia is associated with increased incidence of CVD, stroke and CHF, and might also increase the risk of CHD. Greater attention should be paid to schizophrenia patients to prevent the occurrence of CVD and to decrease the risk of cardiac morbidity.
authors: Department of Neurosurgery, First Affiliated Hospital, College of Medicine, Zhejiang University, No. 79, Qingchun Road, Hangzhou 310000, People's Republic of China. Electronic address: fanzx263@sina.com.
authors: Zuoxu
authors: Z
authors: Fan
authors: Yaoyao
authors: Y
authors: Wu
authors: Jian
authors: J
authors: Shen
authors: Tao
authors: T
authors: Ji
authors: Renya
authors: R
authors: Zhan
mesh_terms: D002318:Cardiovascular Diseases / Q000175:diagnosis / Q000453:epidemiology* / Q000209:etiology; D015331:Cohort Studies; D016208:Databases, Factual / Q000706:statistics & numerical data; D006801:Humans; D015994:Incidence; D012559:Schizophrenia / Q000453:epidemiology*
keywords: Cardiovascular disease; Cohort studies; Meta-analysis; Schizophrenia