Factores de riesgo cardiovascular, riesgo cardiovascular y calidad de vida en pacientes con trastorno mental severo / Cardiovascular risk factors, cardiovascular risk and quality of life in patients with a severe mental disorder

Objetivo: Determinar los factores de riesgo cardiovascular (FRCV), estratificar el riesgo cardiovascular (RCV) y analizar la relación entre RCV y calidad de vida en pacientes con trastorno mental severo (TMS). Diseño: Estudio descriptivo transversal. Emplazamiento: Servicio de Salud Mental, Consorcio Hospitalario de Vic (Barcelona). Participantes: Pacientes con TMS mayores de 18 años. Mediciones principales: Se recogieron variables sociodemográficas, hábitos tóxicos, enfermedades previas, antecedentes familiares de enfermedad cardiovascular prematura, diagnósticos psiquiátricos, y parámetros físicos y analíticos. El RCV se determinó por las escalas SCORE y REGICOR. La calidad de vida se midió con los cuestionarios Euro-QOL y Sevilla. Resultados: Se incluyeron 137 pacientes con TMS, 64,9% mujeres, edad media de 51,1 años (DE: 12,9). Distribución de los FRCV mayores: 40,1% tabaquismo, 37,9% hipertensión arterial, 56,2% dislipidemia y 11,1% diabetes. Un 37,9% cumplían criterios de obesidad y el 48,4% de síndrome metabólico. La media de FRCV mayores fue de 1,5 factores. El RCV fue alto en el 4,6% de la muestra según la SCORE y del 5,4% según REGICOR. Ni los pacientes que acumulaban más FRCV ni los que tenían RCV elevado presentaron puntuaciones peores en calidad de vida. Conclusiones: Los FRCV más prevalentes en los pacientes con TMS son el tabaquismo y la dislipidemia, con prevalencias que superan a la de los estudios de base poblacional. El subgrupo de trastornos depresivos presentó un RCV mayor y peores resultados en la calidad de vida. No se observó relación entre el RCV y la calidad de vida(AU)

Aim: To determine the cardiovascular risk factors (CVRF), level of cardiovascular risk (CVR) and to analyse the relationship between CVR and quality of life in patients with severe mental illness (SMI). Design of study: Cross sectional study. Setting: Mental Health Service, Consorci Hospitalari de Vic (Barcelona). Subjects: Patients over 18 years diagnosed with SMI. Main measurements: Data was collected on, socio-demographic variables, toxic habits, previous pathologies, family history of premature cardiovascular disease, psychiatric diagnoses, physical parameters and laboratory findings. The CVR was determined by the SCORE and REGICOR scales. Quality of life was measured by Euro-QoL and Seville Questionnaires. Results: A total of 137 patients with SMI were included; 64.9% female, and a mean age 51.1 years (SD 12.9). Major CVRF distribution: 40.1% smoking, 37.9% hypertension, 56.2% dyslipidemia, and 11.1% diabetes. The criteria for obesity and metabolic syndrome were met by 37.9% and 48.4% of the patients, respectively. The average major CVRF was 1.5 factors. The CVR was high in 4.6% of the sample by SCORE and in 5.4% by REGICOR. Neither the patients who accumulated more CVRF or those with high CVR scores showed a worse quality of life. Conclusions: The most prevalent CVRF in patients with SMI are smoking and dyslipidemia, with a prevalence that exceeded population-based studies. The subgroup of depressive disorders showed a higher CVR and worse quality of life. No relationships were found between the CVR and the quality of life(AU)

[Cardiovascular risk factors, cardiovascular risk and quality of life in patients with a severe mental disorder]. / Factores de riesgo cardiovascular, riesgo cardiovascular y calidad de vida en pacientes con trastorno mental severo.

AIM: To determine the cardiovascular risk factors (CVRF), level of cardiovascular risk (CVR) and to analyse the relationship between CVR and quality of life in patients with severe mental illness (SMI). DESIGN OF STUDY: Cross sectional study. SETTING: Mental Health Service, Consorci Hospitalari de Vic (Barcelona). SUBJECTS: Patients over 18 years diagnosed with SMI. MAIN MEASUREMENTS: Data was collected on, socio-demographic variables, toxic habits, previous pathologies, family history of premature cardiovascular disease, psychiatric diagnoses, physical parameters and laboratory findings. The CVR was determined by the SCORE and REGICOR scales. Quality of life was measured by Euro-QoL and Seville Questionnaires. RESULTS: A total of 137 patients with SMI were included; 64.9% female, and a mean age 51.1 years (SD 12.9). Major CVRF distribution: 40.1% smoking, 37.9% hypertension, 56.2% dyslipidemia, and 11.1% diabetes. The criteria for obesity and metabolic syndrome were met by 37.9% and 48.4% of the patients, respectively. The average major CVRF was 1.5 factors. The CVR was high in 4.6% of the sample by SCORE and in 5.4% by REGICOR. Neither the patients who accumulated more CVRF or those with high CVR scores showed a worse quality of life. CONCLUSIONS: The most prevalent CVRF in patients with SMI are smoking and dyslipidemia, with a prevalence that exceeded population-based studies. The subgroup of depressive disorders showed a higher CVR and worse quality of life. No relationships were found between the CVR and the quality of life.