Cardio-metabolic monitoring Table : Percentage of patients receiving antipsychotics who were monitored for risk factors Study Patients and No. of Received recommended monitoring (%) setting period patients Weight Girth Lipids BSL Blood pressure Nguyen Patients with Oct 93 65 0 (0%) 7 29 2 Not schizophrenia 2005 (65%) (8%) (31%) (2.2%) reported discharged from three public psychiatric hospitals Sazhin25 Males with July 44 17 major mental 2003 (39%) illness treated & Jan involuntarily 2006 in a forensic hospital Wilson Randomly Dec 107 49% Not 13% 13% Not 16 selected 2011 reported reported patients prescribed clozapine mental health, centre Ellis Children 54 10 (19%) had a monitoring chart admitted to 4 (7%) were monitored as recommended hospital and prescribed antipsychotics for >1 month BSL: Blood sugar level; HbA1c: Haemoglobin A1c. Table : Percentage of adults with psychosis with cardio-metabolic risk factors Study n % of patients with risk factors Tobacco Sedentary Increased Overweight/ Abdominal Increased Increased use lifestyle blood obese obesity blood lipids pressure sugar level Gladigau124 60 67 Not 40 50 = obese 84 36 67 reported 33 = overweight Foley 1 Not Not 42 77 82 29 22 642 reported reported Galletly123 1 81 97 48 76 82 29 33 825
Cardio-metabolic monitoring Table : Percentage of patients receiving antipsychotics who were monitored for risk factors Study Patients and setting period No. of patients Received recommended monitoring (%) Weight Girth Lipids BSL Blood pressure Nguyen Patients with schizophrenia discharged from three public psychiatric hospitals Oct 2005 93 65 (65%) 0 (0%) 7 (8%) 29 (31%) 2 (2.2%) Not reported Sazhin25 Males with major mental illness treated involuntarily in a forensic hospital July 2003 & Jan 2006 44 17 (39%) Wilson Randomly selected patients prescribed clozapine mental health, centre Dec 2011 107 49% Not reported 13% 13% Not reported 16 Ellis Children admitted to hospital and prescribed antipsychotics for >1 month 54 10 (19%) had a monitoring chart 4 (7%) were monitored as recommended BSL: Blood sugar level; HbA1c: Haemoglobin A1c. Table : Percentage of adults with psychosis with cardio-metabolic risk factors Study n % of patients with risk factors Tobacco use Sedentary lifestyle Increased blood pressure Overweight/ obese Abdominal obesity Increased blood sugar level Increased lipids Gladigau124 60 67 Not reported 40 50 = obese 33 = overweight 84 36 67 Foley 1 642 Not reported Not reported 42 77 82 29 22 Galletly123 1 825 81 97 48 76 82 29 33