Schizophrenia Clinical Trial
Official title:
Reduction of Cardiovascular Risk in Severe Mental Illness Prescribing and Using Better and More Appropriated Drugs
Background:
Patients with severe mental illness (SMI) have a higher prevalence of cardiovascular risk
factors (CVRF) than the general population and a control of these risk factors poorer.
Serious mental illness often causes health teams to focus interventions in mental illness
and put aside the CVRF.
Objectives:
This project aims to assess the CVRF, stratify the cardiovascular risk, adequate drug
treatment to reduce this risk and evaluate the effectiveness of an intervention by
professional community nurses in patients with SMI.
Materials and Methods:
Prospective study of a cohort of patients over 18 years with a diagnosis of SMI with two
cross sections to evaluate the cardiovascular risk and adequacy of drug treatment. The
investigators calculate the risk to the cardiovascular risk tables with the SCORE
(Systematic Coronary Risk Evaluation) for countries of low cardiovascular risk and the of
Framingham REGICOR (Heart registry of Girona, Spain). The adequacy of pharmacotherapy will
be assessed contrasting it with the recommendations of the Program of Preventive Activities
and Health Promotion of Family medical association. The intervention will be conducted by
professional nurses and consist of an initial psycho-educational intervention, and two more
reinforcement throughout twelve months, of duration less than 30 minutes that will be
addressed in an integrated manner the clinical situation with regard to cardiovascular risk.
If necessary, pharmacological treatment will be prescribed. Twelve months after the first
intervention, a second evaluation on cardiovascular risk and the effectiveness of the
intervention will be performed.
n/a
Allocation: Non-Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Prevention
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