Stroke care in people with and without schizophrenia: a retrospective, observational study

• Type: Another Publication in an International Scientific Journal
• Date: 2022

Authors

Quarenta, J (Author) Other; Goncalves Pinho, M (Author) FMUP; Freitas A (Author) FMUP; Ferreira, SN (Author) Other

Journal

Title: European Psychiatry

Pages: S290-S290

ISSN: 0924-9338

Publisher: Cambridge University Press

Indexing

ISI Web of Knowledge - 0 Citations

Other information

Authenticus ID: P-00X-KBP

DOI: 10.1192/j.eurpsy.2022.740

Abstract (EN): <jats:sec id="S0924933822007404_sec04316" sec-type="intro"><jats:title>Introduction</jats:title><jats:p>Serious mental illness tends to course with a higher prevalence of comorbidities and schizophrenia is a disabling disease that affects approximately 1% of the world population. Worldwide, cerebrovascular accidents are an important cause of mortality and disability and in Portugal they are one of the leading causes of death in the general population. There is growing evidence that the prevalence of strokes is higher in people with schizophrenia, with pronounced age and gender variations.</jats:p></jats:sec><jats:sec id="S0924933822007404_sec04317"><jats:title>Objectives</jats:title><jats:p>To describe the sociodemographic and clinical differences among patients hospitalized with a primary diagnosis of cerebrovascular disease with and without a secondary diagnosis of schizophrenia in Portugal.</jats:p></jats:sec><jats:sec id="S0924933822007404_sec04318" sec-type="methods"><jats:title>Methods</jats:title><jats:p>We performed a retrospective observational study using a natiowide hopitalization database containing all hosptalizations registered in Portuguese hosptals from 2008 to 2015. Based on the International Classification of diseases version 9, clinical modification, hospitalizations with a primary diagnosis of stroke were selected (431;433;434), and from those, the ones with a secundary diagnosis of schizophrenia (295.xx) were isolated for a sociodemographic and clinical comparative study. Comorbidities were analysed using the Chalson index score.</jats:p></jats:sec><jats:sec id="S0924933822007404_sec04319" sec-type="results"><jats:title>Results</jats:title><jats:p>Episodes associated with a secondary diagnosis of schizophrenia were younger (mean: 66 vs 73.7 years; p<0.001) and had longer median LoS (10.0 vs 8.0 days; p<0.001). In-hospital mortality was lower in patients with schizophrenia (11.7% vs 13.2%).</jats:p></jats:sec><jats:sec id="S0924933822007404_sec04320" sec-type="conclusions"><jats:title>Conclusions</jats:title><jats:p>The understanding of the association of cerebrovascular accidents with schizophrenia is complex. Although some studies show conflicting evidence, more attention should be given to the investigation of the incidence, prevalence and impact of cerebrovascular diseases within this particular population.</jats:p></jats:sec><jats:sec id="S0924933822007404_sec04321"><jats:title>Disclosure</jats:title><jats:p>No significant relationships.</jats:p></jats:sec>

Language: English

Type (Professor's evaluation): Scientific

No. of pages: 1