Outreach visits by clinical pharmacists improve screening for the metabolic syndrome among mentally ill patients

Lene Juel Kjeldsen, Per Sveistrup Hansen, Anne Mette Fisker Kristensen, Anders Christensen, Claus Havregaard Sørensen, Bent Nielsen

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

Resumé

Background: Patients suffering from schizophrenia and affective disorder have an increased risk of the metabolic syndrome (MeS); hence identification of patients developing MeS may help preventing morbidity and mortality. Aims: The aim of the study was to evaluate the effect of outreach visit by clinical pharmacists to support the implementation of screening of MeS at a psychiatric ward. Methods: The study was conducted at the psychiatric ward, Odense University Hospital. In 2008, clinical guidelines for systematic screening and prevention of metabolic risk were developed and implemented by passive dissemination (PD) followed by a period of active implementation (AI). AI contained outreach visits by clinical pharmacists on a weekly basis. Patients with affective disorder or schizophrenia were included. The study was designed as a before-and-after study, and electronic patient charts were used for assessment of adherence to the clinical guidelines. Results: In total, 205 patients were included in the study (93 patients in the PD group, 112 patients in the AI group). A significant improvement of the use of the screening sheet from 36% in the PD group to 81% in the AI group was found (p <0.001). Consequently, the quality of the screening increased significantly resulting in 45% in the AI group being identified with MeS compared with 10% in the PD group (p <0.001). Conclusion: The outreach visits by clinical pharmacists significantly improved the use of the screening sheet and resulted in a significant increase in the proportion of patients identified with MeS (p <0.001). Clinical implications: The increase in the use of a screening sheet for MeS among patients admitted to a psychiatric ward as a result of outreach visits by clinical pharmacist improve assessment for MeS. This may lead to better identification of patients suffering from MeS and hence increase the possibility of treating MeS and preventing morbidity and mortaligy.
OriginalsprogEngelsk
TidsskriftNordic Journal of Psychiatry
Vol/bind67
Udgave nummer4
Sider (fra-til)249-257
ISSN0803-9488
DOI
StatusUdgivet - 2013

Fingeraftryk

Mentally Ill Persons
Pharmacists
Guidelines

Citer dette

Kjeldsen, Lene Juel ; Hansen, Per Sveistrup ; Kristensen, Anne Mette Fisker ; Christensen, Anders ; Sørensen, Claus Havregaard ; Nielsen, Bent. / Outreach visits by clinical pharmacists improve screening for the metabolic syndrome among mentally ill patients. I: Nordic Journal of Psychiatry. 2013 ; Bind 67, Nr. 4. s. 249-257.
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title = "Outreach visits by clinical pharmacists improve screening for the metabolic syndrome among mentally ill patients",
abstract = "Background: Patients suffering from schizophrenia and affective disorder have an increased risk of the metabolic syndrome (MeS); hence identification of patients developing MeS may help preventing morbidity and mortality. Aims: The aim of the study was to evaluate the effect of outreach visit by clinical pharmacists to support the implementation of screening of MeS at a psychiatric ward. Methods: The study was conducted at the psychiatric ward, Odense University Hospital. In 2008, clinical guidelines for systematic screening and prevention of metabolic risk were developed and implemented by passive dissemination (PD) followed by a period of active implementation (AI). AI contained outreach visits by clinical pharmacists on a weekly basis. Patients with affective disorder or schizophrenia were included. The study was designed as a before-and-after study, and electronic patient charts were used for assessment of adherence to the clinical guidelines. Results: In total, 205 patients were included in the study (93 patients in the PD group, 112 patients in the AI group). A significant improvement of the use of the screening sheet from 36{\%} in the PD group to 81{\%} in the AI group was found (p <0.001). Consequently, the quality of the screening increased significantly resulting in 45{\%} in the AI group being identified with MeS compared with 10{\%} in the PD group (p <0.001). Conclusion: The outreach visits by clinical pharmacists significantly improved the use of the screening sheet and resulted in a significant increase in the proportion of patients identified with MeS (p <0.001). Clinical implications: The increase in the use of a screening sheet for MeS among patients admitted to a psychiatric ward as a result of outreach visits by clinical pharmacist improve assessment for MeS. This may lead to better identification of patients suffering from MeS and hence increase the possibility of treating MeS and preventing morbidity and mortaligy.",
author = "Kjeldsen, {Lene Juel} and Hansen, {Per Sveistrup} and Kristensen, {Anne Mette Fisker} and Anders Christensen and S{\o}rensen, {Claus Havregaard} and Bent Nielsen",
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year = "2013",
doi = "10.3109/08039488.2012.732115",
language = "English",
volume = "67",
pages = "249--257",
journal = "Nordic Journal of Psychiatry",
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Outreach visits by clinical pharmacists improve screening for the metabolic syndrome among mentally ill patients. / Kjeldsen, Lene Juel; Hansen, Per Sveistrup; Kristensen, Anne Mette Fisker; Christensen, Anders; Sørensen, Claus Havregaard; Nielsen, Bent.

I: Nordic Journal of Psychiatry, Bind 67, Nr. 4, 2013, s. 249-257.

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

TY - JOUR

T1 - Outreach visits by clinical pharmacists improve screening for the metabolic syndrome among mentally ill patients

AU - Kjeldsen, Lene Juel

AU - Hansen, Per Sveistrup

AU - Kristensen, Anne Mette Fisker

AU - Christensen, Anders

AU - Sørensen, Claus Havregaard

AU - Nielsen, Bent

N1 - E-pub 2012

PY - 2013

Y1 - 2013

N2 - Background: Patients suffering from schizophrenia and affective disorder have an increased risk of the metabolic syndrome (MeS); hence identification of patients developing MeS may help preventing morbidity and mortality. Aims: The aim of the study was to evaluate the effect of outreach visit by clinical pharmacists to support the implementation of screening of MeS at a psychiatric ward. Methods: The study was conducted at the psychiatric ward, Odense University Hospital. In 2008, clinical guidelines for systematic screening and prevention of metabolic risk were developed and implemented by passive dissemination (PD) followed by a period of active implementation (AI). AI contained outreach visits by clinical pharmacists on a weekly basis. Patients with affective disorder or schizophrenia were included. The study was designed as a before-and-after study, and electronic patient charts were used for assessment of adherence to the clinical guidelines. Results: In total, 205 patients were included in the study (93 patients in the PD group, 112 patients in the AI group). A significant improvement of the use of the screening sheet from 36% in the PD group to 81% in the AI group was found (p <0.001). Consequently, the quality of the screening increased significantly resulting in 45% in the AI group being identified with MeS compared with 10% in the PD group (p <0.001). Conclusion: The outreach visits by clinical pharmacists significantly improved the use of the screening sheet and resulted in a significant increase in the proportion of patients identified with MeS (p <0.001). Clinical implications: The increase in the use of a screening sheet for MeS among patients admitted to a psychiatric ward as a result of outreach visits by clinical pharmacist improve assessment for MeS. This may lead to better identification of patients suffering from MeS and hence increase the possibility of treating MeS and preventing morbidity and mortaligy.

AB - Background: Patients suffering from schizophrenia and affective disorder have an increased risk of the metabolic syndrome (MeS); hence identification of patients developing MeS may help preventing morbidity and mortality. Aims: The aim of the study was to evaluate the effect of outreach visit by clinical pharmacists to support the implementation of screening of MeS at a psychiatric ward. Methods: The study was conducted at the psychiatric ward, Odense University Hospital. In 2008, clinical guidelines for systematic screening and prevention of metabolic risk were developed and implemented by passive dissemination (PD) followed by a period of active implementation (AI). AI contained outreach visits by clinical pharmacists on a weekly basis. Patients with affective disorder or schizophrenia were included. The study was designed as a before-and-after study, and electronic patient charts were used for assessment of adherence to the clinical guidelines. Results: In total, 205 patients were included in the study (93 patients in the PD group, 112 patients in the AI group). A significant improvement of the use of the screening sheet from 36% in the PD group to 81% in the AI group was found (p <0.001). Consequently, the quality of the screening increased significantly resulting in 45% in the AI group being identified with MeS compared with 10% in the PD group (p <0.001). Conclusion: The outreach visits by clinical pharmacists significantly improved the use of the screening sheet and resulted in a significant increase in the proportion of patients identified with MeS (p <0.001). Clinical implications: The increase in the use of a screening sheet for MeS among patients admitted to a psychiatric ward as a result of outreach visits by clinical pharmacist improve assessment for MeS. This may lead to better identification of patients suffering from MeS and hence increase the possibility of treating MeS and preventing morbidity and mortaligy.

U2 - 10.3109/08039488.2012.732115

DO - 10.3109/08039488.2012.732115

M3 - Journal article

VL - 67

SP - 249

EP - 257

JO - Nordic Journal of Psychiatry

JF - Nordic Journal of Psychiatry

SN - 0803-9488

IS - 4

ER -