Background Patients with schizophrenia and related disorders (SRD) are more predisposed to having cardiovascular risk factors (CVRFs) compared to the general population due to a combination of lifestyle factors and exposure to antipsychotic medications. We aimed to analyse the documentation practices of CVRFs by general practitioners (GPs) and its associations with patient variables in a sample of persons with SRD. Methods An observational, cross-sectional study was conducted in 13 primary care centres (PCCs) in Malaga (Spain). The population comprised all patients with SRD who were in contact with a GP residing in the study area. The number of CVRFs (type 2 diabetes mellitus, hypertension, hypercholesterolaemia, obesity and smoking) recorded by GPs were analysed by considering patients’ demographic and clinical variables and use of primary care services. We performed descriptive, bivariate and multivariate regression analyses. Results A total of 494 patients were included; CVRFs were not recorded in 59.7% of the patients. One CVRF was recorded in 42.1% of patients and two or more CVRFs were recorded in 16.1% of patients. Older age, living in an urban area and a higher number of visits to the GP were associated with a higher number of CVRFs recorded. Conclusion The main finding in this study is that both patients’ demographic variables as well as use of primary care services were found to be related to the documentation of CVRFs in patients with SRD by GPs.

中文翻译：

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全科医生对精神分裂症患者心血管危险因素的记录

背景 与普通人群相比，精神分裂症及相关疾病 (SRD) 患者更容易出现心血管危险因素 (CVRF)，这是由于生活方式因素和接触抗精神病药物的共同作用。我们旨在分析全科医生 (GP) 对 CVRF 的记录实践及其与 SRD 患者样本中患者变量的关联。方法 在马拉加（西班牙）的 13 个初级保健中心 (PCC) 进行了一项观察性横断面研究。该人群包括与居住在研究区域的全科医生接触的所有 SRD 患者。CVRF 的数量（2 型糖尿病、高血压、高胆固醇血症、通过考虑患者的人口统计学和临床​​变量以及初级保健服务的使用情况，分析了全科医生记录的肥胖和吸烟）。我们进行了描述性、双变量和多变量回归分析。结果共纳入494例患者；59.7% 的患者未记录 CVRF。42.1% 的患者记录了一个 CVRF，16.1% 的患者记录了两个或更多的 CVRF。年龄较大、居住在城市地区和看 GP 的次数较多与记录的 CVRF 数量较多有关。结论 本研究的主要发现是，发现患者的人口统计学变量以及初级保健服务的使用与全科医生对 SRD 患者 CVRF 的记录有关。结果共纳入494例患者；59.7% 的患者未记录 CVRF。42.1% 的患者记录了一个 CVRF，16.1% 的患者记录了两个或更多的 CVRF。年龄较大、居住在城市地区和看 GP 的次数较多与记录的 CVRF 数量较多有关。结论 本研究的主要发现是，发现患者的人口统计学变量以及初级保健服务的使用与全科医生对 SRD 患者 CVRF 的记录有关。结果共纳入494例患者；59.7% 的患者未记录 CVRF。42.1% 的患者记录了一个 CVRF，16.1% 的患者记录了两个或更多的 CVRF。年龄较大、居住在城市地区和看 GP 的次数较多与记录的 CVRF 数量较多有关。结论 本研究的主要发现是，发现患者的人口统计学变量以及初级保健服务的使用与全科医生对 SRD 患者 CVRF 的记录有关。