An Audit On Monitoring Of Metabolic Syndrome In A Community Mental Health Team In Uk

Article Title: An Audit On Monitoring Of Metabolic Syndrome In A Community Mental Health Team In Uk

Author(s): Roohi Afshan, Farida Yousaf

Institute(s): Spring field University Hospital, 61 Glenburnie Road. Tooting. London. SW17 7DJ; Surrey and Borders Partnership NHS Trust, Mole Valley Primary Community Mental Health Team, Clarendon House, 28 West Street, Dorking, Surrey, RH4 1QJ

Journal: Journal of Pakistan Psychiatric Society, 2008, Vol.  5, No. 1, p. 27-30

Correspondence Address: afshan.k@btinternet.com

Abstract

Objective: This audit looked at the current practice of the community mental health teams in identifying patients at high risk of metabolic syndrome comparing its practice to a standard established through literature.

Design: Cross Sectional Study

Place & Duration of Audit: Audit was carried out in Dorking Community mental health team in UK in August 2006 and repeated in September 2007.

Subjects & Methods: Patients who were registered with the Dorking Community mental health team (CMHT ) and were receiving antipsychotic medications. Retrospective study on patients on antipsychotic medication against a standard established through literature search. In the audit in August 2006, 42 were randomly selected of 59 fulfilling the criteria in a total of 65 patients on antipsychotic while 35 of 72 patients on antipsychotics were randomly selected in the re-audit in September 2007.

Results: Identification and documentation improved among all the parameters from family and personal history of diabetes to documentation of blood pressure, blood glucose, weight and lipids to a significant extent.

Conclusion: Increased awareness and education of team members had a positive impact on monitoring which should be kept simple and practical.

Key words: Audit, Metabolic syndrome, Mental illness

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