Risk of venous thrombosis and pulmonary embolism in older in-patients with mental illness: systematic review
Aims and method Venous thromboembolism (VTE) is a fatal condition affecting older people. This study aims to identify specific risk factors for VTE in older psychiatric in-patients within mental hospital settings. Using predefined search terms, we searched five databases to capture studies evaluatin...
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| Format: | Article |
| Language: | English |
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Cambridge University Press
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| Series: | BJPsych Bulletin |
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| Online Access: | https://www.cambridge.org/core/product/identifier/S2056469425000099/type/journal_article |
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| author | Damodar Chari Tamara Chithiramohan Ina Sawhney Elizabeta B. Mukaetova-Ladinska Lucy Beishon Hari Subramaniam |
| author_facet | Damodar Chari Tamara Chithiramohan Ina Sawhney Elizabeta B. Mukaetova-Ladinska Lucy Beishon Hari Subramaniam |
| author_sort | Damodar Chari |
| collection | DOAJ |
| description | Aims and method
Venous thromboembolism (VTE) is a fatal condition affecting older people. This study aims to identify specific risk factors for VTE in older psychiatric in-patients within mental hospital settings. Using predefined search terms, we searched five databases to capture studies evaluating risk factors associated with the occurrence of deep vein thrombosis and pulmonary embolism in older psychiatric in-patients.
Results
Thirteen studies were identified, and a narrative synthesis performed. Increasing age was a consistent risk factor for VTE. Diagnosis and psychotropic medication use were inconsistent. Depression, catatonia and use of restraint in people with dementia were associated with higher risks.
Clinical implications
Older psychiatric in-patients differ from medical and surgical in-patients in their risk profiles. Screening tools used in general hospital patients are of limited use among older adults in psychiatric hospital settings. An exclusive screening tool to identify VTE risk factors in older psychiatric in-patients is needed.
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| format | Article |
| id | doaj-art-882f2aa8bff14f219efa89b294e9c8ec |
| institution | OA Journals |
| issn | 2056-4694 2056-4708 |
| language | English |
| publisher | Cambridge University Press |
| record_format | Article |
| series | BJPsych Bulletin |
| spelling | doaj-art-882f2aa8bff14f219efa89b294e9c8ec2025-08-20T01:58:05ZengCambridge University PressBJPsych Bulletin2056-46942056-470811310.1192/bjb.2025.9Risk of venous thrombosis and pulmonary embolism in older in-patients with mental illness: systematic reviewDamodar Chari0Tamara Chithiramohan1Ina Sawhney2Elizabeta B. Mukaetova-Ladinska3Lucy Beishon4Hari Subramaniam5https://orcid.org/0000-0001-5214-6659Mental Health Services for Older People, Leicestershire Partnership NHS Trust, Leicester, UKMental Health Services for Older People, Leicestershire Partnership NHS Trust, Leicester, UKMental Health Services for Older People, Leicestershire Partnership NHS Trust, Leicester, UKMental Health Services for Older People, Leicestershire Partnership NHS Trust, Leicester, UK School of Psychology and Visual Sciences, University of Leicester, UKDepartment of Geriatric Medicine, University Hospitals of Leicester NHS Trust, Leicester, UK Department of Cardiovascular Sciences, University of Leicester, UKMental Health Services for Older People, Leicestershire Partnership NHS Trust, Leicester, UK School of Psychology and Visual Sciences, University of Leicester, UKAims and method Venous thromboembolism (VTE) is a fatal condition affecting older people. This study aims to identify specific risk factors for VTE in older psychiatric in-patients within mental hospital settings. Using predefined search terms, we searched five databases to capture studies evaluating risk factors associated with the occurrence of deep vein thrombosis and pulmonary embolism in older psychiatric in-patients. Results Thirteen studies were identified, and a narrative synthesis performed. Increasing age was a consistent risk factor for VTE. Diagnosis and psychotropic medication use were inconsistent. Depression, catatonia and use of restraint in people with dementia were associated with higher risks. Clinical implications Older psychiatric in-patients differ from medical and surgical in-patients in their risk profiles. Screening tools used in general hospital patients are of limited use among older adults in psychiatric hospital settings. An exclusive screening tool to identify VTE risk factors in older psychiatric in-patients is needed. https://www.cambridge.org/core/product/identifier/S2056469425000099/type/journal_articleAntipsychoticsin-patient treatmentmortality and morbidityold-age psychiatryrisk assessment |
| spellingShingle | Damodar Chari Tamara Chithiramohan Ina Sawhney Elizabeta B. Mukaetova-Ladinska Lucy Beishon Hari Subramaniam Risk of venous thrombosis and pulmonary embolism in older in-patients with mental illness: systematic review BJPsych Bulletin Antipsychotics in-patient treatment mortality and morbidity old-age psychiatry risk assessment |
| title | Risk of venous thrombosis and pulmonary embolism in older in-patients with mental illness: systematic review |
| title_full | Risk of venous thrombosis and pulmonary embolism in older in-patients with mental illness: systematic review |
| title_fullStr | Risk of venous thrombosis and pulmonary embolism in older in-patients with mental illness: systematic review |
| title_full_unstemmed | Risk of venous thrombosis and pulmonary embolism in older in-patients with mental illness: systematic review |
| title_short | Risk of venous thrombosis and pulmonary embolism in older in-patients with mental illness: systematic review |
| title_sort | risk of venous thrombosis and pulmonary embolism in older in patients with mental illness systematic review |
| topic | Antipsychotics in-patient treatment mortality and morbidity old-age psychiatry risk assessment |
| url | https://www.cambridge.org/core/product/identifier/S2056469425000099/type/journal_article |
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