An Audit of Metabolic Monitoring Compliance in Patients Initiated on Antipsychotics Across General Adult Wards in the East Midlands

Aims: The Lester Tool mandates baseline monitoring parameters for patients starting new antipsychotics or having their current antipsychotic regimen changed. These parameters include blood pressure, haemoglobin A1c (HbA1c)/fasting plasma glucose, lipids, lifestyle review, waist circumference, and we...

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Main Authors: Sue Fen Tan, Isabel Hurren, Ranjit S. Badhan, Farina Tahira
Format: Article
Language:English
Published: Cambridge University Press 2025-06-01
Series:BJPsych Open
Online Access:https://www.cambridge.org/core/product/identifier/S2056472425106856/type/journal_article
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author Sue Fen Tan
Isabel Hurren
Ranjit S. Badhan
Farina Tahira
author_facet Sue Fen Tan
Isabel Hurren
Ranjit S. Badhan
Farina Tahira
author_sort Sue Fen Tan
collection DOAJ
description Aims: The Lester Tool mandates baseline monitoring parameters for patients starting new antipsychotics or having their current antipsychotic regimen changed. These parameters include blood pressure, haemoglobin A1c (HbA1c)/fasting plasma glucose, lipids, lifestyle review, waist circumference, and weight, along with weekly weight monitoring for six weeks consecutively. This audit was initiated in response to concerns about rapid weight gain observed in many patients after starting certain antipsychotics. It aims to assess compliance with the Lester Tool to address the potential risks of metabolic syndrome in these patients. The audit seeks to understand the pattern of antipsychotic prescriptions as a secondary objective.
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institution Kabale University
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publishDate 2025-06-01
publisher Cambridge University Press
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series BJPsych Open
spelling doaj-art-adf3a5e8bae44c158d6fff64c95c367c2025-08-20T03:51:43ZengCambridge University PressBJPsych Open2056-47242025-06-0111S282S28310.1192/bjo.2025.10685An Audit of Metabolic Monitoring Compliance in Patients Initiated on Antipsychotics Across General Adult Wards in the East MidlandsSue Fen Tan0Isabel Hurren1Ranjit S. Badhan2Farina Tahira3Nottinghamshire Healthcare NHS Foundation Trust, Nottingham, United Kingdom University of Nottingham, Nottingham, United KingdomUniversity Hospitals of Derby and Burton, Derbyshire, United KingdomDerbyshire Healthcare NHS Foundation Trust, Derby, United KingdomDerbyshire Healthcare NHS Foundation Trust, Derby, United KingdomAims: The Lester Tool mandates baseline monitoring parameters for patients starting new antipsychotics or having their current antipsychotic regimen changed. These parameters include blood pressure, haemoglobin A1c (HbA1c)/fasting plasma glucose, lipids, lifestyle review, waist circumference, and weight, along with weekly weight monitoring for six weeks consecutively. This audit was initiated in response to concerns about rapid weight gain observed in many patients after starting certain antipsychotics. It aims to assess compliance with the Lester Tool to address the potential risks of metabolic syndrome in these patients. The audit seeks to understand the pattern of antipsychotic prescriptions as a secondary objective.https://www.cambridge.org/core/product/identifier/S2056472425106856/type/journal_article
spellingShingle Sue Fen Tan
Isabel Hurren
Ranjit S. Badhan
Farina Tahira
An Audit of Metabolic Monitoring Compliance in Patients Initiated on Antipsychotics Across General Adult Wards in the East Midlands
BJPsych Open
title An Audit of Metabolic Monitoring Compliance in Patients Initiated on Antipsychotics Across General Adult Wards in the East Midlands
title_full An Audit of Metabolic Monitoring Compliance in Patients Initiated on Antipsychotics Across General Adult Wards in the East Midlands
title_fullStr An Audit of Metabolic Monitoring Compliance in Patients Initiated on Antipsychotics Across General Adult Wards in the East Midlands
title_full_unstemmed An Audit of Metabolic Monitoring Compliance in Patients Initiated on Antipsychotics Across General Adult Wards in the East Midlands
title_short An Audit of Metabolic Monitoring Compliance in Patients Initiated on Antipsychotics Across General Adult Wards in the East Midlands
title_sort audit of metabolic monitoring compliance in patients initiated on antipsychotics across general adult wards in the east midlands
url https://www.cambridge.org/core/product/identifier/S2056472425106856/type/journal_article
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