Table 2.
Proportions of people on the diabetes and cardiovascular disease register with and without serious mental illness meeting clinical targets and odds ratios comparing the two groups
| Process of care variable | No SMI, n (%) (N = 51 397) | SMI, n (%) (N = 1223) | Adjusted odds ratioa | 95% CI |
|---|---|---|---|---|
| Cholesterol control | ||||
| Total cholesterol <4 mmol/l | 24 971 (48.6) | 578 (47.3) | 1.11 | 0.98 to 1.26 |
| Statin treatment | 43 260 (84.2) | 998 (81.6) | 1.12 | 0.95 to 1.31 |
| Blood pressure control | ||||
| SBP <140 mmHg | 41 196 (80.2) | 1040 (85.0) | 1.32 | 1.11 to 1.56 |
| Antihypertensive treatment | 41 897 (81.5) | 856 (70.0) | 0.65 | 0.55 to 0.77 |
| Current smoker | 8426 (16.4) | 401 (33.0) | 2.62 | 2.25 to 3.05 |
| Glycaemic control/diabetes care | ||||
| HbA1c <7.5%b | 15 530 (39.7) | 499 (47.0) | 1.43 | 1.27 to 1.60 |
| Retinopathy screeningb | 33 105 (84.6) | 828 78.0 | 0.70 | 0.58 to 0.85 |
| Obesityc | 28 256 (54.98) | 757 (61.9) | 1.29 | 1.11 to 1.49 |
HbA1c = glycosylated haemoglobin. SBP = systolic blood pressure. SMI = serious mental illness. aOdds ratios adjusted by age, sex, ethnic group, and deprivation, and clustered by practice. bAmong patients with diabetes only (n = 1061 for patients with SMI). cBody mass index (BMI) >30 kg/m2 for white and black individuals; BMI >25 kg/m2 for south Asian individuals.