{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T11:26:06Z","timestamp":1785324366788,"version":"3.55.0"},"reference-count":39,"publisher":"Oxford University Press (OUP)","license":[{"start":{"date-parts":[[2025,11,25]],"date-time":"2025-11-25T00:00:00Z","timestamp":1764028800000},"content-version":"am","delay-in-days":1,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100004836","name":"Independent Research Fund Denmark","doi-asserted-by":"publisher","award":["2034\u201300264B"],"award-info":[{"award-number":["2034\u201300264B"]}],"id":[{"id":"10.13039\/501100004836","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100005860","name":"Helsefonden","doi-asserted-by":"publisher","award":["22-B-0319"],"award-info":[{"award-number":["22-B-0319"]}],"id":[{"id":"10.13039\/501100005860","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>How the pre-hospital chest pain triage contributes to inequities in cardiovascular outcomes remains poorly understood in patients with severe mental illness (SMI). We aimed to examine the association between SMI, emergency response, and cardiovascular health disparities in chest pain-related calls.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and results<\/jats:title>\n                    <jats:p>This registry-based cohort study included first-time chest pain-related calls to the Copenhagen Emergency Medical Services (emergency number and out-of-hours service) during the study period 2014\u201318. We compared patients with SMI to patients without SMI (controls). We examined emergency response following telephone triage and diagnoses assigned during hospitalization by multivariable logistic regression. Of 64 937 chest pain-related calls, 4303 (7%) were from patients with SMI and 60 634 (93%) from controls. Patients with SMI more often received an acute ambulance dispatch than controls (66% vs. 63%, OR: 1.24, 95% CI: 1.16\u20131.32). However, patients with SMI were less likely than controls to be admitted within 24\u2005h after the call (81% vs. 85%, OR: 0.82, 95% CI: 0.76\u20130.89), assigned a cardiovascular diagnosis during hospitalization following the call (16% vs. 26%, OR: 0.61, 95% CI: 0.56\u20130.67), or undergo revascularization within 30 days after the call (4% vs. 7%, OR: 0.65, 95% CI: 0.55\u20130.78). The 30-day mortality was similar in patients with SMI and controls (1% vs. 2%, OR: 1.18, 95% CI: 0.90\u20131.55).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Pre-hospital triage of chest pain did not contribute substantially to inequity in cardiovascular care of patients with SMI, whereas care disparities were observed in hospitalization, diagnostics, and treatment. Further examination of the symptom presentation is needed to improve identification of the acutely ill cardiovascular patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/eurjpc\/zwaf745","type":"journal-article","created":{"date-parts":[[2025,11,20]],"date-time":"2025-11-20T13:11:54Z","timestamp":1763644314000},"source":"Crossref","is-referenced-by-count":2,"title":["Severe mental illness, chest pain, and emergency response"],"prefix":"10.1093","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9269-1096","authenticated-orcid":false,"given":"Anne Storgaard","family":"N\u00f8rskov","sequence":"first","affiliation":[{"name":"Department of Cardiology, Copenhagen University Hospital \u2013 Bispebjerg and Frederiksberg , Nordre Fasanvej 57, Frederiksberg 2000 ,","place":["Denmark"]},{"name":"Department of Epidemiology, Copenhagen University Hospital \u2013 Steno Diabetes Center Copenhagen , Borgmester Ib Juuls Vej 1, Herlev 2730 ,","place":["Denmark"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amalie Lykkemark","family":"M\u00f8ller","sequence":"additional","affiliation":[{"name":"Department of Public Health, University of Copenhagen , Copenhagen ,","place":["Denmark"]},{"name":"Cancer and Medicine, Danish Cancer Institute , Copenhagen ,","place":["Denmark"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eva","family":"Prescott","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Copenhagen University Hospital \u2013 Bispebjerg and Frederiksberg , Nordre Fasanvej 57, Frederiksberg 2000 ,","place":["Denmark"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julie","family":"Nordgaard","sequence":"additional","affiliation":[{"name":"Psychiatry East, Region Zealand , Roskilde ,","place":["Denmark"]},{"name":"Department of Clinical Medicine, University of Copenhagen , Copenhagen ,","place":["Denmark"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Casper","family":"Bang","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Copenhagen University Hospital \u2013 Bispebjerg and Frederiksberg , Nordre Fasanvej 57, Frederiksberg 2000 ,","place":["Denmark"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helena","family":"Dom\u00ednguez","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Copenhagen University Hospital \u2013 Bispebjerg and Frederiksberg , Nordre Fasanvej 57, Frederiksberg 2000 ,","place":["Denmark"]},{"name":"Department of Biomedicine, University of Copenhagen , Copenhagen ,","place":["Denmark"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2284-7857","authenticated-orcid":false,"given":"Fredrik","family":"Folke","sequence":"additional","affiliation":[{"name":"Department of Clinical Medicine, University of Copenhagen , Copenhagen ,","place":["Denmark"]},{"name":"Department of Cardiology, Copenhagen University Hospital \u2013 Herlev and Gentofte , Herlev ,","place":["Denmark"]},{"name":"Research Department, Capital Region Emergency Medical Services , Ballerup ,","place":["Denmark"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9629-8670","authenticated-orcid":false,"given":"Kristian","family":"Kragholm","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Aalborg University Hospital , Aalborg ,","place":["Denmark"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Axel","family":"Oxwall","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, Copenhagen University Hospital \u2013 Steno Diabetes Center Copenhagen , Borgmester Ib Juuls Vej 1, Herlev 2730 ,","place":["Denmark"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helle Collatz","family":"Christensen","sequence":"additional","affiliation":[{"name":"Department of Clinical Medicine, University of Copenhagen , Copenhagen ,","place":["Denmark"]},{"name":"Prehospital Center, Region Zealand , N\u00e6stved ,","place":["Denmark"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stig Nikolaj","family":"Blomberg","sequence":"additional","affiliation":[{"name":"Prehospital Center, Region Zealand , N\u00e6stved ,","place":["Denmark"]},{"name":"Department of Health Science and Technology, Aalborg University , Aalborg ,","place":["Denmark"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mikkel Porsborg","family":"Andersen","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, Copenhagen University Hospital \u2013 Steno Diabetes Center Copenhagen , Borgmester Ib Juuls Vej 1, Herlev 2730 ,","place":["Denmark"]},{"name":"Prehospital Center, Region Zealand , N\u00e6stved ,","place":["Denmark"]},{"name":"Department of Health Science and Technology, Aalborg University , Aalborg ,","place":["Denmark"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian","family":"Torp-Pedersen","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, Copenhagen University Hospital \u2013 Steno Diabetes Center Copenhagen , Borgmester Ib Juuls Vej 1, Herlev 2730 ,","place":["Denmark"]},{"name":"Department of Public Health, University of Copenhagen , Copenhagen ,","place":["Denmark"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2025,11,24]]},"reference":[{"key":"2025121006514415200_zwaf745-B1","doi-asserted-by":"crossref","first-page":"793","DOI":"10.1176\/appi.ajp.2021.21010031","article-title":"Disparities in screening and treatment of cardiovascular diseases in patients with mental disorders across the world: systematic review and meta-analysis of 47 observational 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