{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,14]],"date-time":"2025-12-14T16:10:30Z","timestamp":1765728630115,"version":"3.37.3"},"reference-count":23,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2018,4,6]],"date-time":"2018-04-06T00:00:00Z","timestamp":1522972800000},"content-version":"vor","delay-in-days":5,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"The Prince Charles Hospital Foundation"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Internal Medicine Journal"],"published-print":{"date-parts":[[2018,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>People with severe mental illness (<jats:styled-content style=\"fixed-case\">SMI<\/jats:styled-content>) have a lower life expectancy due in part to a higher prevalence of cardiac and metabolic disease. Less is known of the prevalence of respiratory disease in this group.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>This cross\u2010sectional, observational study aimed to assess the prevalence of symptoms associated with respiratory disease in patients admitted to an inpatient mental health unit.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A convenience sample of 82 inpatients had a structured interview and questionnaire completed. The questionnaire included self\u2010reported diagnoses of common diseases and screening questions designed to detect respiratory disease and sleep disordered breathing. Targeted spirometry was performed on the basis of symptoms and smoking status.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Patients reported high rates of respiratory symptoms, including wheezing (38%) and dyspnoea (44%); 52% of patients reported daily tobacco use. Productive cough was significantly associated with tobacco use (<jats:italic>P<\/jats:italic> &lt; 0.005). Ten patients (18%) had spirometry consistent with chronic obstructive pulmonary disease (<jats:styled-content style=\"fixed-case\">COPD<\/jats:styled-content>) of whom six did not have a formal diagnosis of <jats:styled-content style=\"fixed-case\">COPD<\/jats:styled-content> previously.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>People with <jats:styled-content style=\"fixed-case\">SMI<\/jats:styled-content> have high rates of respiratory symptoms with a high prevalence of <jats:styled-content style=\"fixed-case\">COPD<\/jats:styled-content> on spirometry. Half of the <jats:styled-content style=\"fixed-case\">COPD<\/jats:styled-content> cases were not previously diagnosed, suggesting a hidden burden of respiratory disease in patients with <jats:styled-content style=\"fixed-case\">SMI<\/jats:styled-content>.<\/jats:p><\/jats:sec>","DOI":"10.1111\/imj.13594","type":"journal-article","created":{"date-parts":[[2017,8,31]],"date-time":"2017-08-31T11:33:49Z","timestamp":1504179229000},"page":"433-438","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["High rates of respiratory symptoms and airway disease in mental health inpatients in a tertiary centre"],"prefix":"10.1111","volume":"48","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2742-1556","authenticated-orcid":false,"given":"Andrew J.","family":"Burke","sequence":"first","affiliation":[{"name":"The Prince Charles Hospital  Brisbane Queensland Australia"},{"name":"School of Medicine The University of Queensland  Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karen","family":"Hay","sequence":"additional","affiliation":[{"name":"QIMR Berghofer Medical Research Institute  Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alex","family":"Chadwick","sequence":"additional","affiliation":[{"name":"The Prince Charles Hospital  Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dan","family":"Siskind","sequence":"additional","affiliation":[{"name":"School of Medicine The University of Queensland  Brisbane Queensland Australia"},{"name":"Metro South Addiction and Mental Health Service  Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Judith","family":"Sheridan","sequence":"additional","affiliation":[{"name":"Queensland University of Technology  Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,4,6]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.f2539"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(13)61611-6"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(07)61238-0"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/0004867412449876"},{"key":"e_1_2_6_6_1","doi-asserted-by":"crossref","DOI":"10.5694\/j.1326-5377.2011.tb03259.x","article-title":"Depression and psychological distress in tobacco smokers and people with cannabis dependence in the National Survey of Mental Health and Wellbeing","volume":"195","author":"Mathews R","year":"2011","journal-title":"Med J Aust"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-244X-11-163"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00406-011-0196-4"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pnpbp.2007.01.008"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/JGP.0b013e318157c5b1"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.3109\/15412555.2011.631957"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.5694\/j.1326-5377.2011.tb03271.x"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/070674371005500701"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1177\/070674371005500704"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1513\/pats.200708-118MG"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.15-0903"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0143697"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1080\/09638230410001700907"},{"key":"e_1_2_6_19_1","unstructured":"Lung Foundation Australia. 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