Perry et al reported the Psychosis Metabolic Risk Calculator (PsyMetRiC) to predict cardiometabolic risk in a young person with psychosis. The authors are from multiple institutions in England and the Czech Republic.
Patient selection: mostly adolescents and young adults
Parameters:
(1) age in years
(2) race or ethnicity
(3) sex
(4) body mass index (BMI) in kg per square meter
(5) smoking status
(6) prescription of metabolically active antipsychotic agent
(7) serum HDL in mmol/L
(8) serum triglycerides in mmol/L
Parameter
Finding
Points
age in years
0.006233226 * (age)
race or ethnicity
Black or African-Caribbean
0.004258861
Asian or other
0.211217746
white or not recorded
0
sex
female
0
male
0.222300765
BMI
0.141186241
smoking status
current
0.153691193
former or nonsmoker
0
metabolically active antipsychotic agent
no
0
yes
0.497552758
serum HDL
-0.399013329 * (HDL)
serum triglycerides
0.343528440 * (TG)
PsyMetRiC score =
= SUM(points for all of the parameters) - 6.439813
probability of metabolic syndrome =
= 1 / (1 + EXP((-1) * (score)))
Performance:
• The area under the ROC curve is 0.80.
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