Patterns of electroconvulsive therapy use in Spain
Patterns of electroconvulsive therapy use in Spain
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DOI：
10.1016/j.eurpsy.2004.11.005
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发表时间：
2006-10-01
影响因子：
7.8
通讯作者：
Hernandez-de-Pablo, Maria Eugenia
中科院分区：
文献类型：
--
作者：
Bertolin-Guillen, Jose Manuel;Peiro-Moreno, Salvador;Hernandez-de-Pablo, Maria Eugenia
客观的。 - 描述 ECT 在西班牙背景下的利用、地理差异和适应性。方法。 - 一项横断面研究，涉及向西班牙国家医院目录中包含的所有设有精神病科 (PU) 的医院发放调查问卷 (N = 233)。对不同问题的答案进行了描述性分析，在每种情况下使用适当的分母：所有 PU（n = 233）、规定和应用 ECT 的单位（n = 174）或仅应用该技术的单位（n = 108）。结果。 - 所有 PU 均完成了调查问卷。 59 家单位 (25.3%) 既没有开具处方也没有应用 ECT，而 108 家单位 (46.4%) 开具处方并应用该技术，66 家单位 (28.3%) 仅开具 ECT。那些对精神科住院医师或研究生有培训责任的单位以及床位数较多的单位更倾向于应用ECT。预计过去 12 个月实施的 ECT 总数为 2435 例，每 10,000 名居民的年率为 0.61 例，每个西班牙自治区的范围为 0.28-16.59 例。结论。 - 我们现在知道西班牙 ECT 使用的可靠比率和特征，以及西班牙精神病学家 PU 的态度和意见。我们发现各自治区的 ECT 应用率存在非常重要的差异。 (c) 2005 年 Elsevier Masson SAS。版权所有。
Objective. - To describe the utilization, geographical variations and adaptation of ECT in the Spanish context.Method. - A cross-sectional study, involving a questionnaire delivered to all hospitals with a Psychiatry Unit (PU) in Spain included in the National Hospitals Catalogue (N = 233). A descriptive analysis was made of the answers to the different questions, using an adequate denominator in each case: all PUs (n = 233), those units that prescribe and apply ECT (n = 174), or only those that apply the technology (n = 108).Results. - All PUs completed the questionnaire. Fifty-nine units (25.3%) neither prescribed nor applied ECT, while 108 (46.4%) prescribed and applied the technology, and 66 PUs (28.3%) only prescribed ECT. Those units with training responsibilities for psychiatry residents or pregraduate students, and those with a larger number of beds, were more inclined to apply ECT. The estimated ECT applied in the preceding 12 months totaled 2435 with an annual rate per 10,000 inhabitants of 0.61, and a range per Spanish Autonomous Community of 0.28-16.59.Conclusions. - We now know a reliable rate and characteristics of the use of ECT in Spain, and the attitudes and opinion of PUs Spanish psychiatrists about it. We found a very important variability in ECT application rates among Autonomous Communities. (c) 2005 Elsevier Masson SAS. All rights reserved.