A questionnaire survey of ECT practice in Australia
A questionnaire survey of ECT practice in Australia
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DOI：
10.1097/yct.0b013e318031bc50
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发表时间：
2007-06-01
期刊：
影响因子：
2.5
通讯作者：
Chanpattana, Worrawat
中科院分区：
文献类型：
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作者：
Chanpattana, Worrawat
目的：方法：2002年10月1日至2004年2月29日，对澳大利亚136家医院进行了29项问卷调查，结果与结论：113家医院（83%）完成了问卷调查。90家医院提供电休克疗法。共有7469名患者接受了来自356名精神科医生的58,499次ECTs，平均疗程为8.5次治疗。按粗略治疗人数比率评估的电休克疗法使用率为每年每100 000人37.85人。在患者中，63.4%为女性。所有医院都使用了简易脉冲装置。在80家医院常规使用脑电图监测。在接受ECT治疗的患者中，82.3%的患者患有重度抑郁症，9.6%的患者患有精神分裂症，4.9%的患者患有躁狂症，1.7%的患者患有紧张症。接受ECT治疗的患者年龄组为65岁以上（38.4%），其次为45至64岁（28.3%）、25至44岁（26.3%）、18至24岁（6.9%）和18岁以下（0.2%）。未经修改的ECT没有在任何医院使用。83家医院的1196例患者接受了持续ECT治疗，77家医院的1044例患者接受了维持ECT治疗。在调查期间没有ECT相关死亡病例。只有31家医院将他们的医学生教学计划评为可接受到优秀，而对于精神病学住院医师，这一比例为58。
Objective: To determine the characteristics of electroconvulsive therapy (ECT) practice in Australia.Method: From October 1, 2002 to February 29, 2004, a 29-item questionnaire was sent to 136 hospitals in Australia.Results and Conclusions: One hundred thirteen hospitals (83%) completed the questionnaire. Electroconvulsive therapy was available in 90 hospitals. A total of 7469 patients received 58,499 ECTs from 356 psychiatrists, which gives an average course length of 8.5 treatments. Electroconvulsive therapy use as assessed by the crude treated-person rate was 37.85 persons per 100,000 population per annum. Of the number of patients, 63.4% were women. Brief-pulse devices were used in all hospitals. Electroencephalogram monitoring was used routinely in 80 hospitals. Of the total number of ECT treatments, 82.3% were given to patients with major depression, 9.6% to patients with schizophrenia, 4.9% to patients with mania, and 1.7% to patients with catatonia. Patients who received ECT were in an age group older than 65 years (38.4%), followed by 45 to 64 years (28.3%), 25 to 44 years (26.3%), 18 to 24 years (6.9%), and less than 18 years (0.2%). Unmodified ECT was not used in any hospital. One thousand one hundred ninety-six patients received continuation ECT in 83 hospitals, and 1044 received maintenance ECT in 77 hospitals. There was no case of ECT-related death during a survey period. Only 31 hospitals rated their teaching program for medical students as acceptable to excellent, and for psychiatry residents, it was 58.