Contemporary status of electroconvulsive therapy in a teaching psychiatric unit in Al Ain United Arab Emirates

Contemporary status of electroconvulsive therapy in a teaching psychiatric unit in Al Ain United Arab Emirates
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DOI:
10.1080/08039489850139265
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发表时间:
1998-01-01
影响因子:
1.8
通讯作者:
Younis, Y
Younis, Y
中科院分区:
医学4区
文献类型:
--
作者:
Daradkeh, TK;Saad, A;Younis, Y

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为了评价电休克治疗(ECT)的当代地位,所有在2年内(1995-96)接受ECT治疗的患者均来自计算机化的住院精神病登记处。本研究旨在回答以下几点:适应症、手术安全性、治疗反应和预测反应的因素。研究表明,大约5%的住院患者接受了ECT治疗。接受电休克治疗的患者最常见的诊断是精神分裂症、严重情感障碍和产后精神障碍。在24%的患者中,ECT的反应很差或很小。无论诊断如何,只有33%的病例反应极佳。ICD-10精神病诊断、患者性别和患者年龄不能预测ECT的反应。只有入院时的严重程度指数被认为是ECT反应的重要预测因素。该程序被认为是非常安全的,ECT前的医疗风险评估是适当的,因为它的管理。
To evaluate the contemporary status of electroconvulsive therapy (ECT), all patients who received ECT over a 2-year period (1995-96) were identified from the computerized inpatient psychiatric register. This study aimed to answer the following points: indications, safety of procedure, response to treatment, and factors predicting response. The study showed that approximately 5% of all inpatients were given ECT. The most frequent diagnoses of patients receiving ECT were schizophrenia, major affective disorders, and postnatal psychiatric disorders. In 24% of patients the response to ECT was poor or minimal. Only in 33% of the cases regardless of the diagnosis was the response excellent. ICD-10 psychiatric diagnoses, the sex of the patients, and the age of the patients did not predict the response to ECT. Only the severity index on admission was found to be a significant predictor of response to ECT. The procedure was found to be very safe, and pre-ECT evaluation for medical risk was appropriate, as was its administration.