Comparison of clinical characteristics of patients on whom electroconvulsive therapy was applied as inpatient and outpatient
Yükleniyor...
Tarih
2016
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Turkish Association for Psychopharmacology
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Objective: Electroconvulsive therapy (ECT) is an efficient and reliable somatic treatment used to treat
severe mental disorders. ECT procedure is generally performed by hospitalizing the patient in our country
(Turkey). However, there is no obligation to perform ECT by hospitalization, as ECT may be performed
without hospitalizing the patient. Outpatient ECT gradually increases during acute and maintenance
treatment. Outpatient ECT provides some advantages, such as reduced disruption in social and professional
functionality and decrease in treatment costs. Studies that compare acute outpatient ECT and ECT applied
after hospitalization are limited. In the present study, we aimed to review clinical characteristics of acute
ambulatory ECT and ECT applied by hospitalization comprehensively and retrospectively.
Methods: Inpatients and outpatients that received ECT in the Psychiatry Clinic of Dicle University between
2011 and 2014 were enrolled in the present study. Patients’ files between aforementioned years were
reviewed retrospectively and data including patient age, gender, diagnosis according to DSM system,
hospitalization period, whether ECT was applied, number of ECT sessions, and whether ECT was performed
as an inpatient or outpatient procedure were recorded. For the patients who were hospitalized multiple
times, each hospitalization was regarded as a different patient and data were assessed independently. For
the outpatients who received ECT, all separate ECT sessions were added and ECT count was determined.
Those who received maintenance ECT sessions were not included in the outpatient ECT group. Patients who
received ECT by acute referral as outpatients were included in this group.
Results: Between 2011 and 2014, 904 patients were admitted to the Psychiatry Clinic of Dicle University,
Faculty of Medicine , of which 138 received ECT treatment. We also included in the study an additional 38
outpatients who received acute ECT. Inpatients of our clinic in application to ECT were rates of 15.3%. There
was no statistically significant difference detected between age, number of ECT sessions applied, diagnosis,
and gender of admitted inpatients and outpatients (p>0.05).
Conclusions: In our study clinical characteristics of inpatients and outpatients subjects who admitted in
order to practiced the ECT were determined to be similar. We believe that an efficient treatment method
may be presented to the patients by including acute outpatient ECT more frequently in the treatment plan
from physicians
Açıklama
Anahtar Kelimeler
Electroconvulsive therapy, Outpatient, Inpatient
Kaynak
Klinik Psikofarmakoloji Bülteni
WoS Q Değeri
Q4
Scopus Q Değeri
N/A
Cilt
26
Sayı
1
Künye
Demir, S., Bulut, M., Atli, A., Güneş, M., Kaya, M. C., İbiloğlu, A. O. ve diğerleri. (2016). Comparison of clinical characteristics of patients on whom electroconvulsive therapy was applied as inpatient and outpatient. Klinik Psikofarmakoloji Bülteni, 26(1), 32-38.
