Characteristics of electroconvulsive therapy in a university hospital
Abstract
Purpose: We aimed to evaluate frequency of electroconvulsive therapy (ECT) use among hospitalized patients in a psychiatry clinic of university hospital and to determine the diagnostic, socioodemographic features of these ECT treated patients retrospectively.
Material and Method: Of 759 inpatients, 32 who was treated with ECT in psychiatry clinic of Ministery of Health – Ordu University Training and Research Hospital were included in the study. The data evaluated in the study were obtained from patient files retrospectively.
Results: Among the 32 (4.21%) patients treated with ECT, 23 (71.9%) were male with a mean age of 44.4 and 9 (28.1%) were female with a mean age of 44.5. The mean hospitization time was 28,7 days in male patients whereas it was 38.33 days in female patients. The mean number of ECT sessions was 9.4 for males and 9.8 for females.
Conclusion: ECT treatment was performed in 4.24 % of the patients in our clinic for the past 5.5 years. Although the application is restricted because of false beliefs and prejudiced opinions, ECT is a reliable treatment method with very low risk of serious complications. New methods should be implemented for healthy acknowledgment to overcome these opinions and beliefs about ECT.
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Kaynakça
- Abrams R. Electroconvulsive Therapy, 4th ed.. New York, Oxford University Press, 2002.
- Fink M. Convulsive therapy: a review of the first 55 years. J Affect Disord. 2001;63:1-15.
- Ishihara K, Sasa M. Mechanism underlying the therapeutic effects of electroconvulsive therapy on depression. Jpn J Pharmacol. 1999;80:185-9.
- Cimilli C. Elektrokonvülsif tedavi: tarihsel gelişim ve günümüzdeki durum. Ege Psikiyatri Sürekli Yayınları, 1998; 3(2):257-264.
- Greenberg RM, Kellner CH. Electroconvulsive therapy:a selected review. Am J Geriatr Psychiatry. 2005;13:268-81.
- National Institute for Clinical Excellence. Guidance on the Use Electroconvulsive Therapy. Technology Appraisal 59. London, Abba Litho, 2003.
- Zeren T, Tamam L, Evlice YE. Elektrokonvülsif terapi: bir genel değerlendirme. Arşiv. 2003;12:340- 78.
- Tomruk NB, Kutlar MT, Mengeş OO, Canbek Ö, Soysal H. Elektrokonvülsif Tedavi Klinik Uygulama El Kitabı. İstanbul, Sağlık Bakanlığı, 2007.
- Pluijms EM, Birkenhager TK, Huijbrechts IPAM, Moleman P. Influence of resistance to antidepressant pharmacotherapy on short-term response to electroconvulsive therapy. J Affect Disord. 2002;69:93-9.
- Gül IS, Eryılmaz G, Hızlı Sayar G, Özten E, Arat
