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首页> 外文期刊>Nordic journal of psychiatry. >Rehospitalization rate after continued electroconvulsive therapy--a retrospective chart review of patients with severe depression.
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Rehospitalization rate after continued electroconvulsive therapy--a retrospective chart review of patients with severe depression.

机译：持续电惊厥治疗后的再住院率-回顾性图表回顾的重度抑郁症患者。

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BACKGROUND: Electroconvulsive therapy, ECT, is an effective acute treatment for severe depression. Today ECT is usually discontinued when the patient's depressive symptoms abate, although relapse is common. Some studies suggest that continuation ECT (cECT) may prevent relapse of depression, but there are few studies available. AIMS: The aim of this study was to describe the need for inpatient care before, during and after cECT. METHODS: A retrospective chart review was conducted of all patients (n=27) treated with cECT between 2005 and 2007 at Orebro University Hospital, Sweden. All patients were severely depressed at the initiation of index ECT. The DSM-IV diagnoses were major depression (n=19), bipolar depression (n=5) or schizoaffective depression (n=3). RESULTS: The hospital day quotient was lower (HDQ=15) during cECT (mean duration +/- standard deviation=104 +/- 74 days) than during the 3 years prior to cECT (HDQ=26). The rehospitalization rate was 43% within 6 months and 58% within 2 years after the initiation of cECT. Seven patients were rehospitalized while on cECT. CONCLUSION: The need for inpatient care was reduced during cECT. However, rehospitalization was common. At the initiation of the cECT, the patients were improved by the index ECT. Also cECT was often terminated after rehospitalization, which contributed to the lowered hospital day quotient during cECT. Randomized clinical trials are needed to establish the efficacy of cECT. CLINICAL IMPLICATIONS: Relapses and recurrences in depressed patients are common after ECT treatment. The results indicate that continuation ECT combined with pharmacotherapy might be an alternative treatment strategy.
机译：背景：电抽搐疗法，ECT，是治疗严重抑郁症的有效急性疗法。今天，当患者的抑郁症状减轻时，通常会停止使用ECT，尽管复发很常见。一些研究表明，连续ECT（cECT）可以预防抑郁症的复发，但是很少有研究可用。目的：本研究的目的是描述在cECT之前，期间和之后需要住院治疗的需求。方法：回顾性分析2005年至2007年在瑞典厄勒布鲁大学医院接受cECT治疗的所有患者（n = 27）。所有患者在ECT指数开始时均严重抑郁。 DSM-IV诊断为重度抑郁症（n = 19），双相抑郁症（n = 5）或分裂情感抑郁症（n = 3）。结果：与cECT之前的三年（HDQ = 26）相比，cECT（平均持续时间+/-标准偏差= 104 +/- 74天）期间的住院日商数（HDQ = 15）更低。在启动cECT后的6个月内，再入院率为43％，在2年内为58％。接受cECT时有7例患者再次住院。结论：在cECT期间减少了住院护理的需求。但是，再次住院很常见。在开始cECT时，患者的ECT指数得到了改善。再次住院后，cECT通常也被终止，这导致cECT期间住院天数降低。建立cECT的疗效需要随机临床试验。临床意义：ECT治疗后抑郁患者的复发和复发很常见。结果表明，连续ECT联合药物治疗可能是另一种治疗策略。

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