Chanpattana Worrawat
Department of Psychiatry, Srinakharinwirot University, Bangkok, Thailand.
J ECT. 2007 Jun;23(2):89-92. doi: 10.1097/YCT.0b013e318031bc50.
To determine the characteristics of electroconvulsive therapy (ECT) practice in Australia.
From October 1, 2002 to February 29, 2004, a 29-item questionnaire was sent to 136 hospitals in Australia.
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.
确定澳大利亚电休克治疗（ECT）的实施特点。
2002年10月1日至2004年2月29日，向澳大利亚136家医院发送了一份包含29个项目的问卷。
113家医院（83%）完成了问卷。90家医院提供电休克治疗。共有7469名患者接受了来自356名精神科医生的58499次电休克治疗，平均疗程为8.5次治疗。按粗治疗率评估，电休克治疗的使用量为每年每10万人口37.85人。在患者中，63.4%为女性。所有医院均使用短暂脉冲设备。80家医院常规使用脑电图监测。在电休克治疗总数中，82.3%给予重度抑郁症患者，9.6%给予精神分裂症患者，4.9%给予躁狂症患者，1.7%给予紧张症患者。接受电休克治疗的患者年龄组中，65岁以上的占38.4%，其次是45至64岁的占28.3%，25至44岁的占26.3%，18至24岁的占6.9%，18岁以下的占0.2%。没有医院使用未改良的电休克治疗。1196名患者在83家医院接受了延续性电休克治疗，1044名患者在77家医院接受了维持性电休克治疗。在调查期间没有电休克治疗相关死亡病例。只有31家医院将其针对医学生的教学计划评为可接受至优秀，针对精神科住院医师的教学计划评为优秀的有58家。
