Dykebar Hospital, Paisley.
J ECT. 2011 Jun;27(2):131-3. doi: 10.1097/YCT.0b013e3181f665cd.
: To assess the effect of closure of electroconvulsive therapy (ECT) centers on ECT use. Electroconvulsive therapy remains a recommended and effective treatment for mental disorders. Declining rates of ECT use in the United Kingdom have been observed over the last 20 years with anecdotal observations that use has declined as the result of centralization of provision. In Glasgow, there have been site closures in the north with no such rationing taking place in the south.
: A naturalistic retrospective survey of the number of ECT courses commenced each year in Glasgow, with a comparison made between the north and the south of the city. Data were available from 1996 to 2008.
: Our analysis showed no change in the mean number of ECT courses commenced in southern Glasgow (period 1, 42.25; period 2, 41.83; period 3, 31; F = 1.369; P = 0.298). There was a significant reduction in the mean number of ECT treatments commenced in northern Glasgow (period 1, 91.25; period 2, 51; period 3, 33.33; F = 10.06; P = 0.04).
: In northern Glasgow, where there have been 2 site closures since 1996, ECT use has declined. This trend was not replicated in the south of the city. This would suggest that the closure of ECT centers does reduce the use of ECT. However, there may be a number of confounding variables that could not be factored into the analysis because of lack of available data.
评估电抽搐疗法 (ECT) 中心关闭对 ECT 使用的影响。ECT 仍然是治疗精神障碍的推荐和有效方法。在过去的 20 年中，英国 ECT 使用量呈下降趋势，据传闻观察，由于供应集中化，使用量有所下降。在格拉斯哥，北部的站点已经关闭，但南部没有出现这种配给情况。
对格拉斯哥每年开始的 ECT 疗程数量进行自然主义回顾性调查，并比较城市的南北部。数据可追溯至 1996 年至 2008 年。
我们的分析显示，在格拉斯哥南部，开始 ECT 疗程的平均数量没有变化（第 1 期，42.25；第 2 期，41.83；第 3 期，31；F = 1.369；P = 0.298）。在格拉斯哥北部，开始 ECT 治疗的平均数量显著减少（第 1 期，91.25；第 2 期，51；第 3 期，33.33；F = 10.06；P = 0.04）。
自 1996 年以来，格拉斯哥北部有 2 个站点关闭，ECT 使用量有所下降。这一趋势在城市南部并未重现。这表明 ECT 中心的关闭确实减少了 ECT 的使用。然而，由于缺乏可用数据，可能有许多混杂变量无法纳入分析。
