加泰罗尼亚的电休克治疗实践：一项比较1993年和2010年数据的调查研究。

Electroconvulsive therapy practice in Catalonia: a survey study comparing data from 1993 and 2010.

作者信息

Martínez-Amorós Erika, Gálvez Verònica, Cardoner Narcís, Palao Diego, Bernardo Miquel, Urretavizcaya Mikel

机构信息

From the *Psychiatry Department, Parc Taulí Health Corporation, University Institute Parc Taulí Foundation, Autonomous University of Barcelona (IUFPT-UAB), Sabadell, Spain; †School of Psychiatry, University of New South Wales, Therapeutic Neurostimulation Group, Black Dog Institute, Sydney, Australia; ‡Neuroscience Group [Bellvitge Biomedical Research Institute-] IDIBELL, Mood Disorders Clinical and Research Unit, Psychiatry Department, Bellvitge University Hospital-ICS, L'Hospitalet de Llobregat, University of Barcelona, Barcelona, Spain; §Centro de Investigación Biomédica en Red de Salud Mental, Madrid, Spain; and ∥Schizophrenia Unit, Neuroscience Institute, Hospital Clinic of Barcelona, Department of Psychiatry and Clinical Psychobiology, Institut d'Investigacions Biomèdiques August Pi i Sunyer, University of Barcelona, Barcelona, Spain.

出版信息

J ECT. 2015 Mar;31(1):43-9. doi: 10.1097/YCT.0000000000000150.

DOI:10.1097/YCT.0000000000000150

PMID:24901432

Abstract

OBJECTIVE

The aim of this study was to assess the current use of electroconvulsive therapy (ECT) in Catalonia (Spain) as compared with ECT practice 17 years ago (1993).

METHODS

This was a descriptive, cross-sectional study using a structured questionnaire to collect data regarding the use of ECT in Catalan psychiatric units in 2010. A comparative approach was used with respect to previously published data.

RESULTS

Data were obtained from 25 of the 27 units (92.6%) surveyed. The ECT was used in 20 facilities (80%, as opposed to 60% in 1993), and in all cases, a brief-pulse device was used. The most commonly used anesthetic was propofol (65%), and most facilities recorded the seizure duration (95%). The ECT was always administered in combination with pharmacologic therapy, and the primary clinical indication was depression. Only 20% of the ECT procedures were performed in the inpatient unit. Written informed consent to administer ECT was obtained in all centers.

CONCLUSIONS

The ECT practice in Catalonia has changed since the 1990s, being administered more often, in a more standardized way and across a larger number of psychiatric units. The results indicate considerable consensus with regard to its indications and conditions of application, which comply with current clinical practice guidelines and standards.

摘要

目的

本研究旨在评估西班牙加泰罗尼亚地区目前电休克治疗（ECT）的使用情况，并与17年前（1993年）的ECT应用情况作比较。

方法

这是一项描述性横断面研究，采用结构化问卷收集2010年加泰罗尼亚精神科单位ECT使用情况的数据。对先前发表的数据采用比较方法。

结果

在接受调查的27个单位中，有25个（92.6%）提供了数据。20个机构使用了ECT（80%，而1993年为60%），并且在所有情况下都使用了短脉冲设备。最常用的麻醉剂是丙泊酚（65%），大多数机构记录了癫痫发作持续时间（95%）。ECT总是与药物治疗联合使用，主要临床指征是抑郁症。仅20%的ECT治疗在住院部进行。所有中心均获得了实施ECT的书面知情同意。