Sanz-Fuentenebro Javier, Vera Ignacio, Verdura Ernesto, Urretavizcaya Mikel, Martínez-Amorós Erika, Soria Virginia, Bernardo Miquel
Hospital Universitario 12 de Octubre, Instituto de Investigación 12 de Octubre, Madrid, España; Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), España.
Hospital Universitario Infanta Cristina, Parla, Madrid, España.
Rev Psiquiatr Salud Ment. 2017 Apr-Jun;10(2):87-95. doi: 10.1016/j.rpsm.2015.12.003. Epub 2016 Feb 19.
The main aims of our study were to estimate the current rates and pattern of electroconvulsive therapy (ECT) use in Spain, as well as exploring the causes that may be limiting its use in our country.
A cross-sectional survey was conducted covering every psychiatric unit in Spain as of 31 December 2012.
More than half (54.9%) of the psychiatric units applied ECT at a rate of 0.66 patients per 10,000 inhabitants. There are wide variations with regard to ECT application rates between the different autonomous communities (0.00-1.39) and provinces (0.00-3.90). ECT was prescribed to a mean of 25.5 patients per hospital that used the technique and 4.5 in referral centre (P=.000), but wide differences were reported in the number of patients who were prescribed ECT from hospital to hospital.
Although the percentage of psychiatric units applying ECT in our country is among the highest in the world, the ECT application rate in Spain is among the lowest within western countries. Large differences in ECT use have been reported across the various autonomous communities, provinces and hospitals. Thus, health planning strategies need to be implemented, as well as promoting training in ECT among health professionals, if these differences in ECT use are to be reduced.
我们研究的主要目的是评估西班牙目前电休克治疗（ECT）的使用频率和模式，以及探究可能限制其在我国使用的原因。
截至2012年12月31日，对西班牙的每个精神科单位进行了横断面调查。
超过半数（54.9%）的精神科单位应用ECT，每10000名居民中有0.66例患者接受治疗。不同自治区（0.00 - 1.39）和省份（0.00 - 3.90）之间的ECT应用率存在很大差异。使用该技术的医院平均为每家25.5例患者开具ECT处方，在转诊中心为4.5例（P = 0.000），但各医院之间开具ECT处方的患者数量差异很大。
尽管我国应用ECT的精神科单位比例在世界上处于最高水平之一，但西班牙的ECT应用率在西方国家中处于最低水平之一。据报道，各自治区、省份和医院在ECT使用方面存在很大差异。因此，如果要减少ECT使用方面的这些差异，就需要实施卫生规划策略，并促进卫生专业人员接受ECT培训。
