From the Faculty of Medicine and Health Technology, Tampere University, Tampere.
Department of Consultation and Liaison Psychiatry, Satasairaala, Pori.
J ECT. 2021 Mar 1;37(1):36-39. doi: 10.1097/YCT.0000000000000709.
The purpose of this study was to explore the use of electroconvulsive therapy (ECT) in Finland in 2013. This included the rate of use, patient ages, sex, number of treatments, patient diagnoses, regional distribution, and availability of ECT.
A structured electronic questionnaire was used to collect data regarding the use of ECT from 21 Finnish hospital districts' 29 psychiatric ECT units. Data for comparison were collected from scientific publications concerning the use of ECT in Sweden, Norway, Denmark, and Estonia.
Of 29 psychiatric ECT units, 25 (86%) responded. Electroconvulsive therapy was available in all except 1 hospital district, which used the services of another hospital district. Electroconvulsive therapy was administered to 1023 patients in total. The mean number of treatments per patient was 9.7. Twenty-three persons per 100,000 inhabitants received ECT. The ECT rate between hospital districts varied from 7.5 to 53.0 per 100,000 inhabitants. The mean number and median were 24.9 and 21.7 per 100,000 inhabitants, respectively. Maintenance therapy was administered to 27.1% of patients. Most (75%) of the ECT units indicated the capability to administer ECT to all patients who required it. The most common indications for ECT were major depression (38.4%), psychotic depression (30.9%), and bipolar disorder with depressive episodes (14.2%).
Electroconvulsive therapy was available in every hospital district in Finland. In Finland, ECT was administered at approximately the same level as in Norway, Denmark, and Estonia (24, 32, and 28 per 100,000 inhabitants, respectively), but less than in Sweden (41 per 100,000 inhabitants).
本研究旨在探讨 2013 年芬兰电痉挛疗法（ECT）的使用情况，包括使用频率、患者年龄、性别、治疗次数、患者诊断、地域分布和 ECT 的可及性。
采用结构化电子问卷，从芬兰 21 个行政区的 29 个精神科 ECT 单位收集 ECT 使用数据。为进行比较，还从瑞典、挪威、丹麦和爱沙尼亚关于 ECT 使用的科学出版物中收集数据。
在 29 个精神科 ECT 单位中，有 25 个（86%）做出了回应。除了一个行政区，其他所有行政区都可以使用 ECT，该行政区使用的是另一个行政区的服务。总共对 1023 名患者进行了 ECT 治疗。每位患者的平均治疗次数为 9.7 次。每 10 万居民中有 23 人接受 ECT 治疗。医院之间的 ECT 治疗率从每 10 万居民 7.5 至 53.0 不等。平均和中位数分别为每 10 万居民 24.9 和 21.7。维持治疗应用于 27.1%的患者。大多数（75%）ECT 单位表示能够为所有需要的患者提供 ECT。ECT 的最常见适应证为重度抑郁症（38.4%）、精神病性抑郁症（30.9%）和伴有抑郁发作的双相情感障碍（14.2%）。
芬兰每个行政区都可提供 ECT。在芬兰，ECT 的应用水平与挪威、丹麦和爱沙尼亚相当（分别为每 10 万居民 24、32 和 28），但低于瑞典（每 10 万居民 41）。
