Markowitz J, Brown R, Sweeney J, Mann J J
Am J Psychiatry. 1987 Aug;144(8):1025-9. doi: 10.1176/ajp.144.8.1025.
To investigate the effect of treatment modality on length of hospital stay, the authors retrospectively studied 86 admissions of 74 patients with major depression. All 19 patients who received ECT recovered, in contrast to only 27 (49%) of 55 patients given tricyclic antidepressants or other medication. The 28 patients who had not responded to antidepressants recovered after treatment with ECT. Treatment modality had a highly significant effect on length of hospital stay: patients given ECT stayed a mean of 13 fewer days, saving more than $6,400 per patient at current rates. These findings of significant economic and therapeutic benefits in the use of ECT raise issues about treatment selection for depressed inpatients.
为研究治疗方式对住院时间的影响，作者回顾性研究了74例重度抑郁症患者的86次住院情况。接受电休克治疗（ECT）的19例患者均康复，相比之下，55例接受三环类抗抑郁药或其他药物治疗的患者中只有27例（49%）康复。28例对抗抑郁药无反应的患者在接受ECT治疗后康复。治疗方式对住院时间有极显著影响：接受ECT治疗的患者平均住院天数少13天，按当前费用计算，每位患者节省超过6400美元。这些关于使用ECT具有显著经济和治疗效益的发现引发了关于抑郁症住院患者治疗选择的问题。
