Malla A
Can J Psychiatry. 1986 Dec;31(9):824-30. doi: 10.1177/070674378603100906.
Five thousand, seven hundred and twenty-nine consecutive admissions to the three general hospitals and the mental hospital in St. John's, Newfoundland, Canada, were examined retrospectively for the use of electroconvulsive therapy (ECT). The proportion of patients admitted who received ECT (rate), and the number of treatments per admission were recorded. Rate of ECT, expressed as percentage of patients admitted, was assessed for all hospitals separately and compared on legal status and diagnosis. One thousand, two hundred and thirty-six (21.5%) patients admitted, received ECT with little variation over a three year period. The rate was higher for the general hospitals and for voluntary patients. ECT was used in a very high proportion of patients with diagnoses of depression (50%), mania (20%), schizophrenia (36%), and neurotic disorders (20%). These findings are discussed in the context of the overall trend of a low utilization of ECT elsewhere, and the previous research evidence of limited indications for ECT.
对加拿大纽芬兰圣约翰市三家综合医院和一家精神病院连续收治的5729例患者进行了回顾性研究，以了解电休克治疗（ECT）的使用情况。记录了接受ECT治疗的住院患者比例（使用率）以及每次住院的治疗次数。分别评估了所有医院以住院患者百分比表示的ECT使用率，并根据法律地位和诊断进行了比较。在三年期间，1236例（21.5%）住院患者接受了ECT治疗，且变化不大。综合医院和自愿住院患者的使用率较高。ECT在诊断为抑郁症（50%）、躁狂症（20%）、精神分裂症（36%）和神经症（20%）的患者中使用比例非常高。结合其他地方ECT低使用率的总体趋势以及先前关于ECT适应证有限的研究证据对这些发现进行了讨论。
