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  1. ECT in Texas : 19 months of mandatory reporting.

    Article - En anglais

    Background 

    Texas law requires that all non-federal clinical facilities providing electroconvulsive therapy (ECT) report every treatment to the state's mental health agency.

    The resulting data provide total population information about treating physicians and hospitals ; payment source ; patient age, sex, ethnicity, diagnosis, and admission/consent status ; symptom severity and response ; numbers and types of treatments ; and untoward events occurring within 14 days after treatment.

    Method 

    We reviewed all reports of ECT between September 1993 and April 1995 (2583 reports, approximately 15,240 treatments).

    Results 

    About 6% (N=117) of Texas psychiatrists performed ECT during the period, at 50 hospitals.

    One of 13 state-funded mental institutions performed ECT on-site ; some occasionally contracted with private hospitals.

    Almost all patients (88.1%) were white

    Some older age groups received proportionately more ECT than younger groups, but no sharp increase was associated with eligibility for Medicare.

    Five patients were less than 18 years of age ; 70.3% were female.

    Virtually all patients (99.0%) consented to the treatment themselves (rather than by guardian), including committed-but-consenting patients (1.5%). Reports (5.8%) described multiple-monitored treatment (MMECT, not depatterning).

    Group data indicated generally good-to-excellent response, as measured by a five-point symptom-severity scale. (...)

    Mots-clés Pascal : Electroconvulsivothérapie, Traitement, Indication, Texas, Etats Unis, Amérique du Nord, Amérique, Disponibilité, Facteur sociodémographique, Modalité traitement, Complication, Utilisation, Epidémiologie, Dossier médical, Santé mentale, Homme

    Mots-clés Pascal anglais : Electroconvulsive therapy, Treatment, Indication, Texas, United States, North America, America, Availability, Sociodemographic factor, Application method, Complication, Use, Epidemiology, Medical record, Mental health, Human

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 98-0193382

    Code Inist : 002B18I01. Création : 11/09/1998.