Regional variation in electroconvulsive therapy use.

Hdl Handle:
http://hdl.handle.net/10147/135777
Title:
Regional variation in electroconvulsive therapy use.
Authors:
Dunne, R; McLoughlin, D M
Affiliation:
Department of Psychiatry, Trinity College, St. Patrick's University Hospital, Dublin. ross.dunne@tcd.ie
Citation:
Regional variation in electroconvulsive therapy use. 2011, 104 (3):84-7 Ir Med J
Journal:
Irish medical journal
Issue Date:
Mar-2011
URI:
http://hdl.handle.net/10147/135777
PubMed ID:
21667613
Additional Links:
http://www.ncbi.nlm.nih.gov/pubmed/21667613
Abstract:
Although electroconvulsive therapy (ECT) is the most powerful treatment for depression, substantial variability in use has been described in Ireland. The Mental Health Commission collects usage data from approved centres but does not include home addresses or independent sector patients. Therefore, estimates of regional variation cannot be accurate, e.g. 145 (35% of total) independent sector patients were omitted from their 2008 analysis. When public and independent sector patients are combined inter-regional variation for 2008 is more than halved (chi-squared decreased from 83 to 30), with Western region contributing most to variation (chi-squared = 43). Ratio of ECT programmes to depressed admissions correlated negatively with rate for depressed admissions (r = -0.53, p = 0.01), while depressed admission numbers correlated with acute beds per area (r = 0.68, p = 0.001). Regional variation in ECT is less than previously reported; service factors probably account for much of this with smaller centres admitting severely ill patients more likely to require ECT.
Item Type:
Article
Language:
en
MeSH:
Catchment Area (Health); Depression; Electroconvulsive Therapy; Humans; Ireland
ISSN:
0332-3102

Full metadata record

DC FieldValue Language
dc.contributor.authorDunne, Ren
dc.contributor.authorMcLoughlin, D Men
dc.date.accessioned2011-07-11T08:40:23Z-
dc.date.available2011-07-11T08:40:23Z-
dc.date.issued2011-03-
dc.identifier.citationRegional variation in electroconvulsive therapy use. 2011, 104 (3):84-7 Ir Med Jen
dc.identifier.issn0332-3102-
dc.identifier.pmid21667613-
dc.identifier.urihttp://hdl.handle.net/10147/135777-
dc.description.abstractAlthough electroconvulsive therapy (ECT) is the most powerful treatment for depression, substantial variability in use has been described in Ireland. The Mental Health Commission collects usage data from approved centres but does not include home addresses or independent sector patients. Therefore, estimates of regional variation cannot be accurate, e.g. 145 (35% of total) independent sector patients were omitted from their 2008 analysis. When public and independent sector patients are combined inter-regional variation for 2008 is more than halved (chi-squared decreased from 83 to 30), with Western region contributing most to variation (chi-squared = 43). Ratio of ECT programmes to depressed admissions correlated negatively with rate for depressed admissions (r = -0.53, p = 0.01), while depressed admission numbers correlated with acute beds per area (r = 0.68, p = 0.001). Regional variation in ECT is less than previously reported; service factors probably account for much of this with smaller centres admitting severely ill patients more likely to require ECT.-
dc.language.isoenen
dc.relation.urlhttp://www.ncbi.nlm.nih.gov/pubmed/21667613en
dc.subject.meshCatchment Area (Health)-
dc.subject.meshDepression-
dc.subject.meshElectroconvulsive Therapy-
dc.subject.meshHumans-
dc.subject.meshIreland-
dc.titleRegional variation in electroconvulsive therapy use.en
dc.typeArticleen
dc.contributor.departmentDepartment of Psychiatry, Trinity College, St. Patrick's University Hospital, Dublin. ross.dunne@tcd.ieen
dc.identifier.journalIrish medical journalen
dc.description.provinceLeinster-

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