The Effectiveness of Maintenance Electroconvulsive Therapy
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://doi.org/10.51338/rppsm.2021.v7.i2.210 |
Resumo: | Introduction: Electroconvulsive therapy (ECT) is a safe and effective treatment for treatment resistant severe mental disorders. However, it has a high relapse rate, following the acute course (A‑ECT). Maintenance treatment is recommended to increase remission rate and duration. Maintenance ECT (M‑ECT) is an option, although under‑prescribed. The aim of this study was to assess M‑ECT effectiveness in reducing number and duration of hospital admissions, as well as associated costs, in patients with severe mental disorders. Mirror study comparing number and duration of hospital admissions before and after first M‑ECT. Methods: Information was gathered for demographic and technical data, and drug dosing. Mean cost before and after the initiation of M‑ECT was compared. All treatments were performed with a MECTA spECTrum 5000QÒ. Statistical analysis was performed using SPSS 22. Results: A total of 16 patients were enrolled. The mean number of M‑ECT treatments was 41.25 with a mean duration of 23 months. Treatment frequency was mainly once a month. A statistically significant decrease was found for number of admissions (Mdn=2.0 before and Mdn=0.0 after) and for total days in admission (Mdn=86.0 before and Mdn=14.5 after). Marginally significant results were found for antidepressive dosage, with higher dosages in the after initiation period. No significant results were found for antipsychotic dosage variation. The mean cost per patient, before and after initiation of M‑ECT, was respectively 10 621€ and 5 653€. Conclusão: In our sample, we found that M‑ECT significantly reduces number of admissions and days in admission. Initiating M‑ECT treatment decreased cost per patient by 47%. |
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The Effectiveness of Maintenance Electroconvulsive TherapyA Eficácia da Eletroconvulsivoterapia de ManutençãoCosts and Cost AnalysisElectroconvulsive TherapyLength of Stay Mental Disorders/therapyPatient AdmissionTreatment OutcomeCusto e Análise de CustoEletroconvulsivoterapiaHospitalizaçãoPerturbações Mentais/tratamentoResultado de TratamentoTempo de InternamentoIntroduction: Electroconvulsive therapy (ECT) is a safe and effective treatment for treatment resistant severe mental disorders. However, it has a high relapse rate, following the acute course (A‑ECT). Maintenance treatment is recommended to increase remission rate and duration. Maintenance ECT (M‑ECT) is an option, although under‑prescribed. The aim of this study was to assess M‑ECT effectiveness in reducing number and duration of hospital admissions, as well as associated costs, in patients with severe mental disorders. Mirror study comparing number and duration of hospital admissions before and after first M‑ECT. Methods: Information was gathered for demographic and technical data, and drug dosing. Mean cost before and after the initiation of M‑ECT was compared. All treatments were performed with a MECTA spECTrum 5000QÒ. Statistical analysis was performed using SPSS 22. Results: A total of 16 patients were enrolled. The mean number of M‑ECT treatments was 41.25 with a mean duration of 23 months. Treatment frequency was mainly once a month. A statistically significant decrease was found for number of admissions (Mdn=2.0 before and Mdn=0.0 after) and for total days in admission (Mdn=86.0 before and Mdn=14.5 after). Marginally significant results were found for antidepressive dosage, with higher dosages in the after initiation period. No significant results were found for antipsychotic dosage variation. The mean cost per patient, before and after initiation of M‑ECT, was respectively 10 621€ and 5 653€. Conclusão: In our sample, we found that M‑ECT significantly reduces number of admissions and days in admission. Initiating M‑ECT treatment decreased cost per patient by 47%.Introdução: A eletroconvulsivoterapia (ECT) é um tratamento seguro e eficaz, indicado para o tratamento de doenças mentais graves resistentes ao tratamento. No entanto, está associado a uma alta taxa de recaída após o término do curso de ECT agudos (ECT‑A). É recomendado realizar tratamento de manutenção de forma a aumentar a taxa e duração da remissão. A ECT de manutenção (ECT‑M) é uma opção, embora ainda pouco utilizada. O objetivo deste estudo foi avaliar a eficácia da ECT‑M em reduzir o número e duração de hospitalizações, assim como custos associados, em doentes com doença mental grave. Métodos: Foi realizado um estudo em espelho comparando o número e duração de hospitalizações antes e após iniciação de ECT‑M. Foram colhidas informações relativamente a dados demográficos e técnicos, assim como dose de medicação. Foi comparado o custo médio antes e após a iniciação de ECT‑M. Todos os tratamentos foram realizados com uma MECTA spECTrum 5000QÒ. A análise estatística foi realizada com o SPSS 22. Resultados: Foram incluídos 16 doentes no estudo. O número médio de tratamentos de ECT‑M eletroconvulsivoterapia foi 41, com uma duração média de 23 meses. A frequência mais comum foi mensal. Foi obtida uma diferença estatisticamente significativa quanto ao número de hospitalizações (Mdn= 2,0 antes e Mdn=0,0 após) e ao número total de dias em internamento (Mdn=86,0 antes e Mdn=14,5 após). Foram encontradas diferenças marginais na dosagem de antidepressivos, com valores superiores no período após iniciação e ECT‑M. Não foram encontradas diferenças significativas na dosagem de antipsicóticos. O custo médio por doente, antes e após iniciação de ECT‑M foi, respetivamente, 10 621€ e 5 653€. Conclusão: Na amostra estudada, a ECT‑M reduziu significativamente o número de internamentos e dias de hospitalização. A iniciação de ECT‑M reduziu o custo por doente em 47%.Sociedade Portuguesa de Psiquiatria e Saúde Mental2021-06-06T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://doi.org/10.51338/rppsm.2021.v7.i2.210oai:ojs.www.revistapsiquiatria.pt:article/210Revista Portuguesa de Psiquiatria e Saúde Mental; Vol. 7 No. 2 (2021); 57-63Revista Portuguesa de Psiquiatria e Saúde Mental; Vol. 7 N.º 2 (2021); 57-632184-54172184-5522reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttps://www.revistapsiquiatria.pt/index.php/sppsm/article/view/210https://doi.org/10.51338/rppsm.2021.v7.i2.210https://www.revistapsiquiatria.pt/index.php/sppsm/article/view/210/82Direitos de Autor (c) 2021 Revista Portuguesa de Psiquiatria e Saúde Mentalinfo:eu-repo/semantics/openAccessSousa Martins, PauloMota, JorgePimenta, Sónia2022-09-06T09:37:41Zoai:ojs.www.revistapsiquiatria.pt:article/210Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T15:37:13.559253Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
The Effectiveness of Maintenance Electroconvulsive Therapy A Eficácia da Eletroconvulsivoterapia de Manutenção |
title |
The Effectiveness of Maintenance Electroconvulsive Therapy |
spellingShingle |
The Effectiveness of Maintenance Electroconvulsive Therapy Sousa Martins, Paulo Costs and Cost Analysis Electroconvulsive Therapy Length of Stay Mental Disorders/therapy Patient Admission Treatment Outcome Custo e Análise de Custo Eletroconvulsivoterapia Hospitalização Perturbações Mentais/tratamento Resultado de Tratamento Tempo de Internamento |
title_short |
The Effectiveness of Maintenance Electroconvulsive Therapy |
title_full |
The Effectiveness of Maintenance Electroconvulsive Therapy |
title_fullStr |
The Effectiveness of Maintenance Electroconvulsive Therapy |
title_full_unstemmed |
The Effectiveness of Maintenance Electroconvulsive Therapy |
title_sort |
The Effectiveness of Maintenance Electroconvulsive Therapy |
author |
Sousa Martins, Paulo |
author_facet |
Sousa Martins, Paulo Mota, Jorge Pimenta, Sónia |
author_role |
author |
author2 |
Mota, Jorge Pimenta, Sónia |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Sousa Martins, Paulo Mota, Jorge Pimenta, Sónia |
dc.subject.por.fl_str_mv |
Costs and Cost Analysis Electroconvulsive Therapy Length of Stay Mental Disorders/therapy Patient Admission Treatment Outcome Custo e Análise de Custo Eletroconvulsivoterapia Hospitalização Perturbações Mentais/tratamento Resultado de Tratamento Tempo de Internamento |
topic |
Costs and Cost Analysis Electroconvulsive Therapy Length of Stay Mental Disorders/therapy Patient Admission Treatment Outcome Custo e Análise de Custo Eletroconvulsivoterapia Hospitalização Perturbações Mentais/tratamento Resultado de Tratamento Tempo de Internamento |
description |
Introduction: Electroconvulsive therapy (ECT) is a safe and effective treatment for treatment resistant severe mental disorders. However, it has a high relapse rate, following the acute course (A‑ECT). Maintenance treatment is recommended to increase remission rate and duration. Maintenance ECT (M‑ECT) is an option, although under‑prescribed. The aim of this study was to assess M‑ECT effectiveness in reducing number and duration of hospital admissions, as well as associated costs, in patients with severe mental disorders. Mirror study comparing number and duration of hospital admissions before and after first M‑ECT. Methods: Information was gathered for demographic and technical data, and drug dosing. Mean cost before and after the initiation of M‑ECT was compared. All treatments were performed with a MECTA spECTrum 5000QÒ. Statistical analysis was performed using SPSS 22. Results: A total of 16 patients were enrolled. The mean number of M‑ECT treatments was 41.25 with a mean duration of 23 months. Treatment frequency was mainly once a month. A statistically significant decrease was found for number of admissions (Mdn=2.0 before and Mdn=0.0 after) and for total days in admission (Mdn=86.0 before and Mdn=14.5 after). Marginally significant results were found for antidepressive dosage, with higher dosages in the after initiation period. No significant results were found for antipsychotic dosage variation. The mean cost per patient, before and after initiation of M‑ECT, was respectively 10 621€ and 5 653€. Conclusão: In our sample, we found that M‑ECT significantly reduces number of admissions and days in admission. Initiating M‑ECT treatment decreased cost per patient by 47%. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-06-06T00:00:00Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://doi.org/10.51338/rppsm.2021.v7.i2.210 oai:ojs.www.revistapsiquiatria.pt:article/210 |
url |
https://doi.org/10.51338/rppsm.2021.v7.i2.210 |
identifier_str_mv |
oai:ojs.www.revistapsiquiatria.pt:article/210 |
dc.language.iso.fl_str_mv |
eng |
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eng |
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https://www.revistapsiquiatria.pt/index.php/sppsm/article/view/210 https://doi.org/10.51338/rppsm.2021.v7.i2.210 https://www.revistapsiquiatria.pt/index.php/sppsm/article/view/210/82 |
dc.rights.driver.fl_str_mv |
Direitos de Autor (c) 2021 Revista Portuguesa de Psiquiatria e Saúde Mental info:eu-repo/semantics/openAccess |
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Direitos de Autor (c) 2021 Revista Portuguesa de Psiquiatria e Saúde Mental |
eu_rights_str_mv |
openAccess |
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application/pdf |
dc.publisher.none.fl_str_mv |
Sociedade Portuguesa de Psiquiatria e Saúde Mental |
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Sociedade Portuguesa de Psiquiatria e Saúde Mental |
dc.source.none.fl_str_mv |
Revista Portuguesa de Psiquiatria e Saúde Mental; Vol. 7 No. 2 (2021); 57-63 Revista Portuguesa de Psiquiatria e Saúde Mental; Vol. 7 N.º 2 (2021); 57-63 2184-5417 2184-5522 reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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