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Please use this identifier to cite or link to this item: http://hdl.handle.net/2262/54951

Title: Regional Variation in Electroconvulsive Therapy Use
Author: MC LOUGHLIN, DECLAN
DUNNE, ROSS
Sponsor: Health Research Board
Author's Homepage: http://people.tcd.ie/dunner6
http://people.tcd.ie/mclougde
Keywords: Psychiatry
electroconvulsive therapy (ECT)
depression
Issue Date: 2011
Citation: Ross A. Dunne, Declan M. McLoughlin, Regional Variation in Electroconvulsive Therapy Use, Irish Medical Journal, 104, 3, 2011, 84 - 87
Series/Report no.: Irish Medical Journal
104
3
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.
Description: PUBLISHED
URI: http://hdl.handle.net/2262/54951
Related links: http://www.imj.ie//ViewArticleDetails.aspx?ArticleID=7316
Appears in Collections:Psychiatry (Scholarly Publications)

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