Early Readmission in Patients After Electroconvulsive Therapy In A University Hospital Setting- A Retrospective Study

AN, Amer Siddiq (2009) Early Readmission in Patients After Electroconvulsive Therapy In A University Hospital Setting- A Retrospective Study.

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Abstract

Electroconvulsive therapy (ECT) is an effective treatment for major mental <br /> illnesses. It is used to achieve rapid and short-term improvement of severe <br /> symptoms after an adequate trial of other treatment options have proven <br /> ineffective. Relapse rates following ECT are high and leading to early <br /> readmission. Objective: To study the early readmission rate in patients had <br /> received ECT and its relation with age, gender, race and clinical diagnosis. <br /> Methods: This is a retrospective descriptive study of patients who had <br /> received ECT in 1-year period. Subjects were identified from the ECT record <br /> book. Case notes of these patients were then traced and reviewed. Clinical <br /> diagnosis and demographic data were collected. Patients readmitted within 6 <br /> months after being discharged were identified. The data was compared for <br /> the readmitted and not readmitted group. Result: A total of 156 subjects who <br /> had received ECT were included in this study. Mean age was 40 years old, <br /> 51% were female and the main diagnosis was bipolar affective disorder <br /> (42.9%). Early readmission rate was 30.1%. Mean time to relapse was 5.3 <br /> months. Chi Square analysis indicated that younger age was significantly <br /> associated with early readmission among ECT patients. Conclusion: ECT <br /> patients had high early readmission rate. Adequate post ECT psychosocial <br /> intervention and pharmacotherapy may help to reduce the readmission rate.

Item Type: Article
Uncontrolled Keywords: electroconvulsive therapy, early readmission, mental illness
Subjects: R Medicine
Depositing User: MR. ADNAN YAHYA
Date Deposited: 16 Jun 2009
Last Modified: 16 Jun 2009
URI: http://repository.um.edu.my/id/eprint/74058

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