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J Affect Disord. 2000 Apr;58(1):75-8.

Variation in rates of electroconvulsive therapy use among consultant teams in Edinburgh (1993-1996).

Author information

  • 1Andrew Duncan Clinic, Royal Edinburgh Hospital, Edinburgh, UK.

Abstract

BACKGROUND:

Critics of electroconvulsive therapy (ECT) have expressed concern about variations in ECT use among consultant teams within the same hospital. The aim was to establish whether or not there was a significant variation in rates of ECT use among consultant teams in the same hospital when in-patient workload was taken into account.

METHODS:

A computerised database was used to calculate annual and aggregate rates of ECT use by consultant team, expressed as the number of individual in-patients treated per 100 in-patients discharged between 1993 and 1996.

RESULTS:

The variation in aggregate rates of ECT use varied approximately 18-fold among the 11 general adult psychiatric teams (P<0.001), and twofold among the three sector old-age psychiatric teams (P<0.05).

CONCLUSIONS:

Substantial variation in the rates of ECT use was confirmed, but only among general adult psychiatric teams.

LIMITATIONS:

The extent to which findings from one teaching hospital can be generalised was unknown. Possible explanations of the variations were not assessed.

PMID:
10760561
[PubMed - indexed for MEDLINE]
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