https://scholars.lib.ntu.edu.tw/handle/123456789/504841
標題: | Effectiveness of electroconvulsive therapy on treatment-resistant depressive disorder: A population-based mirror-image study | 作者: | Lin C.-Y. I-MING CHEN Tsai H.-J. CHI-SHIN WU Shih-Cheng Liao |
公開日期: | 2020 | 出版社: | Elsevier Ltd | 卷: | 121 | 起(迄)頁: | 101-107 | 來源出版物: | Journal of Psychiatric Research | 摘要: | The clinical effects of electroconvulsive therapy (ECT) in treatment-resistant depressive disorders need to be systemically examined in representative samples. This study aimed to examine whether ECT reduced re-hospitalization within one year after discharge. The authors used the Psychiatric Inpatients Medical Claim Dataset, a subset of a total population health claims database from Taiwan, to include 784 inpatients with treatment-resistant depressive disorders screened for ECT during hospitalization between 2001 and 2011. The same number of comparison subjects was selected by frequency matching on the demographic and clinical characteristics. Using a mirror-image comparison design, we compared group differences in re-hospitalization rate, number of hospital days, number of emergency department visits, and direct medical costs during the 1-year pre- and post-ECT periods. The modifying effects of patients’ characteristics on these outcomes were also explored. The results showed that ECT was associated with a significant decrease in the rate of hospitalizations and emergency department visits over the 1-year follow-up period. However, there were no significant difference in the reduced rate of hospitalizations between ECT and comparison group. Demographic and clinical characteristic had no modifying effect on the odds of psychiatric hospitalization. In conclusions, ECT could reduce the rate of hospitalization and number of emergency department visits in patients with treatment-resistant depressive disorders. However, the study results might be biased by the inherent deficits of mirror-image design. ? 2019 |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-85075710877&doi=10.1016%2fj.jpsychires.2019.11.016&partnerID=40&md5=4f41f1937df791bd634f9e5106aabce6 https://scholars.lib.ntu.edu.tw/handle/123456789/504841 |
ISSN: | 0022-3956 | DOI: | 10.1016/j.jpsychires.2019.11.016 | SDG/關鍵字: | adult; aged; Article; clinical effectiveness; electroconvulsive therapy; emergency ward; female; follow up; health care cost; hospital readmission; hospitalization; human; major clinical study; male; population research; priority journal; treatment outcome; treatment resistant depression; comparative study; economics; electroconvulsive therapy; methodology; middle aged; Taiwan; treatment resistant depression; young adult; Adult; Aged; Depressive Disorder, Treatment-Resistant; Electroconvulsive Therapy; Female; Follow-Up Studies; Hospitalization; Humans; Male; Middle Aged; Outcome Assessment, Health Care; Patient Readmission; Research Design; Taiwan; Young Adult |
顯示於: | 醫學系 |
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