Am J Psychiatry 155:22-29, January 1998
© 1998 American Psychiatric Association
Use of ECT for the Inpatient Treatment of Recurrent Major Depression
Mark Olfson, M.D., M.P.H.,
Steven Marcus, M.A.,
Harold A. Sackeim, Ph.D.,
James Thompson, M.D., M.P.H., and
Harold Alan Pincus, M.D.
OBJECTIVE: The authors' goals were to determine the frequency and distribution of ECT for general hospital inpatients with recurrent major depression and to estimate the effects of prompt ECT on the length and cost of inpatient care. METHOD: Data from the 1993 Healthcare Cost and Utilization Project were analyzed to determine the rate of ECT use for adult inpatients with a principal discharge diagnosis of major depression, recurrent. Associations between prompt initial use of ECT (in the first 5 hospital days) and length and cost of inpatient care were examined before and after control for sociodemographic, diagnostic, and hospital organizational characteristics. RESULTS: An estimated 9.4% of general hospital adult inpatients with a principal diagnosis of recurrent major depression received ECT in the survey year. A majority (59.2%) of these received their initial ECT session within the first 5 days after hospital admission. In univariate analyses, the likelihood of receiving ECT was greater for older patients, whites, privately insured individuals, and patients who lived in more affluent areas. Patients who received ECT tended to have relatively long and costly admissions. After control for several demographic, diagnostic, and hospital organizational characteristics, prompt ECT (as compared with delayed ECT or none) was associated with significantly shorter and less costly inpatient care. CONCLUSIONS: The longer stays and higher treatment costs associated with ECT may be a consequence of patient selection. When patient selection is taken into account, prompt administration of ECT is associated with shorter and less costly hospital stays. Nonetheless, economically disadvantaged patients are relatively unlikely to receive this treatment. (Am J Psychiatry 1998; 155:22–29)
This article has been cited by other articles:
|
|
|
|
 
J. C. West, S. C. Marcus, J. Wilk, L. M. Countis, D. A. Regier, and M. Olfson
Use of Depot Antipsychotic Medications for Medication Nonadherence in Schizophrenia
Schizophr Bull,
September 1, 2008;
34(5):
995 - 1001.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
W. R. Breakey and G. J. Dunn
Racial Disparity in the Use of ECT for Affective Disorders
Am J Psychiatry,
September 1, 2004;
161(9):
1635 - 1641.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
I. Kujala, B. Rosenvinge, and S. I. Bekkelund
Clinical Outcome and Adverse Effects of Electroconvulsive Therapy in Elderly Psychiatric Patients
J Geriatr Psychiatry Neurol,
June 1, 2002;
15(2):
73 - 76.
[Abstract]
[PDF]
|
|
|
|
|
|
|
S. C. Cooke and M. L. Tucker
Geriatric Depression
Journal of Pharmacy Practice,
December 1, 2001;
14(6):
498 - 510.
[Abstract]
[PDF]
|
|
|
|
|
|
|
G. G. Gagné Jr., M. J. Furman, L. L. Carpenter, and L. H. Price
Efficacy of Continuation ECT and Antidepressant Drugs Compared to Long-Term Antidepressants Alone in Depressed Patients
Am J Psychiatry,
December 1, 2000;
157(12):
1960 - 1965.
[Abstract]
[Full Text]
|
|
|
|
|
|
|
J. D. Tew Jr., B. H. Mulsant, R. F. Haskett, J. Prudic, M. E. Thase, R. R. Crowe, D. Dolata, A. E. Begley, C. F. Reynolds III, and H. A. Sackeim
Acute Efficacy of ECT in the Treatment of Major Depression in the Old-Old
Am J Psychiatry,
December 1, 1999;
156(12):
1865 - 1870.
[Abstract]
[Full Text]
|
|
|
|
|
|
|
ECT and Managed Care
Journal Watch Psychiatry,
September 1, 1998;
1998(901):
19 - 19.
[Full Text]
|
|
|
|
|
|
|
ECT for Recurrent Major Depression
Journal Watch Psychiatry,
March 1, 1998;
1998(301):
1 - 1.
[Full Text]
|
|
|
Get information about faster international access.
Privacy Policy
Copyright © 1998
American Psychiatric Association.
All rights reserved.
Home
| Search
| Current Issue
| Past Issues
| Subscribe
| All APPI Journals
| Help
| Contact Us
|
