The use of electroconvulsive therapy and the length of stay of XXXX inpatients at King Chulalongkorn Memorial Hospital, Thai Red Cross Society.

@entity1 @entity162 @entity308 @entity146 @entity303 @entity161 @entity716
BACKGROUND: Electroconvulsive therapy (ECT) is the effective treatment in @entity146 @entity1 . However, the controversies about the risk and benefit limit the use of this procedure. Some efficacies of ECT may be interesting to use in hospitalized @entity1 such as rapid onset, risk reduction but it may increase the length of stay (LOS) in previous study. OBJECTIVES: To study the use of ECT in hospitalized @entity146 @entity1 in the aspect of indication , diagnosis and the length of stay. MATERIAL AND METHOD: From August to September 2004, all 51 cases of @entity146 inpatient medical records were studied. The top five of diagnosis were @entity161 (49%), @entity162 (23.5%), acute @entity716 (7.8%), @entity308 (5.9%) and @entity303 (5.9%). ECT was performed in 22 cases (43.1%). RESULTS: The average length of stay was 21.5 +/- 14.5 days. The mean LOS of the ECT group 25.9 +/- 15.8 days was not quite longer compared with 17.8 +/- 12.7 days of the Non ECT group comparison between the ECT group (64%) and the non ECT group (36%) of @entity161 , the LOS of each group was 27.3 +/- 16.7 and 16.9 +/- 8.8 days which was also not significant. LOS of ECT of the bipolar group (20%) and the non ECT bipolar group (80%) was 10.5 +/- 4.9 and 23.0 +/- 18.3 days which was not statistically significant (p = 0.39). There were 3 major indications for ECT such as a severe violence case, suicidal case, refractory case with the mean LOS of 19.9 +/- 10.9, 17.5 +/- 12.8, 43.3 +/- 21.2 and 31.7 +/- 8.3 days subsequently. The @entity1 who had the refractory indication had a longer length of stay than other indications. CONCLUSION: Overall average length of stay was not longer in the ECT group. The ECT group had a longer length of stay than the non ECT group in the refractory treatment case only. ECT can be used in a @entity146 ward with the efficacy of its indication without prolonged length of stay.
