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Amaç: Kliniğimiz tıbbi kayıtlarına dayanan bu çalışmada Türkiye’de elektrokonvülsif tedavi (EKT) kullanım sıklığını, endikasyonlarını ve takip süreci hasta uyum oranlarını incelemek amaçlanmıştır. Gereç ve Yöntemler: İki yıllık Ocak 2014—Aralık 2015 döneminde Ankara Numune Eğitim ve Araştırma Hastanesi Psikiyatri Kliniği’ne yatırılan ve EKT gören 105 hastanın tedavi ve müteakip bir yıllık takip kayıtları retrospektif olarak incelenmiştir. Bulgular: Hastaların %9,95’ine EKT uygulanmıştı. En yaygın endikasyon şizofreni olup bunu bipolar bozukluk (manik epizot) izlemekteydi. Ortalama EKT seansı sayısı 7,60±2,58 idi. Tedavide en yaygın görülen komplikasyonlar uzamış konfüzyon ve kardiyovasküler sistem yan etkisi idi. EKT en sık tedavi direnci ve oral alım reddi nedenlerinden ötürü tercih edilmişti. Bir yıllık takip sürecinde hastaların %89,5’i takip protokolüne uymuş olup %9,5’i nüks nedeniyle yeniden hastaneye yatırılmıştı. Mükerrer EKT hastaların sadece %1,9’unda görüldü. Tartışma ve Sonuç: EKT güvenli ve etkili bir tedavi seçeneği olmayı sürdürmektedir. EKT’nin güncel tedaviler arasındaki yerinin daha iyi anlaşılabilmesi için geniş örneklemli, prospektif çalışmalar yapılması yararlı olabilir.
Purpose: This study, based on medical records of our clinic, aims to study the frequency of use of electroconvulsive therapy (ECT) in Turkey, the indications and the patient conformity rates of the follow-up process. Tools and Methods: During the two-year period of January 2014-December 2015, the treatment and follow-up records of 105 patients who were deposited in the Ankara Example Education and Research Hospital Psychiatric Clinic and saw ECT were reviewed retrospectively. Results: ECT was applied to 9.95% of patients. The most common indication was schizophrenia and it was followed by bipolar disorder (manic episode). The average number of ECT sessions was 7.60±2,58. The commonly seen complications in treatment were prolonged confusion and cardiovascular system side effects. The treatment was preferred due to resistance and oral rejection. During a year of tracking, 89.5 percent of patients followed the tracking protocol and 9.5 percent were re-hospitalized due to nonsense. It was observed in only 1.9% of patients. Discussions and Results: ECT continues to be a safe and effective treatment option. A wide sample, prospective study may be useful to better understand the location of the ECT among current treatments.
Aim: In this study based on the medical records of our clinic, we aimed to investigate the therapy frequency and indications and follow-up compliance rates in patients treated with electroconvulsive therapy (ECT) in Turkey. Materials and Methods: We retrospectively reviewed the treatment records and subsequent one-year follow-up data of 105 patients who were hospitalized and underwent ECT at the Psychiatry Clinic of the Ankara Numune Training and Research Hospital in the two-year period between January 2014 and December 2015. Results: ECT was performed in 9.95% of the cases. The most common indication was schizophrenia, followed by bipolar disorder (manic episode). The mean number of ECT sessions was 7.60±2.58. The primary complications due to the treatment were prolonged confusion and cardiovascular system side effects. ECT was mostly preferred due to treatment resistance and refusal of oral intake. During the one-year follow-up, 89.5% of the patients complied with the follow-up protocol and 9.5% were re-hospitalized due to a recurrence. ECT was repeated in only 1.9% of the cases. Discussion and Conclusion: ECT continues to be a safe and effective treatment option. Prospective studies with larger samples can better elucidate the place of ECT among current therapies.
Alan : Sağlık Bilimleri
Dergi Türü : Uluslararası
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