000			nab a22 7a 4500
999			_c17769 _d17769
003			PC17769
005			20231201135430.0
008			231130b xxu||||| |||| 00| 0 eng d
040			_cH12O
041			_aeng
100			_91875 _aSanz Fuentenebro, Francisco Javier _ePsiquiatría
100			_93381 _aBernardo, Miquel _eInstituto de Investigación imas12
245	0	0	_aElectroconvulsive Therapy Practice in Spain: A National Survey. _h[artículo]
260			_bThe journal of ECT, _c2016
300			_a32(1):55-61.
500			_aFormato Vancouver: Vera I, Sanz Fuentenebro J, Urretavizcaya M, Verdura E, Soria V, Martínez Amorós E et al. Electroconvulsive Therapy Practice in Spain: A National Survey. J ECT. 2016 Mar;32(1):55-61.
501			_aPMID: 26332499
504			_aContiene 55 referencias
520			_aObjectives: The use of electroconvulsive therapy (ECT) in Spain has not been systematically evaluated since 2000 to 2001. The aim of this study is to assess the current use of ECT in Spain. Methods: A cross-sectional survey was conducted covering every psychiatric unit in Spain as of December 31, 2012. Results: About 93.2% of the centers answered the questionnaire. About 54.9% of the psychiatric units applied ECT at a rate of 0.66 patients per 10,000 inhabitants. Wide variations existed among the different autonomous communities and provinces. Written informed consent was obtained in all the facilities. About 38.2% of ECT-treated patients were 65 years or older. About 55.7% were women. Depressive episodes were the main indication for ECT (80.2%). All the facilities applied modified ECT. No sine wave current devices are currently used in Spain. Bifrontotemporal ECT was elective in 85% of the hospitals, bifrontal in 13.3%, and unilateral in 1.8%. Stimulus titration methods were elective in 8.6% of the centers. The decision to end ECT relied on the psychiatrist's clinical impression in 89.4% of the centers and on rating scales in 10.6%. The ECT training was mandatory in 56.5% of the centers. Conclusions: The ECT practice has significantly improved in Spain in recent years. Overall, Spanish facilities seem to comply with established clinical guidelines; however, specific concerns were identified, meaning there is still further scope for improvement.
710			_9150 _aServicio de Psiquiatría
710			_9625 _aInstituto de Investigación imas12
856			_uhttp://pc-h12o-es.m-hdoct.a17.csinet.es/pdf/pc/1/pc17769.pdf _ySolicitar documento
942			_2ddc _cART _n0