Bir Üniversite Hastanesi Psikiyatri Kliniğinde Elektrokonvülsif Terapi Uygulanmış Hastaların Sosyodemografik ve Klinik Özelliklerinin Retrospektif Olarak İncelenmesi

GİRİŞ VE AMAÇ:Bu çalışmada bir üniversite hastanesi psikiyatri kliniğinde yatarak tedavi gören hastalarda elektrokonvülsif terapi (EKT) uygulamaları ile ilgili sosyodemografik ve klinik özelliklerin ortaya koyulması amaçlanmıştır YÖNTEM VE GEREÇLER:1 Ocak 2014 – 31 Aralık 2019 yılları arasında yatarak tedavi gören 3589 hastadan EKT uygulanan 301 hasta çalışmaya dahil edilmiştir. Hastaların sosyodemografik ve klinik özellikleri retrospektif olarak değerlendirilmiştir. BULGULAR:Kliniğimizde 6 yıllık dönemde yatarak tedavi gören 3589 hastadan 301’ine (%8,3) EKT uygulandığı saptandı. Hastaların 198’i (%65,8) kadın, 103’ü (%34,2) ise erkekti. Hastalara ortalama 8,64±2,43 seans EKT uygulandığı saptandı. Hastaların %87,7’sinin tam veya kısmi fayda gördüğü %12,3’ünün ise hiç fayda görmediği saptandı. EKT uygulamasının en sık duygudurum bozukluğu tanısı almış hastalara (%77,4), ikinci sıklıkta psikotik bozukluğu olan hastalara (%16,9) yapıldığı görüldü. Hastaların 44’ünde (%14,6) komplikasyon meydana geldiği ve bu komplikasyonların en sık konfüzyon, baş ağrısı ve unutkanlık olduğu görüldü. TARTIŞMA VE SONUÇ:Bu çalışma EKT’nin etkili, güvenilir ve yan etki riski oldukça düşük bir tedavi olduğunu göstermiştir.

Anahtar Kelimeler:

elektrokonvülsif terapi, EKT, somatik sağaltım, depresyon, duygudurum bozukluğu

Retrospective Evaluation of Sociodemographic and Clinical Characteristics of Patients Treated with Electroconvulsive Therapy in a University Hospital Psychiatry Clinic

INTRODUCTION:In this study, it was aimed to reveal the sociodemographic and clinical characteristics of electroconvulsive therapy (ECT) applications in inpatients in a university hospital psychiatry clinic. METHODS:Among the 3589 patients who were hospitalized between January 1, 2014, and December 31, 2019, 301 patients who underwent ECT were included in the study. Sociodemographic and clinical characteristics of the patients were evaluated retrospectively. RESULTS:It was determined that ECT was applied to 301 (8.3%) of 3589 patients who were hospitalized in our clinic during a 6-year period. Of the patients, 198 (65.8%) were female and 103 (34.2%) were male. It was determined that an average of 8.64±2.43 sessions of ECT was applied to the patients. It was determined that complete or partial remission was achieved in 87.7% of the patients, and 12.3% of them did not benefit at all. It was observed that ECT was applied most frequently to patients diagnosed with mood disorder (77.4%), and secondly to patients with psychotic disorder (16.9%). Complications occurred in 44 (14.6%) of the patients, and the most common of these complications were confusion, headache, and forgetfulness. DISCUSSION AND CONCLUSION:This study showed that ECT is an effective, safe treatment with a very low risk of side effects.

Keywords:

electroconvulsive therapy, ECT, somatic therapy, depression, mood disorder,

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