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- W2623029168 abstract "Analizar en términos cuantitativos y cualitativos la situación del uso de la terapia electroconvulsiva (TEC) en España en la actualidad, así como explorar aquellos aspectos que pudieran condicionar su utilización. Encuesta transversal en todas las unidades psiquiátricas existentes en España a fecha 31/12/2012. El 54,9% de las unidades estudiadas aplicaban TEC, resultando en una tasa de aplicación de 0,66 por 10.000 habitantes. Existen amplias variaciones en las tasas de aplicación entre comunidades autónomas (0,00-1,39) y provincias (0,00-3,90). La TEC se indicó en el período estudiado a una media de 25,5 pacientes en los centros que disponían de la técnica, y a 4,5 en los centros que remitían a otros para aplicarla (p = 0,000), pero con amplias diferencias entre centros. El número de centros que disponen de TEC en España es uno de los más elevados entre los países occidentales, pero la tasa de aplicación de esta técnica continúa siendo una de las más bajas, existiendo además marcadas diferencias entre las distintas comunidades autónomas, e incluso entre provincias y centros hospitalarios de una misma comunidad autónoma. Parece preciso implementar estrategias de planificación sanitaria y de formación para reducir la heterogeneidad observada en la prescripción y aplicación de la TEC en España. The main aims of our study were to estimate the current rates and pattern of electroconvulsive therapy (ECT) use in Spain, as well as exploring the causes that may be limiting its use in our country. A cross-sectional survey was conducted covering every psychiatric unit in Spain as of 31 December 2012. More than half (54.9%) of the psychiatric units applied ECT at a rate of 0.66 patients per 10,000 inhabitants. There are wide variations with regard to ECT application rates between the different autonomous communities (0.00-1.39) and provinces (0.00-3.90). ECT was prescribed to a mean of 25.5 patients per hospital that used the technique and 4.5 in referral centre (P = .000), but wide differences were reported in the number of patients who were prescribed ECT from hospital to hospital. Although the percentage of psychiatric units applying ECT in our country is among the highest in the world, the ECT application rate in Spain is among the lowest within western countries. Large differences in ECT use have been reported across the various autonomous communities, provinces and hospitals. Thus, health planning strategies need to be implemented, as well as promoting training in ECT among health professionals, if these differences in ECT use are to be reduced." @default.
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- W2623029168 date "2017-04-01" @default.
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- W2623029168 title "Patrón de uso de la terapia electroconvulsiva en España: propuestas para una práctica óptima y un acceso equitativo" @default.
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- W2623029168 doi "https://doi.org/10.1016/j.rpsm.2015.12.003" @default.
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