Readmission to psychiatric hospital after treatment for depression with electroconvulsive therapy: the effect of planned readmissions

J ECT. 2012 Jun;28(2):e12-3. doi: 10.1097/YCT.0b013e31823fbb13.

Abstract

Objectives: To assess the effect of planned readmissions on readmission risk for electroconvulsive therapy (ECT)-treated patients.

Methods: A naturalistic historical study compared the readmission risk for depressed ECT-treated patients to depressed patients not treated with ECT while accounting for planned readmissions.

Results: Initial analyses revealed that ECT-treated patients were at greater risk of readmission compared to patients not treated with ECT. However, after accounting for planned readmissions, these differences became nonsignificant.

Limitations: Only readmissions to a single psychiatric hospital were examined. Therefore, these data may underestimate readmission rates.

Conclusions: Not accounting for planned readmissions may lead to overestimations of negative outcome.

Publication types

  • Letter

MeSH terms

  • Adult
  • Aged
  • Depressive Disorder, Major / psychology
  • Depressive Disorder, Major / therapy*
  • Electroconvulsive Therapy*
  • Female
  • Hospitals, Psychiatric*
  • Humans
  • Male
  • Middle Aged
  • Patient Care Planning
  • Patient Readmission*
  • Probability
  • Proportional Hazards Models
  • Risk Assessment
  • Survival Analysis
  • Treatment Outcome