Cost Reduction with Maintenance ECT in Refractory Bipolar Disorder
1998; Lippincott Williams & Wilkins; Volume: 14; Issue: 1 Linguagem: Inglês
10.1097/00124509-199803000-00006
ISSN1533-4112
AutoresCurley Bonds, Mark A. Frye, Michael F. Coudreaut, Malcom Cunningham, Melissa K. Spearing, Michael T. McGuire, Barry H. Guzé,
Tópico(s)Electroconvulsive Therapy Studies
ResumoA case report of outpatient maintenance electroconvulsive therapy (ECT) is presented in a patient with bipolar disorder type I refractory to conventional medication treatment but responsive to ECT. A cost comparison is made showing substantial savings when outpatient maintenance ECT is used in lieu of inpatient hospitalization with ECT. A detailed life chart illustrating multiple medication trials that failed to stabilize the patient accompanies the financial summary. This case highlights the advantages of outpatient maintenance ECT for bipolar depression particularly with regard to safety, efficacy, and significant health care cost reduction.
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