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Teilweise wird dieses Versorgungsdefizit durch Zuweisungen an EKT-durchf\u00fchrende Kliniken kompensiert, was jedoch durch dort verf\u00fcgbare Ressourcen limitiert ist.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Ziel der Arbeit<\/jats:title>\n                    <jats:p>Untersuchung der externen Zuweisungen zur EKT am Beispiel der Universit\u00e4tsmedizin G\u00f6ttingen. Analysiert werden sollen die Zuweiserstruktur, die Patientencharakteristika, die leitliniengerechte Pharmakotherapie vor Indikationsstellung zur EKT sowie das Therapieoutcome im Falle einer Behandlung mit EKT.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Material und Methoden<\/jats:title>\n                    <jats:p>Externe Anmeldungen zur EKT wurden \u00fcber ein Jahr systematisch erfasst und retrospektiv ausgewertet. Neben der deskriptiven Darstellung der Daten erfolgte der Abgleich pharmakologischer Vorbehandlungen mit den aktuellen Leitlinienempfehlungen. Das Therapieoutcome nach durchgef\u00fchrter EKT wurde mittels des klinischen Gesamteindrucks (CGI-I) bestimmt.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Ergebnisse<\/jats:title>\n                    <jats:p>\n                      F\u00fcr\n                      <jats:italic>N<\/jats:italic>\n                      \u202f=\u200952\u00a0Patienten erfolgte die Anfrage zur \u00dcbernahme, davon kamen 82,7\u202f% aus dem station\u00e4ren Setting und aus einer Entfernung von bis zu 300\u202fkm. Unipolare Depressionen (57,7\u202f%) und St\u00f6rungen aus dem Schizophreniespektrum (36,5\u202f%) waren die h\u00e4ufigsten Diagnosen. Vor Zuweisung erfolgte in der Mehrheit der F\u00e4lle mindestens eine leitliniengerechte Vorbehandlung. Bei 18\u00a0Patienten wurde eine EKT in unserem Haus durchgef\u00fchrt, von diesen zeigten 72,7\u202f% ein gutes bis sehr gutes Ansprechen.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Diskussion<\/jats:title>\n                    <jats:p>Anzahl und Radius der Zuweisungen zeigen einen hohen ungedeckten Bedarf in der Versorgung mit EKT und damit einen eingeschr\u00e4nkten Zugang zu einer evidenzbasierten und leitlinienempfohlenen Therapie. Im Sinne einer heimatnahen Behandlung ist anzustreben, EKT als Therapieangebot an mehr Kliniken zu etablieren. Auch bei externen Zuweisungen und damit verbundenen, zum Teil erheblichen Verz\u00f6gerungen ist die Ansprechrate diagnose\u00fcbergreifend gut.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00115-022-01360-9","type":"journal-article","created":{"date-parts":[[2022,8,11]],"date-time":"2022-08-11T10:03:01Z","timestamp":1660212181000},"page":"8-17","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Versorgungsaspekte der Elektrokonvulsionstherapie: Analyse der externen Zuweisungen an ein universit\u00e4res Zentrum","Health service aspects of electroconvulsive therapy: analysis of external referrals to a\u00a0university medical center"],"prefix":"10.1007","volume":"94","author":[{"given":"Isabel","family":"Methfessel","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Belz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fabienne","family":"B\u00fchler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Zilles-Wegner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2022,8,11]]},"reference":[{"issue":"8","key":"1360_CR1","first-page":"504","volume":"100","author":"Wissenschaftlicher Beirat der Bundes\u00e4rztekammer","year":"2003","unstructured":"Wissenschaftlicher Beirat der Bundes\u00e4rztekammer (2003) Stellungnahme zur Elektrokrampftherapie (EKT) als psychiatrische Behandlungsma\u00dfnahme. 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