Association of ECT With Risks of All-Cause Mortality and Suicide in Older Medicare Patients.

ABSTRACT:

Objective

This observational study examined the effects of electroconvulsive therapy (ECT) on suicide and all-cause mortality risk in older psychiatric patients.

Methods

Participants were Medicare-insured psychiatric inpatients age 65 or older. Patients receiving ECT were exact-matched to control subjects (in a 1:3 ratio) on age, gender, principal hospital diagnosis, past-year psychiatric hospitalizations, past-year suicide attempts, and Elixhauser comorbidity index. Cox proportional hazard models were risk-adjusted for race, year of hospitalization, rural-urban continuum code, year of index hospitalization, median income of zip code, and all matched covariates to estimate hazard ratios with 95% confidence intervals.

Results

A total of 10,460 patients in the ECT group

SUBMITTER: Rhee TG 

PROVIDER: S-EPMC8639649 | biostudies-literature | 2021 Dec

REPOSITORIES: biostudies-literature