A Dental Risk Management Protocol for Electroconvulsive Therapy
作者:
A. Morris,
Susan Roche,
Peter Bentham,
Jan Wright,
期刊:
The Journal of ECT
(OVID Available online 2002)
卷期:
Volume 18,
issue 2
页码: 84-89
ISSN:1095-0680
年代: 2002
出版商: OVID
关键词: Electroconvulsive therapy;Quality assurance, health care;Education, medical, continuing;Mouth;Tooth injury
数据来源: OVID
摘要:
This article describes the results of an evaluation of a system to use trained junior psychiatric doctors to perform the pre-ECT oral assessment. All junior doctors were given a 1-hour training session in making oral assessments, and their ability to diagnose was tested by dental follow-up visits to patients they had assessed. Seventy-one patients were seen by both doctor and dentist, and the sensitivity for doctors ranged between 92% for the presence of dentures or removable bridges to 8% for the presence of teeth vulnerable to fracture. Where the doctors made a positive diagnosis, these were not always correct; the positive predictive value ranging from 92% for dentures or removable bridges to 25% for teeth vulnerable to fracture. It is concluded that the use of trained doctors is better than no assessment but falls short of that provided by a dentist with experience of psychiatric patients undergoing ECT.
点击下载:
PDF
(363KB)
返 回