12 August 2019

Swedish National Quality Registry for ECT

  • Registry Manager: Region Örebro
  • Registry Centre - affiliation: Registry Centre VGR
  • Start year: 2008
  • Classifications used: KVÅ, ICD10
  • This registry contains data on: Pharmaceuticals, Diagnoses, Interventions, Inpatient Care

Description of registry

The Swedish National Quality Register for ECT started in 2008 as a collaborative venture between clinically active and researching doctors and nurses in Örebro, Uppsala and Dalarna. The registry covers all hospitals across the country.
High-quality reported data and a high coverage rate are augmented by a regional organisation that collaborates with the clinics on reporting, interpretation and feedback.

Collected data is used for both operational monitoring and for research.

In order to use data from the quality registry as a basis for clinical improvement measures and operational development, a number of quality indicators have been outlined. These indicators are general and can be used by all units connected to the registry. The target levels can be customised for each unit.

Brief list of quality indicators

  • Proportion of patients documented with an established indication for ECT.
  • Proportion of patients with severe depression in psychiatric inpatient care that were treated with ECT.
  • Proportion of patients with depression that are evaluated with MADRS or MADRS-S after index-ECT.
  • Proportion of patients reaching remission from depression after the ECT.
  • Proportion of patients where the result of the self-report measure for memory function (CPRS-memory item) is documented before and after ECT.
  • Proportion of patients reporting subjective memory worsening after ECT.

Registry for Transcranial Magnetic Stimulation

Since 2018 the registry also collects data about Repetitive Transcranial Magnetic Stimulation (rTMS).

Population

The registry aims to include all patients who have received ECT treatment. Approximately 4 000 patients a year.
The registry aims to include all patients who have received rTMS treatment. Approximately 200 patients a year.

Ages in the registry

All ages.

Coverage rate

About 90 percent.

Note: Variable lists are updated on a regular basis and should therefore be seen as preliminary. For the latest version, please contact the registry.

Category: Psychiatry

Certification level: 1

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