title: [Evaluation of antidepressant treatment in patient with comorbidity. Using informatics technology].
abstract: OBJECTIVE
  To evaluate the quality of care and improvement opportunities of medically ill depressed patients in a Psychiatric Facility using electronic medical records.
  
  
  METHODS
  Observational, retrospective study. A literature review was conducted to identify and analyze evidence based quality indicators. We scored the clinical records to estimate the proportion of continuous antidepressant treatment at 12 and 24 weeks, response and remission rates at 8 weeks, the use of clinimetric scales, evidence based psychotherapeutic interventions (cognitive and interpersonal), and the emergence of antidepressant related safety events.
  
  
  RESULTS
  Of 100 patients with an average age of 48.7 years, 49 % and 34 % received treatment during 12 and 24 weeks respectively. 50 % had response and 28 % remission at 8 weeks. Use of clinimetric scales was registered in 33 % and psychotherapeutic interventions in 28 % of the interviews. One patient had seizures related to antidepressant use.
  
  
  CONCLUSIONS
  An increase in the proportion of patients achieving remission and the use of clinimetric scales with psychotherapeutic interventions are improvement opportunities to look for in the care of depressed patients with medical comorbidity.
authors.affiliation: Departamento de Psiquiatría, Hospital de Especialidades, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social. felipe.vazquez@imss.gob.mx
authors.forename: Felipe
authors.initials: F
authors.lastname: Vázquez-Estupiñán
authors.forename: Juan Carlos
authors.initials: JC
authors.lastname: Rosel-Palacios
authors.forename: Alexandra
authors.initials: A
authors.lastname: Kitazawa-Ohtomo
authors.forename: Alba Mara
authors.initials: AM
authors.lastname: Caballero-Catro
authors.forename: Paulino
authors.initials: P
authors.lastname: Salinas-García
authors.forename: Irma
authors.initials: I
authors.lastname: Corlay-Noriega
authors.forename: Luis Guillermo
authors.initials: LG
authors.lastname: Ruiz-Flores
mesh_terms: D000928:Antidepressive Agents / Q000627:therapeutic use*; D003863:Depression / Q000150:complications / Q000628:therapy*; D005260:Female; D006801:Humans; D008297:Male; D016347:Medical Records Systems, Computerized; D008875:Middle Aged; D012189:Retrospective Studies
chemical_list: D000928:Antidepressive Agents