[Evaluation of antidepressant treatment in patient with comorbidity. Using informatics technology].
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.
Vázquez-Estupiñán
Felipe
F
Departamento de Psiquiatría, Hospital de Especialidades, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social. felipe.vazquez@imss.gob.mx
Rosel-Palacios
Juan Carlos
JC
Kitazawa-Ohtomo
Alexandra
A
Caballero-Catro
Alba Mara
AM
Salinas-García
Paulino
P
Corlay-Noriega
Irma
I
Ruiz-Flores
Luis Guillermo
LG
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
D000928:Antidepressive Agents