What proportion of primary psychiatric interventions are based on evidence from randomised controlled trials?

被引:45
作者
Geddes, JR [1 ]
Game, D [1 ]
Jenkins, NE [1 ]
Peterson, LA [1 ]
Pottinger, GR [1 ]
Sackett, DL [1 ]
机构
[1] OXFORD RADCLIFFE NHS TRUST, NUFFIELD DEPT MED, RES & DEV PROGRAMME CTR EVIDENCE BASED MED, OXFORD, ENGLAND
来源
QUALITY IN HEALTH CARE | 1996年 / 5卷 / 04期
关键词
psychiatry; interventions; evidence;
D O I
10.1136/qshc.5.4.215
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Objectives-To estimate the proportion of psychiatric inpatients receiving primary interventions based on randomised controlled trials or systematic reviews of randomised controlled trials. Design-Retrospective survey. Setting-Acute adult general psychiatric ward. Subjects-All patients admitted to the ward during a 28 day period. Main outcome measures-Primary interventions were classified according to whether or not they were supported by evidence from randomised controlled trials or systematic reviews. Results-The primary interventions received by 26/40 (65%; 95% confidence interval (95% CI) 51% to 79%) of patients admitted during the period were based on randomised trials or systematic reviews. Conclusions-When patients were used as the denominator, most primary interventions given in acute general psychiatry were based on experimental evidence. The evidence was difficult to locate; there is an urgent need for systematic reviews of randomised controlled trials in this area.
引用
收藏
页码:215 / 217
页数:3
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