Electroconvulsive Therapy in Canada During the First Wave of COVID-19

Demchenko, Ilya; Blumberger, Daniel M.; Flint, Alastair J.; Anderson, Melanie; Daskalakis, Zafiris J.; Foley, Karen; Karkouti, Keyvan; Kennedy, Sidney H.; Ladha, Karim; Robertson, Jamie; Vaisman, A; Koczerginski, David; Parikh, Sagar V.; Bhat, Venkat

doi:10.1097/yct.0000000000000801

Cited by 10 publications

(43 citation statements)

References 42 publications

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“…Finally, it was unclear whether there was a shortage of anesthesiologists in Japan during the study period. Other countries reported that several cases of ECT were stopped due to a shortage of anesthesiologists, especially in the early stages of infection, 3 , 37 and a survey that includes the perspective of anesthesiologists is needed in the future.…”

Section: Discussionmentioning

confidence: 99%

“…The number of ECT procedures was less affected in Japan than that in several other countries. 3,4,[14][15][16] According to a previous paper from Canada, between mid-March and mid-May 2020, the number of ECT procedures in that country decreased in 64% of facilities, with procedures completely stopped in 27% of facilities. 3 In the United Kingdom and Ireland in April 2020, 88% of facilities reported a decrease in the number of ECT procedures and 24% had stopped completely, and in July 2020, 78% of facilities still reported a decrease in the number of procedures.…”

Section: Number Of Ect Proceduresmentioning

confidence: 99%

“…3,4,[14][15][16] According to a previous paper from Canada, between mid-March and mid-May 2020, the number of ECT procedures in that country decreased in 64% of facilities, with procedures completely stopped in 27% of facilities. 3 In the United Kingdom and Ireland in April 2020, 88% of facilities reported a decrease in the number of ECT procedures and 24% had stopped completely, and in July 2020, 78% of facilities still reported a decrease in the number of procedures. 4 The lower impact of the pandemic on ECT practices in Japan may be due to the relatively small number of infected people and few restrictions on movement in the society such as lockdowns.…”

Section: Number Of Ect Proceduresmentioning

confidence: 99%

“…In several countries with severe outbreaks of COVID-19, the number of ECT cases declined in 2020, and some facilities stopped ECT completely. 3 , 4 In April 2020, a group of psychiatrists in the United States appealed vigorously to the medical community to support that ECT is an essential treatment modality, even with limited medical resources, and that some patients can only be effectively treated by ECT. 5 Specialists in ECT then developed recommendations for the criteria to guide ECT introduction and infection control measures during the COVID-19 pandemic.…”

Section: Introductionmentioning

confidence: 99%

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An Online Survey About Electroconvulsive Therapy in Japan During the COVID-19 Pandemic: Comparison of Early and Recent Stages

Hirata¹,

Kawashima²,

Tsuboi³

et al. 2022

NDT

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To provide an overview of how electroconvulsive therapy (ECT) practice in Japan has changed as the coronavirus disease 2019 (COVID-19) pandemic continues. Patients and Methods: We surveyed healthcare institutions, primarily university and general hospitals, regarding changes in the number of patients undergoing ECT and infection control measures in the early (August 2020) and recent (August 2021) stages of the COVID-19 pandemic. Data for the early and recent stages were also compared between urban and non-urban areas. Results: Among 32 facilities, the number of patients undergoing ECT decreased in 11 facilities (34.4%) from April 2020 to March 2021 compared with the previous year, whereas the number increased in 12 (37.5%) from April to June 2021 compared with the previous year. As of August 2021, some facilities had ongoing restrictions. Compared with non-urban facilities, the number of patients undergoing ECT decreased more in urban facilities, which also had more ECT restrictions. Maintenance ECT was used at the same rate as before the pandemic for 23 (82.1%) of 28 institutions. Regarding infection control measures, many facilities considered polymerase chain reaction testing before ECT and required all staff to wear surgical masks and eye shields during ECT. Conclusion:The COVID-19 pandemic in Japan greatly affected the use of ECT in 2020; however, by the summer of 2021, infection control measures were relatively well established, the number of ECT cases stabilized and increased, and the decision to use ECT was again possible.

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Section: Discussionmentioning

confidence: 99%

Section: Number Of Ect Proceduresmentioning

confidence: 99%

Section: Number Of Ect Proceduresmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

An Online Survey About Electroconvulsive Therapy in Japan During the COVID-19 Pandemic: Comparison of Early and Recent Stages

Hirata¹,

Kawashima²,

Tsuboi³

et al. 2022

NDT

View full text Add to dashboard Cite

show abstract

“…The necessity of ECT in the treatment of these illnesses was supported by professional bodies worldwide (1)(2)(3). As with most health services, and especially procedure-based services, the COVID-19 pandemic has significantly disrupted ECT services, with services across North America, Asia, Europe, and Australia reporting decreases in ECT delivery and major changes in how ECT is delivered (4)(5)(6). This qualitative study explored the experiences of ECT clinical directors and anesthetists, globally, about ECT during the pandemic, and its impact on clinical services.…”

Section: Introductionmentioning

confidence: 99%

“ECT should never stop”: Exploring the experiences and recommendations of ECT clinical directors and anesthetists about ECT during the COVID-19 pandemic

et al. 2022

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Electroconvulsive therapy (ECT) is an effective treatment option for severe, treatment-resistant, and life-threating psychiatric illness. The COVID-19 pandemic has significantly disrupted ECT services. Services across North America, Europe, and Australia have reported decreased ECT delivery, and changes in the ways ECT is delivered. This study aimed to identify the impacts of COVID-19 on ECT services globally by exploring clinicians' experiences about ECT during the pandemic, and their recommendations for reducing the negative impacts of the pandemic. Data were collected using an electronic, cross-sectional survey, which included elicitation of free-text responses. The survey was open from March to November 2021. Clinical directors in ECT services, their delegates, and anesthetists were invited to participate. This paper reports the qualitative analysis of responses provided. Fifty-two participants provided qualitative response/s; 74.5% were clinical directors or their delegates, and 25.5% were anesthetists. Greater than one-third of participants were from Australia/New Zealand, and there was also representation from North America, Europe, and the UK. Participants' responses were detailed, averaging 43 words. Three themes were identified: (1) Service provision, about the importance of ECT services continuing during the pandemic, (2) Preparedness, through guidelines and environmental design, and (3) Personal protection, about strategies to increase staff safety. This is the first multi-site, international study to document the experiences and recommendations of ECT clinical directors and anesthetists about the effect of COVID-19 on ECT practice. The findings inform evidence-based practice, and ensure people with major psychiatric illnesses continue to receive ECT during the pandemic.

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Extended course accelerated intermittent theta burst stimulation as a substitute for depressed patients needing electroconvulsive therapy

Goodman,

Trevizol,

Konstantinou

et al. 2024

Neuropsychopharmacol.

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Electroconvulsive Therapy in Canada During the First Wave of COVID-19

Abstract: Supplemental digital content is available in the text.

Cited by 10 publications

References 42 publications

An Online Survey About Electroconvulsive Therapy in Japan During the COVID-19 Pandemic: Comparison of Early and Recent Stages

An Online Survey About Electroconvulsive Therapy in Japan During the COVID-19 Pandemic: Comparison of Early and Recent Stages

“ECT should never stop”: Exploring the experiences and recommendations of ECT clinical directors and anesthetists about ECT during the COVID-19 pandemic

Extended course accelerated intermittent theta burst stimulation as a substitute for depressed patients needing electroconvulsive therapy

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