Electroconvulsive Therapy in the Czech Republic

Kališová, Lucie; Madlova, Katerina; Albrecht, Jakub; Michalec, J.; Kubinova, M.; Raboch, Jiří

doi:10.1097/yct.0000000000000466

Cited by 11 publications

(10 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“… 2 ECT is performed in many countries worldwide, and several national surveys of ECT practice have been published. 3 ECT can achieve response rates of 50%–70% with treatment-resistant depression, while standard antidepressant therapies achieve responses of 16%–17% for such patients. 4 Recent data showed that ECT is associated with a 46% lower risk of 30-day readmission among psychiatric inpatients compared with a matched group of patients with severe depression who did not receive ECT.…”

Section: Introductionmentioning

confidence: 99%

Demographic and Clinical Profile of Patients Receiving Electroconvulsive Therapy at a Tertiary Care Hospital in Oman: A Cluster Analysis

Saadi¹,

Chan²,

Al-Kaabi³

et al. 2022

Oman Med J

View full text Add to dashboard Cite

Objectives We sought to identify subgroups of psychiatric patients in a sample of patients admitted at a tertiary care hospital in Oman who received electroconvulsive therapy (ECT) based on their demographic and clinical outcomes. Methods We retrospectively collected data from patients who received ECT at Al Massarah Hospital, Muscat, Oman, between January 2015 and December 2019. Sociodemographic characteristics, clinical profiles, and psychiatric comorbidities were examined. Results A total of 179 psychiatric patients received ECT; 96 (53.6%) were females. The average age at diagnosis was 42.5 years. Two-step cluster analysis showed 70 (39.1%) patients in cluster one and 109 (60.9%) patients in cluster two. Patients in cluster one included more (61.4%) females, were older (mean = 55.2 years), married (95.7%), and unemployed (88.6%). They reported they had comorbidities (55.7%) and less frequent ECT use (mean = 8.7) than patients in cluster two. Clusters differences were found on gender ( p = 0.001), age ( p < 0.001), marital status ( p < 0.001), and occupation ( p = 0.001). Significant differences were found for diagnosis ( p < 0.001), comorbid medical conditions ( p < 0.001), and use of ECT sessions ( p = 0.006). Conclusions Psychiatric patients receiving ECT are heterogeneous, with different demographic and clinical outcomes. Our study has shown that patients in cluster one are older females, unemployed, with more comorbidities, and depressive disorders, but received fewer ECT sessions. This study provides important information for clinicians to identify strategies to promote the use of ECT on its effectiveness and safety issues for each group.

show abstract

Section: Introductionmentioning

confidence: 99%

Demographic and Clinical Profile of Patients Receiving Electroconvulsive Therapy at a Tertiary Care Hospital in Oman: A Cluster Analysis

Saadi¹,

Chan²,

Al-Kaabi³

et al. 2022

Oman Med J

View full text Add to dashboard Cite

show abstract

“…8,9 In the Czech Republic, consent forms for ECT and anaesthesia are separate. 10 Because modified ECT is the standard in Australian jurisdictions, a separate consent form for GA can appear redundant but sufficient information about GA should be included in any informed ECT consent form.…”

Section: Discussionmentioning

confidence: 99%

Quality of written informed consent forms for electroconvulsive therapy in Australia: a comparative analysis

Jagadheesan

Walker²,

Lakra

2021

Australas Psychiatry

View full text Add to dashboard Cite

Objectives: We compared the quality of the written informed consent forms for electroconvulsive therapy (ECT) in Australian jurisdictions. Method: For this comparative audit-type study, a checklist was developed to compare informed consent forms from different jurisdictions. The main information sources for consent forms were government health department websites and Google. The directors of clinical services were contacted if a consent form was not available through a web source. Results: Majority of the informed consent forms covered information about ECT, general anaesthesia and alternative treatments, supports available for decision making, and a reference to the right to withdraw consent. Missing information affected information areas such as likely outcome if no ECT, lack of guaranteed response and cultural and linguistic supports. Conclusions: A standardised consent form that can be used across all jurisdictions can help improve the ECT practice.

show abstract

“…177 Disproportionately low ECT use in people of color points to sociodemographic barriers as well. [178][179][180] Globally, use of ECT is heterogeneous, [181][182][183][184][185][186][187] and geographic limitations, lack of training, lack of anesthesiologists, cost, stigma, health-care inequity, and national laws have been described as obstacles to access. 183,[188][189][190][191][192] Outdated treatment protocols and heavy use for conditions less responsive to ECT (ie, schizophrenia) are common across Asia, based on a study of 334 institutions in 29 Asian countries.…”

Section: Under-recognition Of Catatoniamentioning

confidence: 99%

<p>Electroconvulsive Therapy for Patients with Catatonia: Current Perspectives</p>

Lloyd¹,

Silverman²,

Kugler³

et al. 2020

NDT

View full text Add to dashboard Cite

Catatonia is a serious, common syndrome of motoric and behavioral dysfunction, which carries high morbidity and mortality. Electroconvulsive therapy (ECT) is the definitive treatment for catatonia, but access to ECT for the treatment of catatonia remains inappropriately limited. Catatonia is observable, detectable, and relevant to various medical specialties, but underdiagnosis impedes the delivery of appropriate treatment and heightens risk of serious complications including iatrogenesis. Current understanding of catatonia's pathophysiology links it to the current understanding of ECT's mechanism of action. Definitive catatonia care requires recognition of the syndrome, workup to identify and treat the underlying cause, and effective management including appropriate referral for ECT. Even when all of these conditions are met, and despite well-established data on the safety and efficacy of ECT, stigma surrounding ECT and legal restrictions for its use in catatonia are additional critical barriers. Addressing the underdiagnosis of catatonia and barriers to its treatment with ECT is vital to improving outcomes for patients. While no standardized protocols for treatment of catatonia with ECT exist, a large body of research guides evidence-based care and reveals where additional research is warranted. The authors conducted a review of the literature on ECT as a treatment for catatonia. Based on the review, the authors offer strategies and future directions for improving access to ECT for patients with catatonia, and propose an algorithm for the treatment of catatonia with ECT.

show abstract

Electroconvulsive Therapy in the Czech Republic

Abstract: This article covers detailed information about the use of ECT in the CR. The results will be used to harmonize national practice and reduce the stigma associated with this method in the CR.

Cited by 11 publications

References 19 publications

Demographic and Clinical Profile of Patients Receiving Electroconvulsive Therapy at a Tertiary Care Hospital in Oman: A Cluster Analysis

Demographic and Clinical Profile of Patients Receiving Electroconvulsive Therapy at a Tertiary Care Hospital in Oman: A Cluster Analysis

Quality of written informed consent forms for electroconvulsive therapy in Australia: a comparative analysis

<p>Electroconvulsive Therapy for Patients with Catatonia: Current Perspectives</p>

Contact Info

Product

Resources

About