Comparing Methods of Seizure Response Monitoring During Electroconvulsive Therapy: Comparer les méthodes de surveillance des interventions en cas de crise durant la thérapie par électrochocs.
| Autor: | Hierlihy T; Faculty of Medicine, Discipline of Psychiatry, Memorial University of Newfoundland, St. John's, Canada., Mugford G; Faculty of Medicine, Discipline of Psychiatry, Memorial University of Newfoundland, St. John's, Canada., Bonnell W; Faculty of Medicine, Discipline of Psychiatry, Memorial University of Newfoundland, St. John's, Canada., Mekawy MA; Faculty of Medicine, Discipline of Psychiatry, Memorial University of Newfoundland, St. John's, Canada. |
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| Jazyk: | angličtina |
| Zdroj: | Canadian journal of psychiatry. Revue canadienne de psychiatrie [Can J Psychiatry] 2024 Apr; Vol. 69 (4), pp. 288-295. Date of Electronic Publication: 2023 Dec 28. |
| DOI: | 10.1177/07067437231223340 |
| Abstrakt: | Objective: Electroconvulsive therapy (ECT) is used to treat several mental illnesses. Seizure duration is used to determine if the administered stimulus was adequate. Duration is estimated by electroencephalogram (EEG) interpretation and/or observed motor response (OMR). Neither method is considered the gold standard. This study investigated the relationship between the 2 methods. The hypothesis was that both EEG and OMR would be significantly positively correlated. Previous researchers have suggested that the 2 methods resulted in different estimates. Methods: A case series was conducted using recorded estimates obtained prospectively from 102 ECTs on adult psychiatric inpatients. Results: A strong positive association was not observed in this study, correlation coefficient 0.510 ( p < 0.001). Conclusions: This study suggests that the 2 methods differ, and further research is needed to determine the best indicator of adequate treatment. Competing Interests: Declaration of Conflicting InterestsThe authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. |
| Databáze: | MEDLINE |
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