P03-371 - Electroconvulsive Therapy (ECT): a Retrospective Study of the Psychiatric unit of a Brazilian General Hospital from 1993 to 2007
| Autor: | Alex Álisson Bandeira Santos, Renata Cruz Soares Azevedo, T.M. Salán, Rosana Ramos de Freitas, Maitê Cruvinel Oliveira, Tiago dos Santos Andrade |
|---|---|
| Rok vydání: | 2010 |
| Předmět: |
medicine.medical_specialty
business.industry Incidence (epidemiology) medicine.medical_treatment Amnesia Retrospective cohort study Schizoaffective disorder medicine.disease Psychiatry and Mental health Electroconvulsive therapy Schizophrenia medicine Bipolar disorder medicine.symptom business Psychiatry Depression (differential diagnoses) |
| Zdroj: | European Psychiatry. 25:1-1 |
| ISSN: | 1778-3585 0924-9338 |
| DOI: | 10.1016/s0924-9338(10)70977-9 |
| Popis: | ObjectivesTo describe the socio-demographic and clinical characteristics, complications and therapeutic response of patients treated with ECT in the Psychiatric Unit of the General Hospital from University of Campinas-Brazil (1993-2007).MethodsAll medical records of the patients who underwent ECT were reviewed and compiled for subsequent statistical analysis by SPSS program.Results156 patients were studied. Ages ranged from 13 to 78 years-old, with a mean of 39.9±17.8 years-old [95% CI: 37.2-42.8 years]. There were 64 (41%) men and 92 (59%) women. The main diagnostic categories of the patients submitted to ECT were: schizophrenia (33.9%), depression without psychotic symptoms (30.8%), depression with psychotic symptoms (39.1%), bipolar disorder (18.6%) and schizoaffective disorder (3.2%). Complications occurred during the procedure in 98 cases (62.8%), immediately after the application in 85 cases (54.5%) and three days after the last session in 33 cases (21.2%).The response to ECT was: good response in 132 (84.6%) patients, unchanged psychiatric symptoms in 14 (9%) patients and worsening in 3 (1.9%). The mean time of permanence inside the Psychiatric Unit was 57.5±38.2 days [95% CI: 51.4-63.2 days].Table1 1:Complications during the procedureComplicationsN%Incomplete seizure7950.6%Arrythmia3220.5%Prolonged seizure2214.1%Ineffective session after three applications2113.5%Hypertensive episode1811.5%Table 2:Complications immediately after the proceComplicationsN%Mental confusion3824.4%Amnesia2616.7%Headache2314.7%Gastrointestinal alterations1811.5%Pneumonia21.3%Pulmonary thromboembolism21.3%Manic turn21.3%Bronchospasm10.6%Subarachnoid hemorrhage10.6%Table 3:Complications at least three days after tComplicationsN%Amnesia1710.9%Mental confusion106.4%Headache63.8%ConclusionsThe diagnostic categories for which ECT therapy corresponded to those described in the literature. Data suggest that the incidence of complications was moderate and the response to treatment was positive in most cases, reinforcing the importance of this therapeutic method for the treatment of patients with severe mental illness. |
| Databáze: | OpenAIRE |
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