Electroconvulsive Therapy in Octogenarians
| Autor: | Rogelio A. Cattan, Patricia P. Barry, Gayle Mead, William E. Reefe, Alix Gay, Michael Silverman |
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| Rok vydání: | 1990 |
| Předmět: |
Male
medicine.medical_specialty Pediatrics medicine.medical_treatment Hospitals University Electroconvulsive therapy Older patients Recurrence Humans Medicine Medical diagnosis Confusion Electroconvulsive Therapy Prospective cohort study Depression (differential diagnoses) Aged Retrospective Studies Aged 80 and over Depressive Disorder business.industry Medical record Confidence interval Surgery Cardiovascular Diseases Evaluation Studies as Topic Accidental Falls Female Geriatrics and Gerontology business American society of anesthesiologists |
| Zdroj: | Journal of the American Geriatrics Society. 38:753-758 |
| ISSN: | 0002-8614 |
| DOI: | 10.1111/j.1532-5415.1990.tb01465.x |
| Popis: | Medical records of 81 older patients (65 years of age and over) who underwent electroconvulsive therapy (ECT) at a university-affiliated private geriatric hospital were reviewed to evaluate the safety and efficacy of this treatment for depression in the “young-old” (65 to 80 years) compared with the “old-old” age group (over 80 years), a group that has not yet been adequately studied. Information was obtained regarding demographics, medical and psychiatric diagnosis, medications, indications for ECT, number and laterality of treatments, outcome, and complications. Thirty-nine patients 80+ years of age (mean age, 85 ± 3.2) were compared with 42 patients 65 to 80 years of age (mean age, 74 ± 5.2). Statistical analysis was performed using confidence intervals of the difference in proportions of patients in each group. There were no significant differences in the demographics, number and laterality of ECT treatments, indications for ECT treatment, medical diagnosis, medications, or prior history of falls, but psychiatric diagnoses differed slightly. Patients over 80 years had significantly more cardiovascular complications and falls (95% confidence interval) and tended to have a worse ASA (American Society of Anesthesiologists) scale rating and a somewhat less successful outcome. This study confirms the role of ECT as a relatively safe and effective treatment, which may be lifesaving in selected depressed older patients. Prospective studies are needed to understand better the long-term outcome and to prevent the morbidity and mortality associated with ECT in this frail, high-risk older group. |
| Databáze: | OpenAIRE |
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