Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Medved, S; Žaja, N; Gazdag, G; Lengvenyte, A; Mörkl, S; Mucci, F; Ristić, I; Jerotić, S; Regente, JF; Ivanović, I; Purišić, A; Sasvary, F; Sivasanker, V; Ziblak, A; Lookene, M; Sienaert, P; Szczegielniak, A; Trančik, P; Bećirović, E; Koutsomitros, T; Grech, G; Tapoi, C; Radmanović, B; Ströhle, A; Bajs, Janović, M; Sartorius, N.
Preliminary Assessment of Pre-Electroconvulsive Therapy Evaluation Practices in European Countries: The Need for Guidelines.
J ECT. 2022; 38(4):230-237
Doi: 10.1097/YCT.0000000000000854
Web of Science
PubMed
FullText
FullText_MUG
- Co-Autor*innen der Med Uni Graz
- Leal Garcia Sabrina
- Altmetrics:
- Dimensions Citations:
- Plum Analytics:
- Scite (citation analytics):
- Abstract:
- OBJECTIVES: Pre-electroconvulsive therapy (ECT) evaluation is an essential part of ECT preparation, a standard treatment in the psychiatric field. However, no routine pre-ECT evaluation has been published so far. This preliminary study aimed to explore different practices in pre-ECT evaluation across European countries. METHODS: The data were collected as a snowball sample approach using an online survey from September 2019 to April 2020. The final analysis included data from 18 clinics placed in 16 European countries. RESULTS: Regulations on the pre-ECT evaluation were found in 9 countries. All clinics reported doing complete blood count, serum electrolytes, and renal function analysis as a part of regular laboratory testing, alongside with a cardiovascular assessment. Ten clinics reported using psychiatric scales. Six clinics reported doing a cognitive assessment, of which all had regulations on the pre-ECT evaluation. Not one evaluation had the same sets of procedures and diagnostics. CONCLUSIONS: The differences in assessment approaches mirror high variability of the pre-ECT evaluation practice across Europe. Cognitive assessment and objectification of psychiatric symptoms should be a regular part of the pre-ECT evaluation because of the monitoring of the most common adverse effect and observing the clinical response to ECT. Standardization of the pre-ECT evaluation and ECT in general would remove criticisms and opposition to the treatment, make it based on the best of our knowledge, and provide a method respectful of patients' best interests and rights.
- Find related publications in this database (using NLM MeSH Indexing)
- Humans - administration & dosage
- Electroconvulsive Therapy - methods
- Mental Disorders - diagnosis, therapy, psychology
- Surveys and Questionnaires - administration & dosage
- Europe - administration & dosage
- Find related publications in this database (Keywords)
- electroconvulsive therapy
- ECT
- pre-ECT evaluation
- psychiatric assessment
- cognitive assessment