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Preliminary Assessment of Pre-Electroconvulsive Therapy Evaluation Practices in European Countries: The Need for Guidelines
S. Medved, N. Žaja, G. Gazdag, A. Lengvenyte, S. Mörkl, F. Mucci, I. Ristić, S. Jerotić, JF. Regente, I. Ivanović, A. Purišić, F. Sasvary, V. Sivasanker, A. Ziblak, M. Lookene, P. Sienaert, A. Szczegielniak, P. Trančik, E. Bećirović, T....
Jazyk angličtina Země Spojené státy americké
Typ dokumentu časopisecké články
- MeSH
- duševní poruchy * diagnóza terapie psychologie MeSH
- elektrokonvulzívní terapie * metody MeSH
- lidé MeSH
- průzkumy a dotazníky MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- Geografické názvy
- Evropa MeSH
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.
Association for the Improvement of Mental Health Programmes Geneva Switzerland
Clinic for Psychiatry University Clinical Centre of Serbia Belgrade Serbia
Clinic of Psychiatry University Clinical Center Tuzla Tuzla Bosnia and Herzegovina
Department for Adult Psychiatry Clinical Centre of Montenegro Podgorica Montenegro
Department for Child Psychiatry Clinical Centre of Montenegro Institute for Children's Diseases
Department for Psychiatry and Psychotherapeutic Medicine Medical University of Graz Graz Austria
Department of Mental Health North Western Tuscany Local Health Unit Tuscany NHS Cecina Italy
Department of Psychiatry and Psychotherapy Charité Universitätsmedizin Berlin Berlin Germany
Department of Psychiatry and Psychotherapy Semmelweis University Budapest Hungary
Department of Psychiatry Denizli State Hospital Denizli Turkey
Department of Psychiatry Faculty of Medical Sciences University of Kragujevac Kragujevac Serbia
From the Department of Psychiatry and Psychological Medicine University Hospital Centre Zagreb
Mental Health Services Malta Msida
Prof Dr Alexandru Obregia Clinical Psychiatry Hospital Bucharest Romania
Psychiatric Hospital Bohnice Prague Czech Republic
Psychiatry Clinic The North Estonia Medical Centre Tallinn Estonia
Citace poskytuje Crossref.org
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- $a 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.
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