Trends in Psychiatry and Psychotherapy
https://trends.org.br/article/doi/10.1590/S2237-60892013000300010
Trends in Psychiatry and Psychotherapy
Brief Communication

Twenty years of electroconvulsive therapy in a psychiatric unit at a university general hospital

Vinte anos de eletroconvulsoterapia em enfermaria psiquiátrica de hospital geral universitário

Amilton dos Santos Jr.; Maitê Cruvinel Oliveira; Tiago dos Santos Andrade; Rosana Ramos de Freitas; Cláudio Eduardo Muller Banzato; Renata Cruz Soares de Azevedo; Neury José Botega

http://dx.doi.org/10.1590/S2237-60892013000300010 Trends Psychiatry Psychother, vol.35, n3, p.229-233, 2013
PDF
SciELO
Downloads: 0
Views: 364

Abstract

Objective: To describe the sociodemographic and clinical profile of patients who underwent electroconvulsive therapy (ECT) at a university general hospital. Method: In this retrospective study, records from all patients undergoing ECT between January 1988 and January 2008 at the psychiatric unit of the general hospital of Universidade Estadual de Campinas (UNICAMP) were reviewed. Telephone contact was made with patients/relatives to collect follow-up data. Results: A total of 200 charts were reviewed. The majority of patients were women, with a mean age of 39 years, and history of psychiatric hospitalization. The main indications for ECT were depression and catatonia. Complications were observed in less than half of the cases, and most were temporary and not severe. There was a good psychiatric outcome for 89.7% of the patients, especially for catatonic patients (100%, p = 0.02). Thirty-four percent of the cases were later contacted by telephone calls, at a mean of 8.5 years between the procedure and the contact. Among these, three (1.5%) reported persistent memory disorders and 73% considered ECT a good treatment. Conclusion: ECT has been performed according to international guidelines. In the vast majority of cases, undesirable effects were temporary and not severe. Response to ECT was positive in most cases, particularly in catatonic patients.

Keywords

Electroconvulsive therapy, treatment outcome, psychiatric somatic therapies, treatment, general hospital psychiatry

Resumo

Objetivo: Descrever o perfil sociodemográfico e clínico de pacientes submetidos a eletroconvulsoterapia (ECT) em um hospital geral universitário. Método: Neste estudo retrospectivo, foram revisados os prontuários de todos os pacientes submetidos a ECT entre janeiro de 1988 e janeiro de 2008 na unidade psiquiátrica do hospital geral da Universidade Estadual de Campinas (UNICAMP). Os pacientes/familiares foram contatados por telefone para a coleta de dados de seguimento. Resultados: Um total de 200 prontuários foram revisados. A maioria dos pacientes era do sexo feminino, com uma idade média de 39 anos e história de hospitalização psiquiátrica prévia. As principais indicações para ECT foram depressão e catatonia. Complicações foram observadas em menos de metade dos casos, e a maioria delas teve caráter temporário e não grave. Houve resultado psiquiátrico favorável em 89,7% dos pacientes, especialmente os catatônicos (100%, p = 0,02). Trinta e nove por cento dos casos foram contatados por telefone, a uma média de 8,5 anos decorridos entre o procedimento e o contato. Entre estes, três (1,5%) relataram transtornos amnésticos persistentes e 73% consideraram a ECT um bom tratamento. Conclusão: A ECT foi realizada de acordo com diretrizes internacionais. Na grande maioria dos casos, efeitos indesejáveis foram temporários e não graves. A resposta à ECT foi positiva na maioria dos casos, especialmente em pacientes catatônicos.

Palavras-chave

Eletroconvulsoterapia, resultado de tratamento, tratamentos somáticos em psiquiatria, tratamento, unidade psiquiátrica em hospital geral

References

Perizzolo J, Berlim MT, Szobot CM, Lima AF, Schestatsky S, Fleck MP. Aspectos da prática da eletroconvulsoterapia: uma revisão sistemática. Rev Psiquiatr Rio Gd Sul. 2003;25:327-34.

Pandya M, Pozuelo L, Malone D. Electroconvulsive therapy: what the internist needs to know. Cleve Clin J Med. 2007;74:679-85.

The practice of ECT: recommendations for treatment, training, and privileging. A task force report of the American Psychiatric Association. 2001.

Pastore DL, Bruno LM, Nardi AE, Dias AG. O uso da eletroconvulsoterapia no Instituto de Psiquiatria da Universidade Federal do Rio de Janeiro no período de 2005 a 2007. Rev Psiquiatr Rio Gd Sul. 2008;30:175-81.

Resolução CFM no. 1.640/2002. jul .

Dierckx B, Heijnen WT, van den Broek WW, Birkenhäger TK. Efficacy of electroconvulsive therapy in bipolar versus unipolar major depression: a meta-analysis. Bipolar Disord. 2012;14:146-50.

Mayo C, Kaye AD, Conrad E, Baluch A, Frost E. Update on anesthesia considerations for electroconvulsive therapy. Middle East J Anesthesiol. 2010;20:493-8.

Verwijk E, Comijs HC, Kok RM, Spaans HP, Stek ML, Scherder EJ. Neurocognitive effects after brief pulse and ultrabrief pulse unilateral electroconvulsive therapy for major depression: a review. J Affect Disord. 2012;140:233-43.

Moser CM, Lobato MI, Belmonte-de-Abreu P. Evidence of the effectiveness of electroconvulsive therapy in the psychiatric practice. Rev Psiquiatr Rio Gd Sul. 2005;27:302-10.

Ribeiro RB, Melzer-Ribeiro DL, Rigonatti SP, Cordeiro Q. Electroconvulsive therapy in Brazil after the "psychiatric reform": a public health problem--example from a university service. J ECT. 2012;28:170-3.

Azi LA, Dalgalarrondo P, Botega NJ. Electroconvulsive therapy: a retrospective study of 50 cases. J Bras Psiquiatr. 1999;48:493-98.

Dalgalarrondo P, Botega NJ, Banzato CE. Pacientes que se beneficiam de internação psiquiátrica em hospital geral. Rev Saude Publica. 2003;37:10-20.

Petrides G, Tobias KG, Kellner CH, Rudorfer MV. Continuation and maintenance electroconvulsive therapy for mood disorders: review of the literature. Neuropsychobiology. 2011;64:129-40.

Baghai TC, Möller HJ. Electroconvulsive therapy and its different indications. Dialogues Clin Neurosci. 2008;10:105-17.

Pagnin D, de Queiroz V, Pini S, Cassano GB. Efficacy of ECT in depression: a meta-analytic review. J ECT. 2004;20:13-20.

Mathys M, Mitchell BG. Targeting treatment-resistant depression. J Pharm Pract. 2011;24:520-33.

Antunes PA, Rosa MA, Abreu PSB, Lobato MIR, Fleck MP. Electroconvulsive therapy in major depression: current aspects. Rev Bras Psiquiatr. 2009;31:S26-33.

Braga RJ, Petrides G. Terapias somáticas para transtornos psiquiátricos resistentes ao tratamento. Rev Bras Psiquiatr. 2007;29:S77-84.

Bharadwaj V, Grover S, Chakrabarti S, Avasthi A, Kate N. Clinical profile and outcome of bipolar disorder patients receiving electroconvulsive therapy: a study from north India. Indian J Psychiatry. 2012;54:41-7.

Scott AI. Electroconvulsive therapy, practice and evidence. Br J Psychiatry. 2010;196:171-2.

616b2484a9539534732470c5 trends Articles
Links & Downloads
2238-0019 (Electronic)
Trends Psychiatry Psychother ©2024 All rights reserved.

Trends Psychiatry Psychother

Share this page
Page Sections