Twice versus thrice weekly ECT in a clinical population: an evaluation of patient outcomes

Siskind, D., Charlson, F., Saraf, S., Scheurer, R. and Lie, D.C. (2012) Twice versus thrice weekly ECT in a clinical population: an evaluation of patient outcomes. Psychiatry Research, 199 3: 208-211. doi:10.1016/j.psychres.2012.03.020


Author Siskind, D.
Charlson, F.
Saraf, S.
Scheurer, R.
Lie, D.C.
Title Twice versus thrice weekly ECT in a clinical population: an evaluation of patient outcomes
Journal name Psychiatry Research   Check publisher's open access policy
ISSN 0165-1781
Publication date 2012-10-01
Year available 2012
Sub-type Article (original research)
DOI 10.1016/j.psychres.2012.03.020
Open Access Status Not yet assessed
Volume 199
Issue 3
Start page 208
End page 211
Total pages 4
Place of publication Shannon, Co. Clare, Ireland
Publisher Elsevier
Language eng
Subject 2738 Psychiatry and Mental health
2803 Biological Psychiatry
Abstract Increasing demand on electroconvulsive therapy (ECT) services led to a recommendation that low risk patients be considered for twice weekly ECT rather than the usual thrice weekly. We evaluated whether practice changed and compared patient clinical outcomes for twice and thrice weekly ECT. Medical records for all patients receiving ECT in the 2-year study period (1/9/08 to 30/8/10) were reviewed to determine ECT protocol, diagnosis, admission duration and readmission rates. During the study period, 119 patients received 150 treatment courses. Patient outcomes were compared for twice weekly ECT and thrice weekly ECT protocols, as well as for 1 year before and after the recommendation (1/9/09). Twice weekly ECT courses increased (8-20) after the recommendation while thrice weekly ECT courses decreased (64-30). The recommendation had no significant effect on patient outcomes. Comparing twice and thrice weekly ECT, patient clinical outcomes were similar between the two groups, though non-affective twice weekly patients waited longer before starting ECT. In the context of resource constraints, psychiatrists can be influenced to examine and change their ECT prescribing practice. This bodes well for the implementation of evidence-based treatment into mental health services. Secondly, for adults, there appear to be no significant differences in clinical outcomes for twice versus thrice weekly ECT. (C) 2012 Elsevier Ireland Ltd. All rights reserved.
Keyword Psychiatry
Psychiatry
PSYCHIATRY, SCI
PSYCHIATRY, SSCI
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2013 Collection
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Created: Wed, 09 Jan 2013, 22:57:02 EST by Matthew Lamb on behalf of School of Medicine