The Practice of Electroconvulsive Therapy in Children and Adolescents in the Czech Republic

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00216208%3A11110%2F21%3A10429331" target="_blank" >RIV/00216208:11110/21:10429331 - isvavai.cz</a>

Alternative codes found

RIV/65269705:_____/21:00074351 RIV/00064165:_____/21:10429331 RIV/00216224:14110/21:00122196

Result on the web

<a href="https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=jrDgyPC3TJ" target="_blank" >https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=jrDgyPC3TJ</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1097/YCT.0000000000000726" target="_blank" >10.1097/YCT.0000000000000726</a>

Result language

angličtina

Original language name

The Practice of Electroconvulsive Therapy in Children and Adolescents in the Czech Republic

Original language description

Objectives: The aim of this study was to describe the practice of electroconvulsive therapy (ECT) in child and adolescent patients in the Czech Republic. Methods: We conducted a mail questionnaire survey among Czech facilities associated with the Association of Child and Adolescent Psychiatry, and university hospitals with inpatient psychiatric wards, focused on the practice of ECT between 2013 and 2017 in patients younger than 18 years. Results: Of 18 approached facilities, 13 had access to ECT, and only 6 used ECT on 16 patients. The most common diagnosis was schizophrenia or related disorders (68.75% of patients), and the most common reason for ECTwas catatonic symptoms (37.5%). The most common ECT methodology was bitemporal electrode placement with brief-pulse current (62.5%). In 2 patients, ECTwas terminated because of ineffectiveness and in 1 patient because of adverse reaction. In other patients, ECT ended after achieving a clinical effect. The most common adverse effect was transient memory impairment in a quarter of the patients. The number of pharmacological treatment attempts before ECT significantly correlated with hospitalization length. Conclusions: The utilization of ECT among children and adolescents was low. It was usually used in severe conditions after several pharmacological treatment attempts, which may indicate reluctance among providers to use this modality. A number of pharmacological attempts were associated with longer hospitalizations. In the majority of patients, ECT was effective and safe. On the other hand, the monitoring of cognitive adverse effects was insufficient and could be improved.

Czech name

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Czech description

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Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

—

OECD FORD branch

30215 - Psychiatry

Project

<a href="/en/project/NV15-30439A" target="_blank" >NV15-30439A: Monitoring of factors influencing the use of electroconvulsive therapy (ECT) in psychiatry</a><br>

Continuities

V - Vyzkumna aktivita podporovana z jinych verejnych zdroju

Publication year

2021

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

Journal of ECT

ISSN

1095-0680

e-ISSN

—

Volume of the periodical

37

Issue of the periodical within the volume

2

Country of publishing house

US - UNITED STATES

Number of pages

7

Pages from-to

112-118

UT code for WoS article

000658268800017

EID of the result in the Scopus database

2-s2.0-85107089472