J 2021

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

HOŘÍNKOVÁ, Jana, Elis BARTEČKŮ and Lucie KALISOVA

Basic information

Original name

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

Authors

HOŘÍNKOVÁ, Jana (203 Czech Republic, guarantor, belonging to the institution), Elis BARTEČKŮ (203 Czech Republic, belonging to the institution) and Lucie KALISOVA (203 Czech Republic)

Edition

Journal of ECT, Philadelphia, Lippincott Williams & Wilkins, 2021, 1095-0680

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30215 Psychiatry

Country of publisher

United States of America

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

Impact factor

Impact factor: 3.692

RIV identification code

RIV/00216224:14110/21:00122196

Organization unit

Faculty of Medicine

DOI

UT WoS

000658268800017

Keywords in English

electroconvulsive therapy; ECT; child and adolescent psychiatry

Tags

Tags

International impact, Reviewed
Změněno: 2/9/2021 14:50, Mgr. Tereza Miškechová

Abstract

V originále

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.