ArticleThe American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry2020
Electroconvulsive Therapy Practice Changes in Older Individuals Due to COVID-19: Expert Consensus Statement.
Article in The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.
- Assessing the Impact of Evidence-Based Mental Health Guidance During the COVID-19 Pandemic: Systematic Review and Qualitative Evaluation.JMIR mental health · 2023Pooled it
- Tolerability and Clinical Outcomes With Anesthesia Dose Reduction During Electroconvulsive Therapy.JAMA network open · 2025Article
- Impact of COVID-19 on electroconvulsive therapy practice across Canadian provinces during the first wave of the pandemic.BMC psychiatry · 2023Article
- Ketamine as an alternative to ECT in catatonia in elderly women with bipolar disorder: A case report.Frontiers in psychiatry · 2023Article
- Late-life depression: Epidemiology, phenotype, pathogenesis and treatment before and during the COVID-19 pandemic.Frontiers in psychiatry · 2023Review
- The Use of ECT in the Elderly-Looking Beyond Depression.Current psychiatry reports · 2022Review
- The Impact of COVID-19 on Brain Stimulation Therapy.The Psychiatric clinics of North America · 2022Review
- An Online Survey About Electroconvulsive Therapy in Japan During the COVID-19 Pandemic: Comparison of Early and Recent Stages.Neuropsychiatric disease and treatment · 2022Article
- Effectiveness of maintenance electroconvulsive therapy-Evidence from modifications due to the COVID-19 pandemic.Acta psychiatrica Scandinavica · 2021Article
- Ethical Considerations in Providing Electroconvulsive Therapy during the COVID-19 Pandemic.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2021Article
- Discontinuation of maintenance electroconvulsive therapy: Lessons learned from the COVID-19 pandemic.Revista de psiquiatria y salud mental · 2021Article
- Non-pharmaceutical interventions during the COVID-19 pandemic: A review.Physics reports · 2021Review
- ECT: A decision to decrease risks during COVID-19 pandemic.Revista de psiquiatria y salud mental · 2021Article
- Ventilation Adjustment in ECT During COVID-19: Voluntary Hyperventilation is an Effective Strategy.Neuropsychiatric disease and treatment · 2021Article
- Discontinuation of maintenance electroconvulsive therapy: Lessons learned from the COVID-19 pandemic.Revista de psiquiatria y salud mentalArticle
- ECT: A decision to decrease risks during COVID-19 pandemic.Revista de psiquiatria y salud mentalArticle
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Authors and funding
9 authors at 8 institutions in 1 country.
Funding
Abstract
The ubiquitous coronavirus 2019 (COVID-19) pandemic has required healthcare providers across all disciplines to rapidly adapt to public health guidelines to reduce risk while maintaining quality of care. Electroconvulsive therapy (ECT), which involves an aerosol-generating procedure from manual ventilation with a bag mask valve while under anesthesia, has undergone drastic practice changes in order to minimize disruption of treatment in the midst of COVID-19. In this paper, we provide a consensus statement on the clinical practice changes in ECT specific to older adults based on expert group discussions of ECT practitioners across the country and a systematic review of the literature. There is a universal consensus that ECT is an essential treatment of severe mental illness. In addition, there is a clear consensus on what modifications are imperative to ensure continued delivery of ECT in a manner that is safe for patients and staff, while maintaining the viability of ECT services. Approaches to modifications in ECT to address infection control, altered ECT procedures, and adjusting ECT operations are almost uniform across the globe. With modified ECT procedures, it is possible to continue to meet the needs of older patients while mitigating risk of transmission to this vulnerable population.
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