ArticleEuropean archives of psychiatry and clinical neuroscience2021
Rate of continuing acute course treatment using right unilateral ultrabrief pulse electroconvulsive therapy at a large academic medical center.
Article in European archives of psychiatry and clinical neuroscience, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed, 17 citations in OpenAlex.
- Changes in self-reported suicidal ideation during treatment with electroconvulsive therapy: A retrospective cohort study.Acta psychiatrica Scandinavica · 2023Article
- Residual symptoms following electroconvulsive therapy: A retrospective cohort study.Journal of affective disorders · 2023Article
- Factors associated with early and late response to electroconvulsive therapy.Acta psychiatrica Scandinavica · 2023Article
- The Effects of Baseline Impaired Global Cognitive Function on the Efficacy and Cognitive Effects of Electroconvulsive Therapy in Geriatric Patients: A Retrospective Cohort Study.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2022Article
- Individual response to electroconvulsive therapy is not correlated between multiple treatment courses.Journal of affective disorders · 2022Article
- Real-world evidence of age-independent electroconvulsive therapy efficacy: A retrospective cohort study.Acta psychiatrica Scandinavica · 2022Article
- The Efficacy and Cognitive Effects of Acute Course Electroconvulsive Therapy Are Equal in Adolescents, Transitional Age Youth, and Young Adults.Journal of child and adolescent psychopharmacology · 2021Article
- The effects of anesthetic change on electrographic seizure duration during electroconvulsive therapy.Brain stimulationArticle
- Borderline personality disorder traits are not associated with a differential change in global cognitive function during acute course ECT.Brain stimulationArticle
- Electroconvulsive therapy is associated with a reduction in self-reported suicidal ideation in adolescents.Brain stimulationArticle
- Article
- Electroconvulsive Therapy: Mechanisms of Action, Clinical Considerations, and Future Directions.Harvard review of psychiatryReview
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
Abstract
Right unilateral ultrabrief pulse (RUL-UBP) ECT has emerged as a promising technique for minimizing cognitive side effects of ECT while retaining clinical efficacy, but it is unknown how often patients will require alternative treatment parameters and at what point in the treatment course this occurs. To better define this problem, this study analyzes continuation in RUL-UBP ECT in a retrospective cohort of patients beginning acute course treatment. A single-center retrospective chart review was conducted of adult patients receiving a first lifetime course of ECT from 2010 to 2017 starting with RUL-UBP treatment parameters. 1793 patients met study criteria. Patients received a mean of 10.0 ± 3.2 ECT treatments, of which a mean of 8.4 ± 3.4 were RUL-UBP treatments; proportion using RUL-UBP through 12 treatments was 57.8%. In total, 65.6% of patients were treated with RUL-UPB ECT exclusively. Mean dose increased from 7.6 × seizure threshold at the second RUL-UBP treatment to 14.3 × seizure threshold at the twelfth RUL-UBP treatment. Rates of continuation in RUL-UBP ECT did not differ based on age or on primary diagnosis of major depression vs. bipolar disorder. Among patients beginning acute-course treatment using RUL-UPB ECT, two thirds were treated with these parameters exclusively. Among patients who received twelve RUL-UBP treatments, mean final dose was 14.3 × seizure threshold. Further studies regarding optimal dosing of RUL-UBP ECT are indicated.
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