ArticleNeuropsychiatric disease and treatment2021
Prevalence and Predictors of Postictal Confusion After Electroconvulsive Therapy.
Article in Neuropsychiatric disease and treatment, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.
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Who cites it
6 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.
- Prognostic Factors and Incidence for Postictal Agitation After Electroconvulsive Therapy: A Systematic Review and Meta-analysis.The journal of ECT · 2025Pooled it
- Risk Factors for Postictal Delirium in Geriatric Patients Undergoing Electroconvulsive Therapy: The Role of Lithium and Quetiapine.Alpha psychiatry · 2025Article
- The Recognition and Management of Adverse Effects in Electroconvulsive Therapy: Findings From a Finnish Survey Study.Brain and behavior · 2025Article
- Stakeholders' perspectives on adverse effects of ECT: A qualitative thematic analysis.Indian journal of psychiatry · 2024Article
- Medication preventing postictal hypoperfusion and cognitive side-effects in electroconvulsive therapy: A retrospective cohort study.Frontiers in psychiatry · 2023Article
- The Role of Acetylcholinesterase Inhibitors in the Treatment of Prolonged Postelectroconvulsive Therapy Delirium.Case reports in psychiatry · 2022Article
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo investigate the prevalence and predictors of postictal confusion (PIC) in patients who received electroconvulsive therapy (ECT).
methodsWe conducted chart reviews for 79 patients who were receiving inpatient ECT. Subjects with PIC were identified. PIC was defined by confusion, disorientation, motor restlessness, purposeless movement, and nonresponse to verbal commands following ECT within an hour, intravenous benzodiazepine was necessary to manage disturbed behavior. Multivariable logistic regression analysis was used to examine the association of PIC with demographic and clinical variables.
resultsPrevalence of PIC was 36.7%. In 912 ECT sessions, the occurrence of PIC was 86 times. Patients with PIC (n = 29) had significant higher body mass index (BMI) (27 ± 6.6 kg/m
conclusionPIC was not uncommon in patients receiving ECT. BMI was an independent predictor of PIC. Psychiatrists should be aware of the risks of PIC in patients with high BMI receiving ECT.
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