ArticleFrontiers in psychiatry2025
Analysis of clinical characteristics and influencing factors of fever after electroconvulsive therapy: a retrospective study from the Chinese population.
Article in Frontiers in psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Although well-established as a first-line treatment for psychiatric disorders, electroconvulsive therapy (ECT) carries risks of adverse effects, including fever. The purpose of this study was to elucidate the incidence, clinical characteristics, and risk factors related to fever after ECT. Methods: We retrospectively analyzed medical records of patients receiving ECT at the Second Affiliated Hospital of Xinxiang Medical University (April 2019-January 2020). Patients were subsequently divided into two groups: a fever group, in which the body temperature was ≥ 38°C; and a non-fever group, in which the body temperature was <38°C. Results: A total of 895 patients underwent 7801 units of ECT treatment. Fever was analyzed at the patient and treatment unit level. At the patient level, 104 out of 895 patients (11.6%) experienced at least one fever within 24 hours after ECT, Compared with the non-fever group, the fever group showed statistically significant differences in age, gender, types of psychiatric ward (closed or open), and anesthetic type (all Conclusion: We found that fever after ECT requires attention in clinical practice. Although the direct impact of fever after ECT treatment is limited, given its potential risks, it is advised to focus on strengthening the temperature monitoring of high-risk groups.
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