scholarly journals Twenty years of electroconvulsive therapy in a psychiatric unit at a university general hospital

2013 ◽  
Vol 35 (3) ◽  
pp. 229-233 ◽  
Author(s):  
Amilton dos Santos Jr. ◽  
Maitê Cruvinel Oliveira ◽  
Tiago dos Santos Andrade ◽  
Rosana Ramos de Freitas ◽  
Cláudio Eduardo Muller Banzato ◽  
...  
Keyword(s):  
General Hospital ◽  
Electroconvulsive Therapy ◽  
Psychiatric Hospitalization ◽  
Psychiatric Unit ◽  
Telephone Contact ◽  
Persistent Memory ◽  
History Of ◽  
Telephone Calls ◽  
Psychiatric Outcome

Objective: To describe the sociodemographic and clinical profile of patients who underwent electroconvulsive therapy (ECT) at a university general hospital. Method: In this retrospective study, records from all patients undergoing ECT between January 1988 and January 2008 at the psychiatric unit of the general hospital of Universidade Estadual de Campinas (UNICAMP) were reviewed. Telephone contact was made with patients/relatives to collect follow-up data. Results: A total of 200 charts were reviewed. The majority of patients were women, with a mean age of 39 years, and history of psychiatric hospitalization. The main indications for ECT were depression and catatonia. Complications were observed in less than half of the cases, and most were temporary and not severe. There was a good psychiatric outcome for 89.7% of the patients, especially for catatonic patients (100%, p = 0.02). Thirty-four percent of the cases were later contacted by telephone calls, at a mean of 8.5 years between the procedure and the contact. Among these, three (1.5%) reported persistent memory disorders and 73% considered ECT a good treatment. Conclusion: ECT has been performed according to international guidelines. In the vast majority of cases, undesirable effects were temporary and not severe. Response to ECT was positive in most cases, particularly in catatonic patients.

P03-371 - Electroconvulsive therapy (ECT): a retrospective study of the psychiatric unit of a brazilian general hospital from 1993 to 2007

2010 ◽  
Vol 25 ◽  
pp. 986-987
Author(s):  
A. Santos ◽  
M.C. Oliveira ◽  
T.S. Andrade ◽  
R.R. Freitas ◽  
T.M. Salán ◽  
...  
Keyword(s):  
Retrospective Study ◽  
General Hospital ◽  
Electroconvulsive Therapy ◽  
Psychiatric Unit

scholarly journals ELECTROCONVULSIVE THERAPY PRACTICE IN A HOSPITAL PSYCHIATRIC UNIT BY ONE YEAR FOLLOW -UP

2019 ◽  
Author(s):  
Pedro Padilla Romero ◽  
Carlota Romeromartin ◽  
Teresa López-Arteaga ◽  
Maria Fernanda Tascón Guerra
Keyword(s):  
Electroconvulsive Therapy ◽  
Psychiatric Unit ◽  
One Year

scholarly journals Birth Preparedness and Complication Readiness Practice and Associated factors among Women Attending Antenatal care Follow up in Yirgalem General Hospital, Sidama Zone, Southern Ethiopia, 2019

2020 ◽  
Author(s):  
Molalegn Mesele Gesese ◽  
Walellign Anmut Tirfe
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
General Hospital ◽  
Associated Factors ◽  
Southern Ethiopia ◽  
Birth Preparedness ◽  
Complication Readiness ◽  
Factors Associated ◽  
History Of

Abstract Background: Birth preparedness and complication readiness is an approach that inspires pregnant women, their families and individuals to successfully design strategy for childbirths and deal with emergencies. In developing countries, world health organization estimates that more than 300 million women suffer from short-term and long-term complications related to pregnancy and child birth. In Ethiopia only 32% women have birth preparedness. The aim of this study is to assess practice and Associated factors of birth preparedness and complication readiness among Women Yirgalem General Hospital, Sidama Zone, Southern Ethiopia, 2019Methods: Facility based cross-sectional study was conducted from September 1st to 30th, 2019. A total of 422 pregnant women were randomly selected and interviewed by using pretested structured questionnaire. Data was entered by Epi-data version 3.1 and the analysis was done by SPSS version 21. Bivariate and multivariable logistic regression was performed to identify factors associated with birth preparedness and complication readiness.Result: From 422 study participants, 356(48.6%) (95% CI: 46.9%, 49.8%) have birth preparedness and complication readiness practice. Age of respondent ≥ 37 years (AOR =4.2, 95% C.I =1.23, 14.24) and between 25 to 30 (AOR=2.35, 95% C.I =1.1, 5.1); level of education College and above(AOR=5.59, 95% C.I 2.8, 11.2)and secondary school (AOR=9.5, 95% C.I 3.99-22); previous history of ANC follow up (AOR=4.33, 95% C.I = 2.46, 7.61) and history of birth at health facility (AOR=3.09, 95% C.I= 1.72, 5.56) where factors associated with birth preparedness and complication readiness practice. Conclusion: Relatively higher birth preparedness and complication readiness practice was observed in this study when compared with previous studies. Health extension workers and health care provider should encouraged women to actively utilize the health services and the governments with other stakeholders should works on antenatal care and institutional delivery by focusing on women those has no formal education.

Continuing clozapine treatment after a diagnosis of cardiomyopathy

2018 ◽  
pp. 1-5 ◽  
Author(s):  
F. Williams ◽  
F. Lenihan ◽  
A. Rowe
Keyword(s):  
Mental Illness ◽  
Treatment Resistant ◽  
Psychiatric Unit ◽  
Clozapine Treatment ◽  
History Of ◽  
Secure Unit

A patient in a medium secure psychiatric unit with a 19-year history of treatment-resistant schizophrenia and violence whose mental illness only responded to clozapine, was noted to have a sustained tachycardia. Echocardiography revealed mild biventricular cardiomyopathy. The patient was not significantly affected by this. Initial recommendation from Cardiology was to consider discontinuation of clozapine. It was decided, however, that the risk of worsening psychosis and resultant violence outweighed the risk of the patient’s relatively mild cardiomyopathy. The patient was commenced on ramipril, and later bisoprolol. The patient no longer requires treatment in a medium secure unit and has remained on clozapine with follow-up from cardiology.

Home Care Treatment of Acutely ILL Psychiatric Patients: A One Year Follow-up

1978 ◽  
Vol 23 (2) ◽  
pp. 73-76 ◽  
Author(s):  
F.A. Smith ◽  
F. R. Fenton ◽  
C. Benoit ◽  
E. Barzell ◽  
L. Tessier
Keyword(s):  
Home Care ◽  
Psychiatric Hospitalization ◽  
Psychiatric Patients ◽  
First Year ◽  
Treatment Team ◽  
Care Treatment ◽  
History Of ◽  
Predictor Of Success ◽  
One Year

This paper presents the results of one year of Home Care treatment of 77 acutely ill psychiatric patients. Home Care treatment was successful in 83.1% of 77 patients during the first year. Since only four patients failed during the second six months of treatment, hospitalization was effectively prevented, and not delayed, during the first year of treatment. Finally, a history of previous psychiatric hospitalization is not an accurate predictor of success or failure in the patients receiving Home Care treatment in this study. It appears more likely that the psychosocial supports available to the patient, and the relationship between the patient, his family and the Home Care treatment team, are more important in determining the success or failure of treatment at home.

Mental illness and suicide after self-harm among young adults: long-term follow-up of self-harm patients, admitted to hospital care, in a national cohort

2016 ◽  
Vol 46 (16) ◽  
pp. 3397-3405 ◽  
Author(s):  
K. Beckman ◽  
E. Mittendorfer-Rutz ◽  
P. Lichtenstein ◽  
H. Larsson ◽  
C. Almqvist ◽  
...  
Keyword(s):  
Mental Illness ◽  
Young Adults ◽  
Mental Disorder ◽  
Psychiatric Hospitalization ◽  
Adverse Outcome ◽  
Long Term Follow Up ◽  
History Of ◽  
Self Harm

BackgroundSelf-harm among young adults is a common and increasing phenomenon in many parts of the world. The long-term prognosis after self-harm at young age is inadequately known. We aimed to estimate the risk of mental illness and suicide in adult life after self-harm in young adulthood and to identify prognostic factors for adverse outcome.MethodWe conducted a national population-based matched case-cohort study. Patients aged 18-24 years (n = 13 731) hospitalized after self-harm between 1990 and 2003 and unexposed individuals of the same age (n = 137 310 ) were followed until December 2009. Outcomes were suicide, psychiatric hospitalization and psychotropic medication in short-term (1-5 years) and long-term (>5 years) follow-up.ResultsSelf-harm implied an increased relative risk of suicide during follow-up [hazard ratio (HR) 16.4, 95% confidence interval (CI) 12.9–20.9). At long-term follow-up, 20.3% had psychiatric hospitalizations and 51.1% psychotropic medications, most commonly antidepressants and anxiolytics. There was a six-fold risk of psychiatric hospitalization (HR 6.3, 95% CI 5.8–6.8) and almost three-fold risk of psychotropic medication (HR 2.8, 95% CI 2.7–3.0) in long-term follow-up. Mental disorder at baseline, especially a psychotic disorder, and a family history of suicide were associated with adverse outcome among self-harm patients.ConclusionWe found highly increased risks of future mental illness and suicide among young adults after self-harm. A history of a mental disorder was an important indicator of long-term adverse outcome. Clinicians should consider the substantially increased risk of suicide among self-harm patients with psychotic disorders.

scholarly journals Is Electroconvulsive Therapy for Depression More Effective Than Placebo? A Systematic Review of Studies Since 2009

2017 ◽  
Vol 19 (1) ◽  
pp. 5-23 ◽  
Author(s):  
John Read ◽  
Chelsea Arnold
Keyword(s):  
Electroconvulsive Therapy ◽  
Cost Benefit Analysis ◽  
Cost Benefit ◽  
End Of Treatment ◽  
Persistent Memory ◽  
Contradictory Evidence ◽  
Meta Analyses ◽  
The Cost ◽  
Robust Evidence

Background:A 2010 review of studies, previous reviews and meta-analyses found minimal evidence that electroconvulsive therapy (ECT) for depression was more effective than placebo during the treatment period and no evidence at all of efficacy beyond the end of treatment. The current review explored whether any contradictory evidence has since been generated.Method:MEDLINE and PsycINFO were searched to identify all post-2009 studies that had compared ECT and simulated ECT for depression, or had in any other way generated valid depression data for ECT recipients at two or more points in time.Results:Ninety-one studies met inclusion criteria. There were no new placebo-controlled trials. There have now been no such studies since 1985. Only 4 placebo-controlled studies have ever produced data beyond the end of treatment, none of which have found any advantage for ECT over placebo. Of the 91 studies, only 2 aimed to evaluate the efficacy of ECT. Both were severely flawed. None of the other 89 produced robust evidence that ECT is effective for depression, primarily because at least 60% maintained ECT participants on medication and 89% produced no meaningful follow-up data beyond the end of treatment. No studies investigated whether ECT prevents suicide.Conclusions:There is still no evidence that ECT is more effective than placebo for depression reduction or suicide prevention. Given the well-documented high risk of persistent memory dysfunction, the cost-benefit analysis for ECT remains so poor that its use cannot be scientifically, or ethically, justified.

scholarly journals 1452 How Did We Nose? COVID Adaptation of Our Nasal Fracture Service

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
K Kumaresan ◽  
H Jones
Keyword(s):  
General Anaesthesia ◽  
Patient Contact ◽  
Face To Face ◽  
Nasal Fracture ◽  
History Of ◽  
Telephone Calls ◽  
Nasal Fractures ◽  
Functional Problems

Abstract Introduction Nasal fractures are a common ENT emergency that present to ED typically with a history of trauma. They can leave behind functional problems with breathing and can be cosmetically very deforming. For this reason, they need to be managed appropriately by the specialist team. In UHS, Southampton Hospital these patients were initially followed up by Care UK but during COVID, in order to minimise patient contact we came up with a modified patient initiated follow up pathway. (PIFU) Method Based on commonly agreed departmental guidelines: We looked at the statistics from 2019 and compared it with data from August – October 2020 and reviewed all patients who presented via ED and GP to us with nasal fractures visa image and telephone review and face to face meetings over a 3-month period. Results Despite lower attendances in ED during months of lockdown we still had 48 patients in 3 months i.e., nearly 4 patients every week. 50% did not initiate follow up. Of the patients who initiated follow up a third required MUA of which one was under general anaesthesia. All patients were treated within 21 days. Conclusions Our modified management pathway is compliant with the guidelines despite some consultations via telephone calls and image reviews.

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