Prevalence and Predictors of Postictal Confusion After Electroconvulsive Therapy.
Thai patients
agitation
body mass index; BMI
electroconvulsive therapy; ECT
postictal confusion; PIC
Journal
Neuropsychiatric disease and treatment
ISSN: 1176-6328
Titre abrégé: Neuropsychiatr Dis Treat
Pays: New Zealand
ID NLM: 101240304
Informations de publication
Date de publication:
2021
2021
Historique:
received:
14
09
2020
accepted:
19
10
2020
entrez:
10
2
2021
pubmed:
11
2
2021
medline:
11
2
2021
Statut:
epublish
Résumé
To investigate the prevalence and predictors of postictal confusion (PIC) in patients who received electroconvulsive therapy (ECT). We 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. Prevalence 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 PIC 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.
Identifiants
pubmed: 33564234
doi: 10.2147/NDT.S281961
pii: 281961
pmc: PMC7866936
doi:
Types de publication
Journal Article
Langues
eng
Pagination
283-289Informations de copyright
© 2021 Ittasakul et al.
Déclaration de conflit d'intérêts
The authors have no potential conflicts of interest to disclose.
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