EcT treatment outcomes following perormance improvement changes

Kathy Pulia, Punit Vaidya, Geetha Jayaram, Matthew J. Hayat, Irving M. Reti

Research output: Contribution to journalArticle

Abstract

Differences in electroconvulsive therapy (ECT) outcomes were explored following changes in ECT administration at our institution. Two changes were introduced: (a) switching the anesthetic agent from propofol to methohexital, and (b) using a more aggressive ECT charge dosing regimen for right unilateral (RUL) electrode placement. Length of stay (LOS) and number of treatments administered per patient were monitored. A retrospective analysis was performed of two inpatient groups treated on our Mood Disorders Unit: those who underwent ECT in the 12 months prior to the changes (n = 40) and those who underwent treatment in the 12 months after the changes (n = 38). Compared with patients receiving ECT with RUL placement prior to the changes, patients who received RUL ECT after the changes had a significantly shorter inpatient LOS (27.4 versus 18 days, p = 0.028). Treatment efficacy monitored by the Montgomery Asberg Depression Rating Scale was not impacted. The change in anesthetic agent and charge dosing each accounted for 11% of the variance in LOS among patients receiving RUL ECT. The implemented changes in ECT administration positively impacted outcome for patients receiving treatment with RUL electrode placement.

Original languageEnglish (US)
Pages (from-to)20-25
Number of pages6
JournalJournal of psychosocial nursing and mental health services
Volume51
Issue number11
DOIs
StatePublished - Jan 1 2013

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ASJC Scopus subject areas

  • Nursing(all)
  • Phychiatric Mental Health

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