Safe performance of ECT in severely ill patients: A retrospective study

摘要: Background and Objectives : Electroconvulsive therapy (ECT) is nowadays known as a first line in many certain illness conditions. Despite the fact that psy- chotic depression treatment resistant are more common geriatric chiatry, use of ECT not. The aim our study was to show can be safely performed even if patients high comorbidity therefore per se at higher risk for experiencing severe side effects. Methods:We examined 25 treated severely ill advanced age (mean 66 years) by chart review. Results: Mean corrected Charlson Comorbidity Index (CCI) 4.1, mean Cumu- lative Illness Rating Scale Geriatrics (CIRS-G) 10.5. Generally, ECT- related complica- tions were rated mild short termed, 14 showed no complications all. Com- plications did not correlate with or comorbidity. Post hoc, we noted significant advantage propofol etomidate compared thiopental narcotic agents. Conclusions: Under optimized somatic conditions comorbid age. However, risk/benefit analysis should always individually.