Confusion After Modified Electro Convulsive Therapy : Its Incidence and Associated Factors

Authors

  • Prasenjit Ray Clinical Tutor, Dept. of Psychiatry, Burdwan Medical College, Burdwan
  • Madhu Sharma Dept. of Anaesthesia and Intensive care, Institute of Mental Health and Hospital, Agra
  • Sudhir Kumar Chauhan Prof. of Psychiatry and Director, Institute of Mental Health and Hospital, Agra

DOI:

https://doi.org/10.51332/bjp.2015.v20.i2.35

Keywords:

Modified ECT, Confusion, Predictors.

Abstract

Aims and Objectives : The aim of current study was to find out the incidence of confusion after modified electroconvulsive therapy (ECT) and its possible association with any clinical parameter or medications used.
Methodology : In this cross sectional, naturalistic, hospital based study 100 consecutive patients who were about to receive modified ECT (brief pulse) and met inclusion criteria were taken up. After recovery from anaesthesia subjects were assessed usingIntensive Care Delirium Screening
Checklist. The number of patients developing confusion after ECT was noted. Data were analyzed to find out if the incidence of confusion was associated with any clinical parameter or medication.
Results : Incidence of post ECT confusion was found to be 37.1%. Except for the gender difference no other clinical parameter or medication was found to be significantly associated with post ECT confusion.
Conclusion : The incidence of post ictal confusion after ECT was found to be higher than in previous studies which could be due to inclusion of certain extra parameters to assess confusion. Before generalizing the results of the current study, further research work is necessary.

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Published

2018-02-16

Issue

Vol 20 No 2: July – December 2015

Section

Original Research Papers