A General View of Electroconvulsive Therapy Practices in a Psychiatry Clinic of an University Hospital

Bir Üniversite Hastanesi Psikiyatri Kliniðindeki Elektrokonvulsif Tedavi Uygulamalarýna Genel Bakış

Demet Sa?lam AYKUT,Filiz Civil ARSLAN,Evrim Özkorumak KARAGÜZEL,Ezgi SELÇUK,Selin UYSAL,Ahmet TİRYAKİ

Abstract

Objective: Electroconvulsive therapy (ECT) has beenused for the treatment for the psychiatric illnesses since1938 and it was reported that the ratio of the use of ECTfor the inpatients in Turkey ranged from 9% to 16.4 %.This study aimed to evaluate the frequency of the use ofECT with anaesthesia for the inpatients at a psychiatricclinic in a university, diagnosis groups receiving ECT andthe efficiency and side effects of the use of ECT. Method:This study included 51 patients from among 2128patients who had ECT with anaesthesia in the psychiatricclinic between the years 2007-2016. The sociodemographic data of the patients receiving ECT, the indications of the use of ECT, the number of the applicationand the efficiency and side effects of the treatment ofECT were examined. Results: It was found out that 51(2.4 %) inpatients from among 2128 had received ECT.Of the patients, 45,1 % had major depression, 23,5 %bipolar disorder and 19,6 % had schizophrenia. ECT wasmost frequent side effect was the extension of the duration of the seizure and cardiac complications.Conclusion: It was found out that the use of ECT at ourclinic was 2,35%. ECT was mostly used to cure the indications of major depression resistant to treatment andthe most frequent side effect was the extension of theduration of the seizure and cardiac complications

Özet

Amaç: Elektrokonvulsif terapi (EKT) 1938 y?l?ndan beripsikiyatrik hastal?klar?n tedavisinde kullan?lmakta olupTürkiye'de EKT uygulama oranlar? yatan hastalar aras?nda %9-16.4 aras?nda bildirilmi?tir. Bu çal??mada birüniversite hastanesi psikiyatri klini?inde yatarak takipedilmekte olan hastalar aras?nda anestezi ile yap?lan EKTuygulamalar?n?n s?kl???, EKT uygulanan tan? gruplar?, EKTuygulamalar?n?n etkinlikleri ve yan etkileri yönündende?erlendirilmesi amaçlanm??t?r. Yöntem: Bu çal??maya2007-2016 y?llar? aras?nda Karadeniz Teknik ÜniversitesiPsikiyatri klini?ine yatan 2128 hastadan anestezi i?lemie?li?inde EKT uygulanan 51 hasta al?nm??t?r. EKT uygulanan hastalar?n sosyodemografik verileri, EKT uygulamaendikasyonlar?, uygulama say?lar?, EKT tedavisinin etkinli?i ve yan etkileri de?erlendirilmi?tir. Bulgular: Klinikteyatarak tedavi gören 2128 hastan?n 51 ine (% 2.4) EKTuyguland??? tespit edildi. Hastalar?n %45.1'i majördepresyon, %23.5' i bipolar bozukluk ve %19.6' si?izofreni tan?s? alm??t?r. Hastalarda komplikasyon olaraken s?k nöbet süresinde uzama ve kardiyak komplikasyonlar gözlenmi?tir. Sonuç: Bu çal??ma sonucunda uygulanan EKT oranlar? %2.35 olarak bulunmu?tur. En s?ktedaviye dirençli majör depresyon endikasyonunda EKTuygulanmakta olup en sık yan etki nöbet süresindeuzama olarak bildirilmiştir