Use of ECT in Nepal: A One Year Study From the Country’s Largest Psychiatric Facility
Introduction: Electro-Convulsive Therapy (ECT) refers to the electrical stimulation of the brain to produce seizures for therapeutic purpose. Since the development of ECT, it’s use has been consistent. Inspite of the common use, data pertaining to the use of ECT in Nepal is lacking. Aim: This s...
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| Format: | Article |
| Language: | English |
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JCDR Research and Publications Private Limited
2016-02-01
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| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://jcdr.net/articles/PDF/7269/14660_CE(RA1)_F(T)_PF1(VIAK)_PFA(NC_AK)_PF2(PAG).pdf |
| _version_ | 1819054441369698304 |
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| author | Sandip Subedi Tapas Kumar Aich Niru Sharma |
| author_facet | Sandip Subedi Tapas Kumar Aich Niru Sharma |
| author_sort | Sandip Subedi |
| collection | DOAJ |
| description | Introduction: Electro-Convulsive Therapy (ECT) refers to
the electrical stimulation of the brain to produce seizures for
therapeutic purpose. Since the development of ECT, it’s use has
been consistent. Inspite of the common use, data pertaining to
the use of ECT in Nepal is lacking.
Aim: This study was undertaken with the aim of exploring the
clinico-demographic profile of patients treated with ECT in the
largest psychiatry facility in the country.
Materials and Methods: It is a retrospective descriptive study
of patients who were treated with ECT after admission in the
inpatient psychiatry unit of Universal College of Medical Sciences
Teaching Hospital, Bhairahawa, Nepal during a period of one year
(August 2012 to July 2013).
Results: Out of 1095 patients admitted during the specified
period, 81 (7.39%) patients received ECT. About 44.44% of the
patients belonged to 20-29 years age group. Female patients
constituted more than half of the subjects (55.56%). Review of
diagnostic profile showed that majority of patients receiving ECT
were suffering from Schizophrenia (44.4%), followed by Bipolar
Affective Disorder/Mania (29.6%), Depressive disorder (11.1%),
Acute and Transient Psychotic Disorder (6.2%), Post-partum
Psychosis (3.7%) and substance induced mood/psychotic
disorders (3.7%). A significant majority of subjects (75.3%)
received about 5-7 ECT treatments. The mean seizure duration
after ECT treatment was 31.13±5.79 seconds. No any major
complications were noted during ECT treatment.
Conclusion: This study suggests that ECT, use, as a treatment
modality is common in young adults and females with
Schizophrenia being the most common indication. Direct ECT is
safe when used judiciously. |
| first_indexed | 2024-12-21T12:51:40Z |
| format | Article |
| id | doaj.art-c1c03a1213f64f24a5b17eeea350e2fe |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-12-21T12:51:40Z |
| publishDate | 2016-02-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-c1c03a1213f64f24a5b17eeea350e2fe2022-12-21T19:03:28ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2016-02-01102VC01VC0410.7860/JCDR/2016/14660.7269Use of ECT in Nepal: A One Year Study From the Country’s Largest Psychiatric FacilitySandip Subedi0Tapas Kumar Aich1Niru Sharma2Assistant Professor, Department of Psychiatry, UCMS, Bhairahawa, Nepal.Associate Professor, Department of Psychiatry, BRD medical College, Gorakhpur, India.Nursing Incharge, Department of Psychiatry, UCMS, Bhairahawa, Nepal.Introduction: Electro-Convulsive Therapy (ECT) refers to the electrical stimulation of the brain to produce seizures for therapeutic purpose. Since the development of ECT, it’s use has been consistent. Inspite of the common use, data pertaining to the use of ECT in Nepal is lacking. Aim: This study was undertaken with the aim of exploring the clinico-demographic profile of patients treated with ECT in the largest psychiatry facility in the country. Materials and Methods: It is a retrospective descriptive study of patients who were treated with ECT after admission in the inpatient psychiatry unit of Universal College of Medical Sciences Teaching Hospital, Bhairahawa, Nepal during a period of one year (August 2012 to July 2013). Results: Out of 1095 patients admitted during the specified period, 81 (7.39%) patients received ECT. About 44.44% of the patients belonged to 20-29 years age group. Female patients constituted more than half of the subjects (55.56%). Review of diagnostic profile showed that majority of patients receiving ECT were suffering from Schizophrenia (44.4%), followed by Bipolar Affective Disorder/Mania (29.6%), Depressive disorder (11.1%), Acute and Transient Psychotic Disorder (6.2%), Post-partum Psychosis (3.7%) and substance induced mood/psychotic disorders (3.7%). A significant majority of subjects (75.3%) received about 5-7 ECT treatments. The mean seizure duration after ECT treatment was 31.13±5.79 seconds. No any major complications were noted during ECT treatment. Conclusion: This study suggests that ECT, use, as a treatment modality is common in young adults and females with Schizophrenia being the most common indication. Direct ECT is safe when used judiciously.https://jcdr.net/articles/PDF/7269/14660_CE(RA1)_F(T)_PF1(VIAK)_PFA(NC_AK)_PF2(PAG).pdfdiagnostic profileelectroconvulsive therapypsychiatric symptomsseizures |
| spellingShingle | Sandip Subedi Tapas Kumar Aich Niru Sharma Use of ECT in Nepal: A One Year Study From the Country’s Largest Psychiatric Facility Journal of Clinical and Diagnostic Research diagnostic profile electroconvulsive therapy psychiatric symptoms seizures |
| title | Use of ECT in Nepal: A One Year Study From the Country’s Largest Psychiatric Facility |
| title_full | Use of ECT in Nepal: A One Year Study From the Country’s Largest Psychiatric Facility |
| title_fullStr | Use of ECT in Nepal: A One Year Study From the Country’s Largest Psychiatric Facility |
| title_full_unstemmed | Use of ECT in Nepal: A One Year Study From the Country’s Largest Psychiatric Facility |
| title_short | Use of ECT in Nepal: A One Year Study From the Country’s Largest Psychiatric Facility |
| title_sort | use of ect in nepal a one year study from the country s largest psychiatric facility |
| topic | diagnostic profile electroconvulsive therapy psychiatric symptoms seizures |
| url | https://jcdr.net/articles/PDF/7269/14660_CE(RA1)_F(T)_PF1(VIAK)_PFA(NC_AK)_PF2(PAG).pdf |
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