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Pratique de l’électroconvulsivothérapie dans un hôpital universitaire Tunisien: The practice of electroconvulsivotherapy at a University Hospital in Tunisia

This study aimed to describe the practice of electroconvulsivotherapy (ECT) at the University Hospital of Monastir (Tunisia). We conducted a retrospective study of all patients treated by ECT at the University Hospital of Monastir between 2002 and 2013. 80 patients were enrolled in the study (60 men...

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Autores principales: Mechri, Anwar, Zaafrane, Hana, Khalifa, Monia Hadj, Toumi, Samir, Zaafrane, Férid, Gaha, Lotfi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The African Field Epidemiology Network 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5889509/
https://www.ncbi.nlm.nih.gov/pubmed/29632628
http://dx.doi.org/10.11604/pamj.2018.29.6.11887
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author Mechri, Anwar
Zaafrane, Hana
Khalifa, Monia Hadj
Toumi, Samir
Zaafrane, Férid
Gaha, Lotfi
author_facet Mechri, Anwar
Zaafrane, Hana
Khalifa, Monia Hadj
Toumi, Samir
Zaafrane, Férid
Gaha, Lotfi
author_sort Mechri, Anwar
collection PubMed
description This study aimed to describe the practice of electroconvulsivotherapy (ECT) at the University Hospital of Monastir (Tunisia). We conducted a retrospective study of all patients treated by ECT at the University Hospital of Monastir between 2002 and 2013. 80 patients were enrolled in the study (60 men and 20 women, with an average age of 42.1±15.7 years), accounting for 1.4% of all patients hospitalized in Psychiatry Department during the study period. The total number of ECT sessions was 784. In 50% of patients, the primary diagnosis was a major isolated or recurring depressive disorder. The majority of patients (78.8%) had undergone only one ECT session, with an average number of sessions of 8.1 ± 4.9. The most used anesthetic product was the propofol (97.4%). In 71% of cases the energy delivered was between 40 and 80 joules and it was positively correlated with patients’ age. The average duration of the motor seizure was 22.3 ± 7.2 seconds and it was negatively correlated with patients’ age. The highest response rate was found in depression scores (64.3%). Immediate adverse effects occurred in 51.2% of patients. Finally, 20% of patients continued to undergo maintenance ECT sessions on a weekly or a biweekly basis. The practice of ECT at the University Hospital of Monastir has been little developed in terms of number of patients and ECT sessions. Efforts should be made to promote the use of this method.
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spelling pubmed-58895092018-04-09 Pratique de l’électroconvulsivothérapie dans un hôpital universitaire Tunisien: The practice of electroconvulsivotherapy at a University Hospital in Tunisia Mechri, Anwar Zaafrane, Hana Khalifa, Monia Hadj Toumi, Samir Zaafrane, Férid Gaha, Lotfi Pan Afr Med J Case Series This study aimed to describe the practice of electroconvulsivotherapy (ECT) at the University Hospital of Monastir (Tunisia). We conducted a retrospective study of all patients treated by ECT at the University Hospital of Monastir between 2002 and 2013. 80 patients were enrolled in the study (60 men and 20 women, with an average age of 42.1±15.7 years), accounting for 1.4% of all patients hospitalized in Psychiatry Department during the study period. The total number of ECT sessions was 784. In 50% of patients, the primary diagnosis was a major isolated or recurring depressive disorder. The majority of patients (78.8%) had undergone only one ECT session, with an average number of sessions of 8.1 ± 4.9. The most used anesthetic product was the propofol (97.4%). In 71% of cases the energy delivered was between 40 and 80 joules and it was positively correlated with patients’ age. The average duration of the motor seizure was 22.3 ± 7.2 seconds and it was negatively correlated with patients’ age. The highest response rate was found in depression scores (64.3%). Immediate adverse effects occurred in 51.2% of patients. Finally, 20% of patients continued to undergo maintenance ECT sessions on a weekly or a biweekly basis. The practice of ECT at the University Hospital of Monastir has been little developed in terms of number of patients and ECT sessions. Efforts should be made to promote the use of this method. The African Field Epidemiology Network 2018-01-04 /pmc/articles/PMC5889509/ /pubmed/29632628 http://dx.doi.org/10.11604/pamj.2018.29.6.11887 Text en © Anwar Mechri et al. http://creativecommons.org/licenses/by/2.0/ The Pan African Medical Journal - ISSN 1937-8688. This is an Open Access article distributed under the terms of the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Series
Mechri, Anwar
Zaafrane, Hana
Khalifa, Monia Hadj
Toumi, Samir
Zaafrane, Férid
Gaha, Lotfi
Pratique de l’électroconvulsivothérapie dans un hôpital universitaire Tunisien: The practice of electroconvulsivotherapy at a University Hospital in Tunisia
title Pratique de l’électroconvulsivothérapie dans un hôpital universitaire Tunisien: The practice of electroconvulsivotherapy at a University Hospital in Tunisia
title_full Pratique de l’électroconvulsivothérapie dans un hôpital universitaire Tunisien: The practice of electroconvulsivotherapy at a University Hospital in Tunisia
title_fullStr Pratique de l’électroconvulsivothérapie dans un hôpital universitaire Tunisien: The practice of electroconvulsivotherapy at a University Hospital in Tunisia
title_full_unstemmed Pratique de l’électroconvulsivothérapie dans un hôpital universitaire Tunisien: The practice of electroconvulsivotherapy at a University Hospital in Tunisia
title_short Pratique de l’électroconvulsivothérapie dans un hôpital universitaire Tunisien: The practice of electroconvulsivotherapy at a University Hospital in Tunisia
title_sort pratique de l’électroconvulsivothérapie dans un hôpital universitaire tunisien: the practice of electroconvulsivotherapy at a university hospital in tunisia
topic Case Series
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5889509/
https://www.ncbi.nlm.nih.gov/pubmed/29632628
http://dx.doi.org/10.11604/pamj.2018.29.6.11887
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