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Prevalence and Predictors of Postictal Confusion After Electroconvulsive Therapy

OBJECTIVE: To investigate the prevalence and predictors of postictal confusion (PIC) in patients who received electroconvulsive therapy (ECT). METHODS: We conducted chart reviews for 79 patients who were receiving inpatient ECT. Subjects with PIC were identified. PIC was defined by confusion, disori...

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Autores principales: Ittasakul, Pichai, Jarernrat, Phathamon, Tor, Phern-Chern
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7866936/
https://www.ncbi.nlm.nih.gov/pubmed/33564234
http://dx.doi.org/10.2147/NDT.S281961
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author Ittasakul, Pichai
Jarernrat, Phathamon
Tor, Phern-Chern
author_facet Ittasakul, Pichai
Jarernrat, Phathamon
Tor, Phern-Chern
author_sort Ittasakul, Pichai
collection PubMed
description OBJECTIVE: To investigate the prevalence and predictors of postictal confusion (PIC) in patients who received electroconvulsive therapy (ECT). METHODS: We conducted chart reviews for 79 patients who were receiving inpatient ECT. Subjects with PIC were identified. PIC was defined by confusion, disorientation, motor restlessness, purposeless movement, and nonresponse to verbal commands following ECT within an hour, intravenous benzodiazepine was necessary to manage disturbed behavior. Multivariable logistic regression analysis was used to examine the association of PIC with demographic and clinical variables. RESULTS: Prevalence of PIC was 36.7%. In 912 ECT sessions, the occurrence of PIC was 86 times. Patients with PIC (n = 29) had significant higher body mass index (BMI) (27 ± 6.6 kg/m(2) vs 24.1 ± 5.2 kg/m(2), t = −2.22, df = 77, p = 0.029) than patients without PIC (n = 50). PIC associated with BMI (Pearson correlation = 0.25, p = 0.029). BMI was significant predictor of PIC after adjusting for other covariates (odds ratio = 0.91, 95% CI= 0.83–0.99, p < 0.035). CONCLUSION: PIC was not uncommon in patients receiving ECT. BMI was an independent predictor of PIC. Psychiatrists should be aware of the risks of PIC in patients with high BMI receiving ECT.
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spelling pubmed-78669362021-02-08 Prevalence and Predictors of Postictal Confusion After Electroconvulsive Therapy Ittasakul, Pichai Jarernrat, Phathamon Tor, Phern-Chern Neuropsychiatr Dis Treat Original Research OBJECTIVE: To investigate the prevalence and predictors of postictal confusion (PIC) in patients who received electroconvulsive therapy (ECT). METHODS: We conducted chart reviews for 79 patients who were receiving inpatient ECT. Subjects with PIC were identified. PIC was defined by confusion, disorientation, motor restlessness, purposeless movement, and nonresponse to verbal commands following ECT within an hour, intravenous benzodiazepine was necessary to manage disturbed behavior. Multivariable logistic regression analysis was used to examine the association of PIC with demographic and clinical variables. RESULTS: Prevalence of PIC was 36.7%. In 912 ECT sessions, the occurrence of PIC was 86 times. Patients with PIC (n = 29) had significant higher body mass index (BMI) (27 ± 6.6 kg/m(2) vs 24.1 ± 5.2 kg/m(2), t = −2.22, df = 77, p = 0.029) than patients without PIC (n = 50). PIC associated with BMI (Pearson correlation = 0.25, p = 0.029). BMI was significant predictor of PIC after adjusting for other covariates (odds ratio = 0.91, 95% CI= 0.83–0.99, p < 0.035). CONCLUSION: PIC was not uncommon in patients receiving ECT. BMI was an independent predictor of PIC. Psychiatrists should be aware of the risks of PIC in patients with high BMI receiving ECT. Dove 2021-02-02 /pmc/articles/PMC7866936/ /pubmed/33564234 http://dx.doi.org/10.2147/NDT.S281961 Text en © 2021 Ittasakul et al. http://creativecommons.org/licenses/by-nc/3.0/ This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php).
spellingShingle Original Research
Ittasakul, Pichai
Jarernrat, Phathamon
Tor, Phern-Chern
Prevalence and Predictors of Postictal Confusion After Electroconvulsive Therapy
title Prevalence and Predictors of Postictal Confusion After Electroconvulsive Therapy
title_full Prevalence and Predictors of Postictal Confusion After Electroconvulsive Therapy
title_fullStr Prevalence and Predictors of Postictal Confusion After Electroconvulsive Therapy
title_full_unstemmed Prevalence and Predictors of Postictal Confusion After Electroconvulsive Therapy
title_short Prevalence and Predictors of Postictal Confusion After Electroconvulsive Therapy
title_sort prevalence and predictors of postictal confusion after electroconvulsive therapy
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7866936/
https://www.ncbi.nlm.nih.gov/pubmed/33564234
http://dx.doi.org/10.2147/NDT.S281961
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