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Related Experiment Videos

Electroconvulsive therapy and falls in the elderly.

A J de Carle1, R Kohn

  • 1Department of Psychiatry and Human Behavior, Brown University, Providence, Rhode Island 02906, USA.

The Journal of ECT
|September 27, 2000
PubMed
Summary
This summary is machine-generated.

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Falls are a common complication of electroconvulsive therapy (ECT) in geriatric psychiatry. The number of ECT treatments and Parkinson disease diagnosis independently increase fall risk in elderly patients receiving ECT.

Area of Science:

  • Geriatric Psychiatry
  • Neurology
  • Patient Safety

Background:

  • Electroconvulsive therapy (ECT) is a widely used treatment in geriatric psychiatry.
  • While effective and safe, falls are a significant complication associated with ECT in the elderly population.
  • Identifying risk factors for falls is crucial for improving patient safety during ECT.

Purpose of the Study:

  • To identify independent risk factors for falls in elderly patients undergoing electroconvulsive therapy.
  • To inform clinical practice and guide fall prevention strategies in this vulnerable population.

Main Methods:

  • A logistic regression model was employed to analyze data from elderly patients receiving ECT.
  • Independent variables included the number of ECT treatments and specific diagnoses.

Related Experiment Videos

  • The outcome variable was the occurrence of falls during or after ECT.

    • Main Results:

    • The number of electroconvulsive therapy treatments was identified as a significant independent risk factor for falls.
    • A diagnosis of Parkinson disease was also found to be an independent risk factor for falls in this cohort.
    • These factors highlight specific patient groups and treatment parameters associated with increased fall risk.

    Conclusions:

    • Clinicians should be aware of the elevated risk of falls in elderly patients undergoing ECT, particularly those with Parkinson disease or receiving multiple treatments.
    • Further research is warranted to develop targeted interventions to mitigate fall risk associated with ECT.
    • Proactive fall prevention measures are essential in geriatric psychiatric care involving ECT.