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Audit of thrice- versus twice-weekly ECT
Eric Roche1, Jasmin Lope, Helen Hughes
1Cluain Mhuire Community Mental Health Service, Blackrock, County Dublin, Ireland. ectoroche@gmail.com
Twice-weekly electroconvulsive therapy (ECT) requires less electricity and may shorten hospital stays compared to thrice-weekly ECT. These findings support the growing international preference for twice-weekly ECT schedules.
Area of Science:
- Psychiatry
- Neurology
- Clinical Medicine
Background:
- Limited understanding of electroconvulsive therapy (ECT) schedule differences.
- Need for data comparing thrice-weekly vs. twice-weekly ECT protocols.
Purpose of the Study:
- To compare technical parameters and length of stay for thrice-weekly and twice-weekly ECT.
- Evaluate the impact of shifting from thrice- to twice-weekly ECT schedules.
Main Methods:
- Prospective audit conducted during a transition period.
- Data collected from a Dublin psychiatric hospital.
Main Results:
- Twice-weekly ECT showed significantly lower total electricity dosage.
- A trend towards shorter hospital stays with twice-weekly ECT.
- Fewer ECT treatments were administered with the twice-weekly schedule.
Conclusions:
- Results align with the international trend favoring twice-weekly ECT.
- Twice-weekly ECT appears to be a more resource-efficient schedule.
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