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Evolution of Electroconvulsive Therapy during the COVID-19 pandemic in the Regional ECT Unit of the Region of Murcia

Published online by Cambridge University Press:  01 September 2022

M.A. Cutillas Fernández ,
M.L. Medina Garrido ,
M. López Villaescusa ,
E. Bermudez Larrosa ,
C. Martínez Milán  and
E. Aparicio Castro
M.A. Cutillas Fernández*
Affiliation:
Hospital Morales Meseguer, Psiquiatría, Murcia, Spain
M.L. Medina Garrido
Affiliation:
Hospital Psiquiátrico Román Alberca, Unidad Regional De Tec, Murcia, Spain
M. López Villaescusa
Affiliation:
Hospital Psiquiátrico Román Alberca, Unidad Regional De Tec, Murcia, Spain
E. Bermudez Larrosa
Affiliation:
Hospital Morales Meseguer, Psiquiatría, Murcia, Spain
C. Martínez Milán
Affiliation:
Hospital Morales Meseguer, Psiquiatría, Murcia, Spain
E. Aparicio Castro
Affiliation:
Hospital Morales Meseguer, Psiquiatría, Murcia, Spain
*
*Corresponding author.

Abstract

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Introduction

Covid-19 was declared a global pandemic by the WHO on 11 March 2020. From the beginning, the pandemic posed a challenge to the different health systems around the world, which were forced to prioritise and distribute their resources as efficiently as possible. During the period between 11 March 2020 and 28 April 2021, the Regional ECT Unit of the Region of Murcia remained closed.

Objectives

- Determine the clinical status of patients on maintenance ECT in the Regional ECT Unit during the Covid-19 pandemic.

- Prioritise resumption of treatment in those who were clinically decompensated or at risk

- Understand the consequences of discontinuation of maintenance ECT for these patients.

Methods

A longitudinal descriptive study was conducted during the month of May 2020.

Results

Thirty-seven patients were contacted by telephone. On the first call, a total of 15 patients were unstable or at risk of decompensation.

Prior to the second call, CT was administered preferentially to a total of 8 patients and programmed to 2. On the second call, a total of 11 patients were at risk of decompensation.

Conclusions

The closure of the Regional ECT Unit had negative consequences for patients undergoing maintenance treatment. Electroconvulsive therapy is an essential part of the treatment of psychiatric patients both in acute episodes and in relapse prevention.

Disclosure

No significant relationships.

Keywords

Maintenance ECTCovid-19Electroconvulsive therapy
Type
Abstract
Information
European Psychiatry , Volume 65 , Special Issue S1: Abstracts of the 30th European Congress of Psychiatry , June 2022 , pp. S522 - S523
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of the European Psychiatric Association
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