January-March 2018

Electroconvulsive Therapy in Patients of Acute Mania Admitted in General Hospital

Dhiraj Kandre1*, Pratik Sharma2

1MD Psychiatry, Assistant Professor, 2MD Psychiatry Consultant Psychiatrist, Psychiatry Department, GMERS Medical College, Himatnagar


BACKGROUND: Despite the introduction of new psychotropic and mood stabilizers, in India, Electroconvulsive therapy (ECT) is widely used in treatment of mania. We intended to study clinical factors and outcome in patients of mania admitted in general hospital receiving ECT. METHOD & MATERIAL: Retrospective case note review was carried out of all patients of mania admitted in hospital in 1 year from July 2012 to June 2013. . Patients’ case papers and ECT records were used to obtain the socio-demographic, clinical and ECT related information using a semi-structured Performa.Clinical Global Impression Scale for severity (CGI-S) and improvement (CGI-I) were applied on admission and discharge of patients respectively. RESULTS: Total 153 patients of acute mania were hospitalized out of which 63 (41.18%) received ECT along with medications and 90 (58.82%) were treated only with medications. Type of mania, past history of ECT, duration of current episode, hospital stay, CGI S and CGI I were significantly associated with ECT prescription in patients with acute mania. CONCLIUSION: Significant number of patients admitted in tertiary care hospital for acute mania, are given ECT for higher severity of illness, with longer duration of episode, psychotic symptoms and past positive history of ECT. ECT brought significant amount of improvement but also increased hospital stay.

Keywords: Electroconvulsive therapy, mania, Clinical Global Impression Scale for severity, Clinical Global Impression Scale for improvement

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