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Non-stop management of an electroconvulsive therapy unit (ECT-U) during the first two months of COVID-19 lockdown in Spain

Published online by Cambridge University Press:  13 August 2021

V. Llorca-Bofí*
Affiliation:
Psychiatry Department, HU Santa Maria, Lleida, Spain
I. Batalla
Affiliation:
Psychiatry Department, HU Santa Maria, Lleida, Spain
M. Adrados-Pérez
Affiliation:
Psychiatry Department, HU Santa Maria, Lleida, Spain
E. Buil-Reiné
Affiliation:
Psychiatry Department, HU Santa Maria, Lleida, Spain
J. Pifarré
Affiliation:
Psychiatry Department, HU Santa Maria, Lleida, Spain
A. Torrent
Affiliation:
Psychiatry Department, HU Santa Maria, Lleida, Spain
*
*Corresponding author.

Abstract

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Introduction

Since the declaration of the national lockdown in Spain on March 14th until the publication of the SEPB recommendations on May 11th, most of the ECT-U closed or drastically reduced their activity.

Objectives

To present our non-stop management of an ECT-U during the first two months of COVID-19 lockdown in Spain.

Methods

We retrospectively analysed the time between sessions, the clinical, pharmacological and electrical data records of maintenance patients (m-ECT) and compared them with their own records in the two-month period prior to COVID-19. We analysed the length of admission, clinical, pharmacological and electrical records in hospitalized patients (i-ETC) and compared them with patients from the entire year prior to COVID-19 paired by age, sex and diagnosis.

Results

The ECT-m programme included 17 patients: we postponed the ECT in 8 patients; 1 patient was hospitalized and 8 patients continued normally. The time between m-ECT increased by 8.37±4.89 days (p=0.018) without relapse. During the COVID-19 period, we performed ECT-i in 14 patients without new infections. In i-ECT the duration of admissions increased by 22.1 ±1.2 days (p=0.006), the load increased by 81.53 ±87.8 mC (p=0.027) and the time of the electrical seizure decreased by 7.9 ±9.2 seconds (p=0.037).

Conclusions

The modifications that reach a statistical significance are explained by the readjustment of the ECT-U, with no clinical significance. With the appropriate measures, neither m-ECT nor i-ECT were discontinued. Thus we maintained adequate patient management.

Disclosure

No significant relationships.

Type
Abstract
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), 2021. Published by Cambridge University Press on behalf of the European Psychiatric Association
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