Electroconvulsive Therapy in Hong Kong: Rates of Use, Indications, and Outcome

Chung, Ka Fai

doi:10.1097/00124509-200306000-00008

Cited by 39 publications

(39 citation statements)

References 21 publications

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“…8 The lowest rates are reported from Hungary (0.6%) and Hong Kong (1.34%Y1.88% of inpatients). 13,14 Reasons reported for low rates include legal regulations and negative attitudes toward ECT. 13 The rate of ECT use in India is similar to that reported in most countries in the Asia Pacific region, which was 9% or less.…”

Section: Comparison Of Results To Available Literaturementioning

confidence: 99%

Comparison of Electroconvulsive Therapy Practice Between London and Bengaluru

Eranti

Thirthalli²,

Pattan³

et al. 2011

The Journal of ECT

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The practice of ECT differed substantially between the London and Bengaluru sites. The relatively limited use of ECT in London reflects local treatment guidelines and may reflect the stigma associated with ECT. Electroconvulsive therapy is more widely used in Bengaluru with good outcomes. Further cross-cultural research is required to study the reasons for such contrasting practices and what constitutes the optimal practice of ECT for health systems in different countries.

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Section: Comparison Of Results To Available Literaturementioning

confidence: 99%

Comparison of Electroconvulsive Therapy Practice Between London and Bengaluru

Eranti

Thirthalli²,

Pattan³

et al. 2011

The Journal of ECT

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“…However, this preference for bilateral ECT in the community is seen in other community surveys. 17,[21][22][23][24][25][26] C-ECT and M-ECT are not widely used in India. In our survey, they were used in 22 and 17 institutions, respectively.…”

Section: Discussionmentioning

confidence: 99%

Survey of the Practice of Electroconvulsive Therapy in Teaching Hospitals in India

Chanpattana

Kunigiri²,

Kramer³

et al. 2005

The Journal of ECT

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“…In South Africa, TPR was 1.26 (Mugisha and Ovuga 1991). In Asia, TPR was only reported from Thailand 1.15 (Chanpattana and Kramer 2004) and Hong Kong ranging 0.27–0.34 (Chung 2003; Chung et al 2003; Chanpattana et al 2010). …”

Section: Ect Utilizationmentioning

confidence: 99%

“…In the United States, iP was lowest, from 0.4% to 1.3% (McCall et al 1992; Sylvester et al 2000), similar to Hong Kong was 0.6–1.8% (Chung 2003; Chung et al 2009). In Australia, iP ranged from 1% to 8% (Wood and Burgess 2003; Teh et al 2005), and in Europe from 0.6% (Hungary) (Gazdag et al 2004a) to 14% (Turkey) (Zeren et al 2003).…”

Section: Ect Utilizationmentioning

confidence: 99%

Contemporary use and practice of electroconvulsive therapy worldwide

2012

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To explore contemporary (from 1990) utilization and practice of electroconvulsive therapy (ECT) worldwide. Systematic search (limited to studies published 1990 and after) was undertaken in the databases Medline, Embase, PsycINFO, SveMed, and EBSCO/Cinahl. Primary data‐based studies/surveys with reported ECT utilization and practice in psychiatric institutions internationally, nationally, and regionally; city were included. Two reviewers independently checked study titles and abstracts according to inclusion criteria, and extracted ECT utilization and practice data from those retrieved in full text. Seventy studies were included, seven from Australia and New Zealand, three Africa, 12 North and Latin America, 33 Europe, and 15 Asia. Worldwide ECT differences and trends were evident, average number ECTs administered per patient were eight; unmodified (without anesthesia) was used in Asia (over 90%), Africa, Latin America, Russia, Turkey, Spain. Worldwide preferred electrode placement was bilateral, except unilateral at some places (Europe and Australia/New Zealand). Although mainstream was brief‐pulse wave, sine‐wave devices were still used. Majority ECT treated were older women with depression in Western countries, versus younger men with schizophrenia in Asian countries. ECT under involuntary conditions (admissions), use of ambulatory‐ECT, acute first line of treatment, as well as administered by other professions (geriatricians, nurses) were noted by some sites. General trends were only some institutions within the same country providing ECT, training inadequate, and guidelines not followed. Mandatory reporting and overall country ECT register data were sparse. Many patients are still treated with unmodified ECT today. Large global variation in ECT utilization, administration, and practice advocates a need for worldwide sharing of knowledge about ECT, reflection, and learning from each other's experiences.

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Electroconvulsive Therapy in Hong Kong: Rates of Use, Indications, and Outcome

Abstract: The rate of ECT use in Hong Kong continues to be below that in the United States and the United Kingdom. Access to ECT is most limited to the elderly and private patients.

Cited by 39 publications

References 21 publications

Comparison of Electroconvulsive Therapy Practice Between London and Bengaluru

Comparison of Electroconvulsive Therapy Practice Between London and Bengaluru

Survey of the Practice of Electroconvulsive Therapy in Teaching Hospitals in India

Contemporary use and practice of electroconvulsive therapy worldwide

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