Electroconvulsive Therapy Practice Changes in Older Individuals Due to COVID-19: Expert Consensus Statement

Lapid, Maria I.; Seiner, Stephene; Heintz, Hannah; Hermida, Adriana P.; Nykamp, Louis; Sanghani, Sohag; Mueller, Martina; Petrides, Georgios; Forester, Brent P.

doi:10.1016/j.jagp.2020.08.001

Cited by 24 publications

(77 citation statements)

References 11 publications

(11 reference statements)

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“…The second, the topics and references. Category Topic and references Change to medical practice Mental health care [254] , [257] , [261] , [273] , [274] , [275] ; Emergency care [276] , [277] ; Substance abuse [253] , [263] , [278] , [279] , [280] ; Oncological care [264] , [281] Health care practices [255] , [259] , [262] , [282] , [283] , [284] ; Pediatric care [283] , [285] Other care [256] , [260] , [268] , [286] , [287] , [288] Modeling Modeling approaches [28] , [265] , [289] , [290] , [291] , [292] , [293] ; Transmission dynamics [294] , [295] , [296] , [297] , [298] Mobile phone data [29] ;

estimation [258] Effect of NPIs Effects on: children ...…”

Section: Comments And/or Perspectivesmentioning

confidence: 99%

“…This is the largest group of comments and/or perspectives. We find articles focused on a range of medical specialities: mental health care [254] , [257] , [261] , [273] , [274] , [275] , emergency care [276] , [277] , substance abuse [253] , [263] , [278] , [279] , [280] , oncological care [264] , [281] , health care practices [255] , [259] , [262] , [282] , [283] , [284] , pediatric care [283] , [285] , and other care [256] , [260] , [268] , [286] , [287] , [288] .…”

Section: Comments And/or Perspectivesmentioning

confidence: 99%

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Non-pharmaceutical interventions during the COVID-19 pandemic: A review

2021

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Infectious diseases and human behavior are intertwined. On one side, our movements and interactions are the engines of transmission. On the other, the unfolding of viruses might induce changes to our daily activities. While intuitive, our understanding of such feedback loop is still limited. Before COVID-19 the literature on the subject was mainly theoretical and largely missed validation. The main issue was the lack of empirical data capturing behavioral change induced by diseases. Things have dramatically changed in 2020. Non-pharmaceutical interventions (NPIs) have been the key weapon against the SARS-CoV-2 virus and affected virtually any societal process. Travels bans, events cancellation, social distancing, curfews, and lockdowns have become unfortunately very familiar. The scale of the emergency, the ease of survey as well as crowdsourcing deployment guaranteed by the latest technology, several Data for Good programs developed by tech giants, major mobile phone providers, and other companies have allowed unprecedented access to data describing behavioral changes induced by the pandemic. Here, I review some of the vast literature written on the subject of NPIs during the COVID-19 pandemic. In doing so, I analyze 348 articles written by more than 2518 of authors in the first 12 months of the emergency. While the large majority of the sample was obtained by querying PubMed, it includes also a hand-curated list. Considering the focus, and methodology I have classified the sample into seven main categories: epidemic models, surveys, comments/perspectives, papers aiming to quantify the effects of NPIs, reviews, articles using data proxies to measure NPIs, and publicly available datasets describing NPIs. I summarize the methodology, data used, findings of the articles in each category and provide an outlook highlighting future challenges as well as opportunities.

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estimation [258] Effect of NPIs Effects on: children ...…”

Section: Comments And/or Perspectivesmentioning

confidence: 99%

Section: Comments And/or Perspectivesmentioning

confidence: 99%

Non-pharmaceutical interventions during the COVID-19 pandemic: A review

2021

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“…Screening includes a recent history of travel, exposure to suspected or diagnosed cases, and the presence of Covid-19 symptoms requiring Covid-19 RT-PCR testing from nasopharyngeal swab ( Burhan et al, 2020 ; Gil-Badenes et al, 2020 ; Lapid et al, 2020 ; Schumann et al, 2020 ). A few recommend baseline RT-PCR testing for all patients 1–2 days before the first ECT ( Bryson and Aloysi, 2020 ; Flexman et al, 2020 ; Sienaert et al, 2020 ).…”

Section: Review Of Recommendations/suggestions For Ect Across the World During Covid-19 Pandemicmentioning

confidence: 99%

“…A few recommend baseline RT-PCR testing for all patients 1–2 days before the first ECT ( Bryson and Aloysi, 2020 ; Flexman et al, 2020 ; Sienaert et al, 2020 ). Most groups advised avoiding ECT in Covid-19 positive cases for the first two weeks unless it is urgent and life-saving due to the risk of infection spread ( Flexman et al, 2020 ; Gil-Badenes et al, 2020 ; Lapid et al, 2020 ; Ramakrishnan et al, 2020 ). Conversely, COVID-19 positive patients have received ECT successfully in tertiary care hospitals without the above restrictions ( Sienaert et al, 2020 ), even during the symptomatic phase of COVID-19 infection ( Braithwaite et al, 2020 ).…”

Section: Review Of Recommendations/suggestions For Ect Across the World During Covid-19 Pandemicmentioning

confidence: 99%

“…Conversely, COVID-19 positive patients have received ECT successfully in tertiary care hospitals without the above restrictions ( Sienaert et al, 2020 ), even during the symptomatic phase of COVID-19 infection ( Braithwaite et al, 2020 ). Furthermore, many added information regarding the possible risks of contracting COVID-19 disease to the informed consent ( Burhan et al, 2020 ; Lapid et al, 2020 ). During ECT, it is recommended to monitor the patients daily for fever and respiratory symptoms.…”

Section: Review Of Recommendations/suggestions For Ect Across the World During Covid-19 Pandemicmentioning

confidence: 99%

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Electroconvulsive therapy services during COVID-19 pandemic

Surve

Sinha

Baliga

et al. 2021

Asian Journal of Psychiatry

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The COVID-19 pandemic has hit the electroconvulsive therapy (ECT) services hard worldwide as it is considered an elective procedure and hence has been given less importance. Other reasons include the risk of transmission of infections, lack of resources, and the scarcity of anesthesiologists due to their diversion to intensive care units to manage COVID-19 patients. However, ECT is an urgent and life-saving measure for patients diagnosed with depression and other severe mental illnesses who have suicidality, catatonia, or require a rapid therapeutic response. COVID-19 pandemic is a significant source of stress for individuals due to its impact on health, employment, and social support resulting in new-onset psychiatric illnesses and the worsening of a pre-existing disorder. Hence, a continuation of the ECT services during the COVID-19 pandemic is of paramount importance. In this narrative review, the authors from India have compiled the literature on the ECT practice during the COVID-19 pandemic related to the screening and testing protocol, necessity of personal protective equipment, modification in ECT Suite, electrical stmulus settings, and anesthesia technique modification. The authors have also shared their experiences with the ECT services provided at their institute during this pandemic. This description will help other institutes to manage the ECT services uninterruptedly and make ECT a safe procedure during the current pandemic.

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