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Objectives: Electroconvulsive therapy (ECT) is important in the management of major, life-threatening, and treatment-resistant psychiatric illness. The COVID-19 pandemic has significantly disrupted ECT services. The need for new infection control measures, staff redeployment and shortages, and the perception that ECT is as an "elective" procedure have caused changes to, and reductions in, ECT delivery. The aim of this study was to explore the impact of COVID-19 on ECT services, staff, and patients globally.

Methods: Data were collected using an electronic, mixed-methods, cross-sectional survey. The survey was open from March to November 2021. Clinical directors in ECT services, their delegates, and anesthetists were asked to participate. Quantitative findings are reported.

Results: One hundred and twelve participants worldwide completed the survey. The study identified significant impacts on services, staff, and patients. Importantly, most participants (57.8%; n = 63) reported their services made at least 1 change to ECT delivery. More than three-quarters (81.0%; n = 73) reported that their service had identified at least 1 patient who could not access ECT. More than two-thirds (71.4%; n = 67) reported that their service identified patients who experienced a relapse in their psychiatric illness due to lack of ECT access. Six participants (7.6%) reported that their service had identified at least 1 patient who died, by suicide or other means, due to lack of ECT access.

Conclusions: All ECT practices surveyed were impacted by COVID-19 with decreases in capacity, staffing, changes in workflow, and personal protective equipment requirements with relatively little change to ECT technique. Lack of access to ECT resulted in significant morbidity and mortality, including suicide, internationally. This is the first multisite, international survey to explore the impacts of COVID-19 on ECT services, staff, and patients.

Competing Interests: The authors have no conflicts of interest or financial disclosures to report.

Titel:	Impact on Electroconvulsive Therapy Services, Including Patient Relapse and Death, During the COVID-19 Pandemic: Quantitative Results From a Multinational Survey.
Autor/in / Beteiligte Person:	Sarma, S ; Branjerdporn, G ; McCosker, L ; Dong, V ; Martin, D ; Loo, C
Zeitschrift:	The journal of ECT, Jg. 39 (2023-09-01), Heft 3, S. 179-184
Veröffentlichung:	Hagerstown, MD : Lippincott Williams & Wilkins ; <i>Original Publication</i>: Hagerstown, MD : Lippincott-Raven Publishers, c1998-, 2023
Medientyp:	academicJournal
ISSN:	1533-4112 (electronic)
DOI:	10.1097/YCT.0000000000000908
Schlagwort:	Humans Cross-Sectional Studies Pandemics Surveys and Questionnaires Electroconvulsive Therapy methods COVID-19
Sonstiges:	Nachgewiesen in: MEDLINE Sprachen: English Publication Type: Journal Article Language: English [J ECT] 2023 Sep 01; Vol. 39 (3), pp. 179-184. <i>Date of Electronic Publication: </i>2023 Feb 23. MeSH Terms: Electroconvulsive Therapy* / methods ; COVID-19* ; Humans ; Cross-Sectional Studies ; Pandemics ; Surveys and Questionnaires References: Royal College of Psychiatrists. Statement on Electroconvulsive Therapy. 2017. Royal College of Psychiatrists Web site. Available at: https://www.rcpsych.ac.uk/docs/default-source/about-us/who-we-are/electroconvulsive-therapy---ect-ctee-statement-feb17.pdf?sfvrsn=2f4a94f9_2 . Accessed March 15, 2022. ; American Psychiatric Association (APA). What is Electroconvulsive Therapy (ECT)?. 2019. APA Web site. Available at: https://www.psychiatry.org/patients-families/ect . Accessed March 15, 2022. ; Royal Australian and New Zealand College of Psychiatrists (RANZCP). Electroconvulsive Therapy (ECT). 2020. RANZCP Web site. 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Available at: https://www.rcpsych.ac.uk/docs/default-source/about-us/covid-19/ect-covid-19-briefing-may-20-submitted.pdf?sfvrsn=dd39d278_2 . Accessed March 17, 2022. ; Royal College of Anaesthetists (RCOA). Anaesthesia for ECT during the COVID-19 pandemic. RCOA . 2020; Available at: https://icmanaesthesiacovid-19.org/anaesthesia-for-ect-during-the-covid-19-pandemic . Accessed March 17, 2022. ; Bryson E, Aloysi A. A strategy for management of ECT patients during the COVID-19 pandemic. J ECT . 2020;36:149–151. Entry Date(s): Date Created: 20230310 Date Completed: 20230831 Latest Revision: 20230909 Update Code: 20240513

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Impact on Electroconvulsive Therapy Services, Including Patient Relapse and Death, During the COVID-19 Pandemic: Quantitative Results From a Multinational Survey.