The mortality rate of electroconvulsive therapy: a systematic review and pooled analysis

@article{Torring2017TheMR,
  title={The mortality rate of electroconvulsive therapy: a systematic review and pooled analysis},
  author={Nina Torring and Sohag N. Sanghani and Georgios Petrides and Charles H. Kellner and S{\o}ren Dinesen {\O}stergaard},
  journal={Acta Psychiatrica Scandinavica},
  year={2017},
  volume={135}
}
Electroconvulsive therapy (ECT) remains underutilized because of fears of cognitive and medical risks, including the risk of death. In this study, we aimed to assess the mortality rate of ECT by means of a systematic review and pooled analysis. 
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References

SHOWING 1-10 OF 76 REFERENCES
Regressive and Intensive Methods of Electroconvulsive Therapy: A Brief Historical Note
TLDR
In the 1940s, regressive and intensive methods were developed to increase the therapeutic effects of electroconvulsive therapy and the risks and benefits from a historical perspective are evaluated.
Electroconvulsive Treatment in Great Britain
A survey of the practice of electroconvulsive treatment, ECT, in Great Britain was made during 1980–81 for the Royal College of Psychiatrists, supported by grants from the Department of Health and
Morbidity and Mortality in the Use of Electroconvulsive Therapy
TLDR
A retrospective review of all the patients who underwent ECT at this institution between January 1, 1988, through December 31, 2001 concludes that ECT is an extremely safe procedure.
Changing Patterns of Electroconvulsive Therapy Use: Results of a Five-Year Survey
TLDR
A gradual decline in the use of ECT is found, due mainly to a reduction in ECT for schizophrenic patients, and eighty percent of treatments were given with bilateral electrode placement, although the incidence of adverse effects is found to be greater with bilateral ECT.
All-cause mortality among recipients of electroconvulsive therapy: register-based cohort study.
TLDR
Further investigation of the effect of ECT on physical health and the observed increased suicide rate immediately following treatment are needed, although the last finding is likely to result from selection bias.
ECT in patients with intracranial masses.
TLDR
The authors describe the electroconvulsive therapy treatment of seven patients who had intracranial masses or mass effect and one patient who was status post mass resection, and provide recommendations for clinical practice with such patients.
The Role of ECT in Suicide Prevention
TLDR
This review assesses the experience with ECT in persons with suicide risk and recommends the consideration of E CT in treatment algorithms to reduce suicide rates.
Electroconvulsive therapy in old-old patients.
  • D. Manly, S. Oakley, R. Bloch
  • Medicine, Psychology
    The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry
  • 2000
TLDR
ECT appears to be relatively safe and more effective than pharmacotherapy for major depressive disorders in old-old patients and showed fewer cardiovascular and gastrointestinal side effects.
Electroconvulsive therapy during pregnancy: a systematic review of case studies
TLDR
Electroconvulsive therapy during pregnancy is advised considered only as last resort treatment under very stringent diagnostic and clinical indications and Updated international guidelines are urgently needed.
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