Provision of electroconvulsive therapy during the COVID-19 pandemic: a survey among clinics in Germany, Austria, and Switzerland : original study

The coronavirus disease 2019 (COVID-19) pandemic has had a marked impact on psychiatry. Capacity reductions also affected electroconvulsive therapy (ECT), even though ECT is an essential rather than an elective procedure. We sent a survey to all 197 clinics in Germany, Austria, and Switzerland with...

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Hauptverfasser: Karl, Sebastian (VerfasserIn) , Schönfeldt-Lecuona, Carlos (VerfasserIn) , Sartorius, Alexander (VerfasserIn) , Grözinger, Michael (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: September 2022
In: The journal of ECT
Year: 2022, Jahrgang: 38, Heft: 3, Pages: 205-2010
ISSN:1533-4112
DOI:10.1097/YCT.0000000000000846
Online-Zugang:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1097/YCT.0000000000000846
Verlag, lizenzpflichtig, Volltext: https://journals.lww.com/ectjournal/abstract/2022/09000/provision_of_electroconvulsive_therapy_during_the.14.aspx
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Verfasserangaben:Sebastian Karl, Carlos Schönfeldt-Lecuona, Alexander Sartorius, and Michael Grözinger

MARC

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520 |a The coronavirus disease 2019 (COVID-19) pandemic has had a marked impact on psychiatry. Capacity reductions also affected electroconvulsive therapy (ECT), even though ECT is an essential rather than an elective procedure. We sent a survey to all 197 clinics in Germany, Austria, and Switzerland with an ECT service between March and May 2021 to provide an overview of the changes made to ECT services in these countries during the acute phase of the COVID-19 pandemic. More than a quarter of the clinics (27.0%) reported a temporary suspension of all ECT treatments, and 28.2% of the clinics reported reductions of up to 75%. Maintenance ECT was suspended in 46.7% of the clinics and reduced by up to 75% in 30.6% of the clinics. At the time of the survey, 40.8% of the clinics still reported lower numbers of ECT treatments compared with the prepandemic situation. Reasons for the reduced number of ECT treatments included patient safety and testing measures, personnel shortages in the anesthesiology departments, and limited availability of rooms. The COVID-19 pandemic had and continues to have a marked negative impact on the provision of ECT in clinics in Germany, Austria, and Switzerland. To avoid negative consequences for patients, ECT clinics should urgently take steps to provide ECT services without disruptions. 
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