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Adherence to clinical practice guidelines for using electroconvulsive therapy in elderly depressive patients

dc.rights.licenseopenen_US
dc.contributor.authorYRONDI, Antoine
dc.contributor.authorBLANC, Olivier
dc.contributor.authorANGUILL, Loic
dc.contributor.authorARBUS, Christophe
dc.contributor.authorBOUDIEU, Ludivine
dc.contributor.authorPATOZ, Marie-Camille
dc.contributor.authorARNOULD, Adeline
dc.contributor.authorCHARPEAUD, Thomas
dc.contributor.authorGENTY, Jean-Baptiste
dc.contributor.authorABIDINE, Racan
dc.contributor.authorREDON, Maximilien
dc.contributor.authorREY, Romain
hal.structure.identifierNutrition et Neurobiologie intégrée [NutriNeuro]
dc.contributor.authorAOUIZERATE, Bruno
dc.contributor.authorBENNABI, Djamila
dc.contributor.authorEL-HAGE, Wissam
dc.contributor.authorETAIN, Bruno
dc.contributor.authorHOLTZMANN, Jérôme
dc.contributor.authorLEBOYER, Marion
dc.contributor.authorMOLIÈRE, Fanny
dc.contributor.authorRICHIERI, Raphaelle Marie
dc.contributor.authorSTÉPHAN, Florian
dc.contributor.authorVAIVA, Guillaume
dc.contributor.authorSAUVAGET, Anne
dc.contributor.authorPOULET, Emmanuel
dc.contributor.authorHAFFEN, Emmanuel
dc.contributor.authorCOURTET, Philippe
dc.contributor.authorFOSSATI, Philippe
dc.contributor.authorLLORCA, Pierre-Michel
dc.contributor.authorSAMALIN, Ludovic
dc.date.accessioned2025-03-20T13:40:22Z
dc.date.available2025-03-20T13:40:22Z
dc.date.issued2024-07
dc.identifier.urihttps://oskar-bordeaux.fr/handle/20.500.12278/205583
dc.description.abstractEnObjectives: Electroconvulsive therapy (ECT) is one of the most effective treatments in mood disorders, mainly in major depressive episode (MDE) in the context of either unipolar (MDD) or bipolar disorder (BD). However, ECT remains a neglected and underused treatment. Older people are at high risk patients for the development of adverse drug reactions. In this context, we sought to determine the duration of MDEs and the number of lines of treatment before the initiation of ECT in patients aged 65 years or over according to the presence or absence of first-line indications for using ECT from international guidelines. Methods: In this multicenter, retrospective study including patients aged 65 years or over with MDEs in MDD or BD who have been treated with ECT for MDEs, data on the duration of MDEs and the number of lines of treatment received before ECT were collected. The reasons for using ECT, specifically first-line indications (suicidality, urgency, presence of catatonic and psychotic features, previous ECT response, patient preference) were recorded. Statistical comparisons between groups used standard statistical tests. Results: We identified 335 patients. The mean duration of MDEs before ECT was about 9 months. It was significantly shorter in BD than in MDD- about 7 and 10 months, respectively. The co-occurrence of chronic medical disease increased the duration before ECT in the MDD group. The presence of first-line indications for using ECT from guidelines did not reduce the duration of MDEs before ECT, except where there was a previous response to ECT. The first-line indications reduced the number of lines of treatment before starting ECT. Conclusion: Even if ECT seems to be a key treatment in the elderly population due to its efficacity and safety for MDEs, the delay before this treatment is still too long. © The Author(s) 2024.
dc.language.isoENen_US
dc.rightsAttribution 3.0 United States*
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/us/*
dc.subject.enBipolar disorder
dc.subject.enECT
dc.subject.enGeriatric patients
dc.subject.enMajor depressive disorder
dc.subject.enMood disorder
dc.title.enAdherence to clinical practice guidelines for using electroconvulsive therapy in elderly depressive patients
dc.typeArticle de revueen_US
dc.identifier.doi10.1186/s12888-024-05933-7en_US
dc.subject.halSciences du Vivant [q-bio]/Neurosciences [q-bio.NC]en_US
dc.identifier.pubmed38961386en_US
bordeaux.journalBMC Psychiatryen_US
bordeaux.page487en_US
bordeaux.volume24en_US
bordeaux.hal.laboratoriesNutriNeuro (Laboratoire de Nutrition et Neurobiologie Intégrée) - UMR 1286en_US
bordeaux.issue1en_US
bordeaux.institutionUniversité de Bordeauxen_US
bordeaux.institutionBordeaux INPen_US
bordeaux.institutionINRAEen_US
bordeaux.peerReviewedouien_US
bordeaux.inpressnonen_US
hal.popularnonen_US
hal.audienceInternationaleen_US
hal.exportfalse
dc.rights.ccCC BYen_US
bordeaux.COinSctx_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.jtitle=BMC%20Psychiatry&rft.date=2024-07&rft.volume=24&rft.issue=1&rft.spage=487&rft.epage=487&rft.au=YRONDI,%20Antoine&BLANC,%20Olivier&ANGUILL,%20Loic&ARBUS,%20Christophe&BOUDIEU,%20Ludivine&rft.genre=article


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