{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,21]],"date-time":"2026-06-21T21:48:07Z","timestamp":1782078487428,"version":"3.54.5"},"reference-count":26,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T00:00:00Z","timestamp":1781827200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Australas Psychiatry"],"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To compare vascular risk factors among patients receiving maintenance electroconvulsive therapy (M-ECT) versus acute ECT, and to examine cognitive outcomes associated with M-ECT.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective, single-centre, matched case-control study was conducted using a regional Health Service ECT Register (2015\u20132023). Adults with DSM-5 mood disorders were included. 25 received \u22656\u00a0months of M-ECT and 37 received acute-only ECT. Frequency matching achieved similar age structure and sex distribution. Vascular risk factors (hypertension, dyslipidaemia, diabetes, stroke, myocardial infarction, smoking) and a composite \u201chigh vascular risk\u201d score (\u22652 factors) were compared using Fisher\u2019s exact tests and logistic regression. Cognition was assessed with the Montreal Cognitive Assessment (MoCA) at baseline and longitudinally with linear mixed-effects models.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      High vascular risk was common in both groups (M-ECT 76%; acute-only 68%) without significant between-group difference, although dyslipidaemia was more prevalent in the M-ECT group (OR 5.52, 95% CI: 1.51\u201320.20;\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.049). Baseline MoCA was comparable (21.9 vs 22.1) and remained stable during M-ECT (mean change +0.92; 95% CI: \u22120.51 to +2.35). High vascular risk, not ECT group, predicted cognition (\u22124.64, 95% CI: \u22127.45 to \u22122.01;\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.002).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Cognitive performance remained stable during M-ECT. Lower scores were associated with vascular comorbidity, and the higher dyslipidaemia rate underscores the need for cardiometabolic and cognitive monitoring.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10398562261457053","type":"journal-article","created":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T07:20:21Z","timestamp":1781853621000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Vascular risk factors in maintenance versus acute electroconvulsive therapy: A retrospective case-control study from a regional Australian service"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-5015-8375","authenticated-orcid":false,"given":"Fesochi","family":"Atulayo","sequence":"first","affiliation":[{"name":"Barwon Health"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew JY","family":"Kang","sequence":"additional","affiliation":[{"name":"University of Melbourne VCCC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kim S.","family":"Carey","sequence":"additional","affiliation":[{"name":"Barwon Health"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emma R.","family":"Nicholson","sequence":"additional","affiliation":[{"name":"Barwon Health"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vivek H.","family":"Phutane","sequence":"additional","affiliation":[{"name":"The University of Melbourne"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8339-6471","authenticated-orcid":false,"given":"Malcolm","family":"Forbes","sequence":"additional","affiliation":[{"name":"Barwon Health, Geelong, AU-VIC"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,6,19]]},"reference":[{"key":"e_1_3_6_2_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.285.10.1299"},{"key":"e_1_3_6_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/YCT.0000000000000914"},{"key":"e_1_3_6_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/YCT.0000000000000484"},{"key":"e_1_3_6_5_2","doi-asserted-by":"publisher","DOI":"10.1177\/10398562221126589"},{"key":"e_1_3_6_6_2","doi-asserted-by":"publisher","DOI":"10.1177\/00048674241256839"},{"key":"e_1_3_6_7_2","doi-asserted-by":"publisher","DOI":"10.1038\/mp.2013.20"},{"issue":"1","key":"e_1_3_6_8_2","first-page":"23r14885","article-title":"Predictors and risk factors of treatment-resistant depression: a systematic review","volume":"85","author":"O'Connor SJ","year":"2023","unstructured":"O'Connor SJ, Hewitt N, Kuc J, et al. 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