{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T03:56:59Z","timestamp":1747195019644,"version":"3.40.5"},"reference-count":0,"publisher":"Komitet Redakcyjno - Wydawniczy Polskiego Towarzystwa Psychiatrycznego","issue":"4","license":[{"start":{"date-parts":[[2022,8,31]],"date-time":"2022-08-31T00:00:00Z","timestamp":1661904000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2022,8,31]],"date-time":"2022-08-31T00:00:00Z","timestamp":1661904000000},"content-version":"am","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2022,8,31]],"date-time":"2022-08-31T00:00:00Z","timestamp":1661904000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Psychiatr Pol"],"published-print":{"date-parts":[[2022,8,31]]},"abstract":"<jats:sec><jats:title>Cel pracy<\/jats:title><jats:p>Celem badania by\u0142a ocena skuteczno\u015bci i bezpiecze\u0144stwa leczenia elektrowstrz\u0105sowego w populacji pacjent\u00f3w \u2265 65 lat<\/jats:p><\/jats:sec><jats:sec><jats:title>Metoda<\/jats:title><jats:p>Omawiane badanie mia\u0142o charakter naturalistyczny, retrospektywny. Do badania w\u0142\u0105czono 65 pacjent\u00f3w, kobiety i m\u0119\u017cczyzn hospitalizowanych w oddzia\u0142ach Instytutu Psychiatrii i Neurologii i poddawanych terapii EW. Analizowano przebieg 615 zabieg\u00f3w przeprowadzonych w latach 2015-2019. Skuteczno\u015b\u0107 EW oceniano z wykorzystaniem skali CGI-S. Bezpiecze\u0144stwo oceniano analizuj\u0105c dzia\u0142ania niepo\u017c\u0105dane terapii, uwzgl\u0119dniaj\u0105c obci\u0105\u017cenia somatyczne grupy badanych.<\/jats:p><\/jats:sec><jats:sec><jats:title>Wyniki<\/jats:title><jats:p>A\u017c 94 % pacjent\u00f3w wyj\u015bciowo spe\u0142nia\u0142o kryteria lekooporno\u015bci. W badanej grupie nie odnotowano powa\u017cnych powik\u0142a\u0144 takich jak zgon, stan zagro\u017cenia \u017cycia, konieczno\u015b\u0107 hospitalizacji na innym oddziale czy trwa\u0142y uszczerbek na zdrowiu. \u0141\u0105cznie w ca\u0142ej grupie dzia\u0142ania niepo\u017c\u0105dane odnotowano u 47,7% starszych pacjent\u00f3w, w wi\u0119kszo\u015bci przypadk\u00f3w (88%) mia\u0142y one niewielkie nasilenie i ust\u0119powa\u0142y bez stosowania \u017cadnego specyficznego post\u0119powania. Najcz\u0119\u015bciej obserwowanym dzia\u0142aniem niepo\u017c\u0105danym EW by\u0142y wzrosty ci\u015bnienia t\u0119tniczego (55,4%). Czterech pacjent\u00f3w nie uko\u0144czy\u0142o terapii EW z powodu dzia\u0142a\u0144 niepo\u017c\u0105danych. U wi\u0119kszo\u015bci badanych (86,2%) wykonano co najmniej 8 zabieg\u00f3w w serii. Zabiegi EW okaza\u0142y si\u0119 by\u0107 skuteczn\u0105 metod\u0105 leczenia w populacji pacjent\u00f3w po 65 roku \u017cycia - reakcj\u0119 na leczenie stwierdzono u 76,92% chorych, a remisj\u0119 u 49, 23% leczonych os\u00f3b. Wyj\u015bciowe nasilenie choroby w skali CGI-S wynios\u0142o \u015brednio 5,54, po leczeniu EW 2,67.<\/jats:p><\/jats:sec><jats:sec><jats:title>Wnioski<\/jats:title><jats:p>Tolerancja zabieg\u00f3w jest po 65 r.\u017c gorsza ni\u017c u m\u0142odszych pacjent\u00f3w, wi\u0119kszo\u015b\u0107 dzia\u0142a\u0144 niepo\u017c\u0105danych jest zwi\u0105zana z wyj\u015bciowymi obci\u0105\u017ceniami somatycznymi, g\u0142\u00f3wnie dotycz\u0105cymi uk\u0142adu sercowo-naczyniowego. Nie zmienia to faktu, \u017ce terapia EW jest w tej populacji wysoce skuteczna i mo\u017ce stanowi\u0107 bardzo dobr\u0105 alternatyw\u0119 dla cz\u0119sto nieskutecznej lub powoduj\u0105cej uboczne dzia\u0142ania farmakoterapii.<\/jats:p><\/jats:sec>","DOI":"10.12740\/pp\/onlinefirst\/132213","type":"journal-article","created":{"date-parts":[[2021,2,9]],"date-time":"2021-02-09T16:11:14Z","timestamp":1612887074000},"page":"767-785","source":"Crossref","is-referenced-by-count":6,"title":["Analysis of the efficacy and safety of electroconvulsive therapy in elderly patients: a retrospective study in the Polish population"],"prefix":"10.12740","volume":"56","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8570-4706","authenticated-orcid":false,"given":"Anna","family":"Antosik-W\u00f3jci\u0144ska","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1423-2289","authenticated-orcid":false,"given":"Monika","family":"Dominiak","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zuzanna","family":"Goetz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adam","family":"G\u0119dek","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna","family":"Braniecka","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1823-3422","authenticated-orcid":false,"given":"\u0141ukasz","family":"\u015awi\u0119cicki","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0642-6075","authenticated-orcid":false,"given":"Pawe\u0142","family":"Mierzejewski","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"5036","published-online":{"date-parts":[[2022,8,31]]},"container-title":["Psychiatria Polska"],"original-title":["Analiza skuteczno\u015bci i bezpiecze\u0144stwa zabieg\u00f3w elektrowstrz\u0105sowych u pacjent\u00f3w w wieku podesz\u0142ym: badanie retrospektywne w populacji polskiej"],"link":[{"URL":"https:\/\/www.psychiatriapolska.pl\/pdf-132213-81882","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.psychiatriapolska.pl\/pdf-132213-81882","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,10,23]],"date-time":"2022-10-23T17:49:57Z","timestamp":1666547397000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.psychiatriapolska.pl\/Analysis-of-the-efficacy-and-safety-of-electroconvulsive-therapy-in-elderly-patients,132213,0,2.html"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,8,31]]},"references-count":0,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2022]]}},"alternative-id":["132213"],"URL":"https:\/\/doi.org\/10.12740\/pp\/onlinefirst\/132213","relation":{},"ISSN":["0033-2674","2391-5854"],"issn-type":[{"type":"print","value":"0033-2674"},{"type":"electronic","value":"2391-5854"}],"subject":[],"published":{"date-parts":[[2022,8,31]]}}}