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Management for A Depressive Patient with Femoral Neck Fracture by Electroconvulsive Therapy during COVID-19 Pandemic: A Case Report and Literature Review.
Chiu, Nien-Mu; Tseng, Ellen Yu-Lun.
  • Chiu NM; Department of Psychiatry, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Kaohsiung 83301, Taiwan.
  • Tseng EY; Department of Psychiatry, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Kaohsiung 83301, Taiwan.
Int J Environ Res Public Health ; 20(5)2023 02 23.
Article in English | MEDLINE | ID: covidwho-2254916
ABSTRACT
Electroconvulsive therapy (ECT) is an effective treatment for refractory major depressive disorder with suicidal ideation. The most common adverse medical events are transient retrograde amnesia, falls and pneumonia. Hip fractures, associated with high-energy trauma by convulsions, were occasionally reported in western countries, in the period before the COVID-19 pandemic. Strict COVID-19 regulations influenced the course and further investigation of the treatment of post-ECT complications. A 33-year-old man, previously diagnosed with major depressive disorder, had a history of nine successful sessions of ECT treatment for depression five years ago. He was hospitalized again for 12 sessions of ECT for recurrent depression. Unfortunately, an ECT-induced right hip-neck fracture was noted after the ninth session of ECT, in March 2021. After receiving close reduction and internal fixation of the right femoral neck fracture, with three screws, his original daily function was restored. His treatment was regularly followed up at the outpatient clinic for 20 months; he achieved partial remission with three combined antidepressants. This case of ECT-induced right hip-neck fracture informed psychiatric staff to be aware of this rare adverse complication and ensure its appropriate management, especially during the COVID-19 pandemic.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Depressive Disorder, Major / Electroconvulsive Therapy / Femoral Neck Fractures / COVID-19 Type of study: Case report / Prognostic study / Reviews Limits: Adult / Humans / Male Language: English Year: 2023 Document Type: Article Affiliation country: Ijerph20054004

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Depressive Disorder, Major / Electroconvulsive Therapy / Femoral Neck Fractures / COVID-19 Type of study: Case report / Prognostic study / Reviews Limits: Adult / Humans / Male Language: English Year: 2023 Document Type: Article Affiliation country: Ijerph20054004