Veterans Administration Medical Center, White River Junction, VT, USA.
J ECT. 2011 Jun;27(2):105-8. doi: 10.1097/YCT.0b013e3181f6d17f.
: There is currently an incomplete understanding of adverse events related to electroconvulsive therapy (ECT) treatments. Much of the published literature is based either on a limited number of ECT providers or reports not representative of modern ECT practice.
: We searched the Veterans Affairs (VA) National Center for Patient Safety database for reports of adverse events related to ECT. The type and the cause of the events were determined and aggregated. The number of ECT treatments given in the VA was used to develop estimated rates of mortality associated with ECT.
: There were no deaths associated with ECT reported in any VA hospital between 1999 and 2010. Based on the number of treatments given, we estimate the mortality rate associated with ECT as less than 1 death per 73,440 treatments. The most common reported adverse events related to ECT were injury to the mouth (including dental and tongue injury) and problems related to paralysis.
: Based on this VA data, ECT may be safer than is widely reported. The reported adverse events were generally rare and typically minor in severity. Simple steps may possibly result in further enhancements to ECT safety.
目前对于电抽搐治疗（ECT）相关不良事件的了解并不完整。大部分已发表的文献要么基于数量有限的 ECT 提供者，要么报告的内容不能代表现代 ECT 实践。
我们在退伍军人事务部（VA）国家患者安全中心数据库中搜索与 ECT 相关的不良事件报告。确定事件的类型和原因，并进行汇总。使用 VA 中进行的 ECT 治疗次数来计算与 ECT 相关的死亡率的估计值。
1999 年至 2010 年期间，VA 医院没有报告任何与 ECT 相关的死亡病例。根据治疗次数，我们估计 ECT 相关的死亡率不到每 73440 次治疗 1 例死亡。报告的与 ECT 相关的最常见不良事件是口腔损伤（包括牙齿和舌损伤）和与瘫痪相关的问题。
根据 VA 数据，ECT 可能比广泛报道的更安全。报告的不良事件通常较为罕见，且通常程度较轻。简单的措施可能会进一步提高 ECT 的安全性。
