Table 6.
Comparison of incidence of different adverse events in patients with refractory schizophrenia treated with electroconvulsive therapy and antipsychotic medications versus those treated only with antipsychotic medications
| events | number of studies | participants | I2 | p | statistical method (risk ratio) | effect estimate [95% C] |
|---|---|---|---|---|---|---|
| abnormal electrocardiogram | 6 | 383 | 32% | 0.20 | fixed | 0.83 [0.58,1.19] |
| abnormal electroencephalogram | 2 | 123 | 85% | 0.01 | random | 1.97 [0.31,12.65] |
| abnormal liver enzymes | 7 | 448 | 0% | 0.80 | fixed | 0.67 [0.34,1.34] |
| akathisia | 4 | 263 | 0% | 0.80 | fixed | 0.69 [0.37,1.26] |
| anorexia/decreased appetite | 1 | 60 | not applicable | fixed | 2.00 [0.19,20.90] | |
| blurred vision | 3 | 203 | 0% | 0.95 | fixed | 0.92 [0.37,2.26] |
| constipation | 6 | 388 | 42% | 0.13 | fixed | 0.52 [0.37,0.73] |
| decreased motor activity | 2 | 140 | 71% | 0.06 | random | 0.22 [0.02,3.10] |
| dizziness | 5 | 323 | 51% | 0.08 | random | 1.23 [0.56,2.70] |
| drowsiness | 7 | 457 | 61% | 0.02 | random | 0.71 [0.35,1.42] |
| dry mouth | 3 | 203 | 0% | 0.85 | fixed | 1.03 [0.49,2.18] |
| Extrapyramidal symptoms | 3 | 182 | 0% | 0.40 | fixed | 1.74 [0.84,3.58] |
| headache | 8 | 517 | 7% | 0.37 | fixed | 9.10 [3.97,20.86] |
| hypotension | 1 | 60 | not applicable | fixed | 0.33 [0.01,7.87] | |
| increased salivation | 5 | 328 | 54% | 0.07 | random | 0.41[0.18,0.93] |
| insomnia | 5 | 322 | 59% | 0.05 | random | 0.46 [0.07,3.22] |
| leukopenia | 5 | 336 | 0% | 0.49 | fixed | 0.31 [0.12,0.82] |
| memory impairment | 7 | 577 | 36% | 0.16 | fixed | 6.48 [3.54,11.87] |
| menstrual disorder | 1 | 60 | not applicable | fixed | 1.50 [0.27,8.34] | |
| nasal congestion | 1 | 63 | not applicable | fixed | 3.09 [0.13,73.17] | |
| nausea/vomiting | 5 | 334 | 0% | 0.94 | fixed | 2.33 [0.99,5.49] |
| rigidity | 2 | 140 | 0% | 0.65 | fixed | 0.69 [0.40,1.18] |
| tachycardia | 4 | 268 | 0% | 0.58 | fixed | 0.77 [0.50,1.21] |
| tremors | 2 | 140 | 0% | 0.82 | fixed | 0.77 [0.43,1.38] |
| weakness | 3 | 185 | 0% | 0.43 | fixed | 0.25 [0.11,0.59] |
| weight gain | 7 | 468 | 4% | 0.40 | fixed | 0.61 [0.43,0.87] |