Three-month life prognosis and associated factors in patients with altered mental status admimtted to the emergency room of a national hospital in Peru

Determine the prognosis at three months and associated factors of patients with altered mental status (AMS). Cross-sectional study that included patients over 18 years of age admitted to the emergency room in a national hospital, with AMS, within twenty-four hours of onset and that required observat...

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Veröffentlicht in:Revista peruana de medicina experimental y salud pública 2014-07, Vol.31 (3), p.480-486
Hauptverfasser: Alva-Rodriguez, Delia, de los Ángeles Lazo, María, Loza-Herrera, Javier D, Málaga, Germán
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Sprache:spa
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Zusammenfassung:Determine the prognosis at three months and associated factors of patients with altered mental status (AMS). Cross-sectional study that included patients over 18 years of age admitted to the emergency room in a national hospital, with AMS, within twenty-four hours of onset and that required observation. The demographic, clinical and functional assessment information were taken from the medical record. A follow-up was made at three months by telephone. The study included 290 patients, representing 4.1% of the total patients in the emergency room. Overall mortality was 24.2%, whereas in the subgroup of older adults was 28.1%; 19.3% in adults and 15.2% in young adults. The average age was 63.5 years and the elderly group constituted nearly two thirds of the population. 51% were males. The average hospital stay was 7 days. The most frequently associated causes were infectious diseases (44.1%), neurological (40.3%), respiratory (28.3%), metabolic (18.6%), and cardiovascular (17.2%) disorders. Mortality was associated with a) GCS levels
ISSN:1726-4634
1726-4642
DOI:10.17843/rpmesp.2014.313.84