ACUTE CONFUSIONAL STATE IN ELDERLY- AETIOLOGY AND CLINICAL FEATURES
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 92
Abstract
BACKGROUND Acute confusional state is a common manifestation in elderly persons. Because of its multifactorial aetiology, a wide variety of diseases present as acute confusional state in elderly. MATERIALS AND METHODS A descriptive study was conducted in Department of Medicine of SCB Medical College, Cuttack and consecutively 100 adult patients with acute confusional state were included in the study. These patients were studied for the aetiology, clinical features and outcome. Relevant investigations were done in each patient and the data was tabulated. RESULTS Among 100 patients of acute confusional state, 58 (58%) were male and 42 (42%) were female patients. Most common aetiology was stroke (31%) followed by hyponatraemia (16%) with the predisposing factors being diabetes mellitus (37%) and hypertension (32%) in order. Most common symptom was vomiting (36%) followed by fever (28%). CONCLUSION Acute confusional state gives physician an alert preceding the illness or events. Early diagnosis and proper management will reduce mortality in elderly.
Authors and Affiliations
Samarendra Nath Das, Rina Mohanty, Nirmal Chandra Sahu, Bharani Bellam, Bibhuti Bhusan Mohanta, Sarada Priyadarsini Suna, Laxmidhar Sendha, Pravat Kumar Thatoi
Keywords
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- EP ID EP279214
- DOI 10.14260/jemds/2017/1424
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