Prevalence and Etiological Profile of Patients with Acute Confusional State
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2018, Vol 6, Issue 5
Abstract
Background: Confusion is a mental and behavioral state of reduced comprehension, coherence, and capacity to reason. Confused patient is usually subdued, not inclined to speak, and is physically inactive. A state of confusion that is accompanied by agitation, hallucination, tremor, and illusions (misperception of environmental sight and sound/touch) is termed delirium, as typified by delirium tremens from alcohol or drug withdrawal. Objective: The objective of the study was to study the prevalence and etiological profile of patients with the acute confusional state. Materials and Methods: All patients of acute confusional state admitted in the emergency wing of the Postgraduate Department of Medicine, Government Medical College, Srinagar, were enrolled prospectively in the study. Informed consent was taken from the attendants of the patients for participation in the study. A proper history was taken from attendants and other available sources. A thorough general physical and systemic examination was done. Results: Prevalence of acute confusional state in total hospital admission in medical wards was 19.7%. Most of the patients were in the 6th decade of life. A good number of patients 74.2% received the correct working diagnosis assessment (history and examination). 71% of patients presented within 24 h of onset of acute confusional state. Conclusion: This study emphasized the great importance of early accurate diagnosis of acute confusional state, as correct diagnosis can lead to judicious management and save many valuable lives.
Authors and Affiliations
Sajad Sumji, Mohd Iqbal Wani, Muzzafar Mohi-ud-Din
Keywords
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