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

Authors

  • Delia Alva-Rodriguez Hospital Nacional Cayetano Heredia. Lima, Perú. Médico cirujano
  • María de los Ángeles Lazo Unidad de Conocimiento y Evidencia, Universidad Peruana Cayetano Heredia. Lima, Perú. Médico cirujano
  • Javier D Loza-Herrera Unidad de Conocimiento y Evidencia, Universidad Peruana Cayetano Heredia. Lima, Perú. Médico cirujano
  • German Málaga Hospital Nacional Cayetano Heredia. Lima, Perú. Unidad de Conocimiento y Evidencia, Universidad Peruana Cayetano Heredia. Lima, Perú. médico internista, magíster en Medicina

DOI:

https://doi.org/10.17843/rpmesp.2014.313.84

Keywords:

Mental health assistance, Etiology, Causality, Mortality

Abstract

Objectives. Determine the prognosis at three months and associated factors of patients with altered mental status (AMS). Materials and methods. 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. Results. 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 <7 (OR 2.9, p<0.001) and b) functionality score of 5 on the modified Rankin scale (OR 8.2, p=0.03). Conclusions. AMS, present in 4% of emergency admissions, is associated with mortality in one in four people. The predominant cause infectious diseases. The commitment of the functionality was the main predictor of mortality.

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Published

2014-09-25

Issue

Section

Research Articles

How to Cite

1.
Alva-Rodriguez D, Lazo M de los Ángeles, Loza-Herrera JD, Málaga G. Three-month life prognosis and associated factors in patients with altered mental status admimtted to the emergency room of a national hospital in Peru. Rev Peru Med Exp Salud Publica [Internet]. 2014 Sep. 25 [cited 2024 Mar. 28];31(3). Available from: https://rpmesp.ins.gob.pe/index.php/rpmesp/article/view/84