Patients with AMS presenting to two EDs in Tanzania have substantially higher mortality than reported from Hospital Incident Command System (HICS). Six (2.7%) patients died in the emergency department. Of 173 patients admitted to the wards, 54 (31.2%) died and of the 46 (20.4%) admitted to the intensive care unit (ICU), 20 (43.5%) died within 7 days. The overall mortality was 80 (35.4%) within 7 days. Hypertension 121 (53.5%) was the most frequent associated comorbidity. Confusion 88 (38.9%) was the most common presenting symptom. The median age was 56 years (43-69 years) and 127 (56.2%) were male. The outcome of mortality was summarized using descriptive statistics.Īmong 26,125 patients presenting during the study period, 2,311 (8.9%) patients had AMS and after exclusion for trauma and psychiatric etiology, 226 (9.8%) patients were included. Patient demographic data, clinical profile, disposition and 7-day outcome were recorded. This was a prospective cohort study of adult ≥18 years presenting to the Emergency Departments of Muhimbili National Hospital (MNH) Upanga and Mloganzila in Tanzania with Altered Mental Status (AMS) unrelated to psychiatric illness or trauma, from August 2019 to February 2020. There is a paucity of data on the profile and mortality amongst this group of patients in limited income countries. In high income countries, mortality rate is under 10% for patients presenting with AMS. Īltered Mental Status (AMS) in the Emergency Department (ED) can be associated with morbidity and mortality. Clinical profile and mortality among adult patients presenting with altered mental status to the emergency departments of a tertiary hospital in Tanzania: a descriptive cohort study.
A patient with an altered mental status is license#
This is an Open Access article distributed under the terms of the Creative Commons Attribution International 4.0 License (), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.Ĭite this article: Hussein Karim Manji et al. Keywords: Altered mental status, emergency department, Tanzania, sub-Saharan Africa Research | Volume 41, Article 46, | 10.11604/pamj.2022.1 Clinical profile and mortality among adult patients presenting with altered mental status to the emergency departments of a tertiary hospital in Tanzania: a descriptive cohort study Hussein Karim Manji, Hendry Robert Sawe, Said Kilindimo, Elishah Nuralah Premji, Amne Omar Yussuf, Alphonce Nsabi Simbila, Sabira Akber Versi, Ellen Joyce WeberĬorresponding author: Hussein Karim Manji, Emergency Medicine Department, Muhimbili University of Health and Allied Science, Dar es Salaam, Tanzaniaĭomain: Health emergencies,Emergency medicine,Neurology (general)
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