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자료유형
학술저널
저자정보
정수원 (계명대학교) 전재천 (계명대학교) 정창규 (계명대학교) 조용원 (계명대학교) 김근태 (계명대학교)
저널정보
대한신경집중치료학회 Journal of Neurocritical Care Journal of Neurocritical Care Vol.13 No.2
발행연도
2020.1
수록면
86 - 92 (7page)

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Background: New-onset altered level of consciousness (ALC) is a common condition in patients visiting the emergency department (ED). We evaluated the clinical characteristics, causes, and prognosis of adult patients presenting with ALC at an ED of a university hospital to determine the etiologies, outcomes, and destinations of these patients. Methods: The medical records of patients with ALC who visited the ED of a university hospital from February 2019 to January 2020 were reviewed. The cause of ALC and its classification were carefully decided by agreement through a discussion among board-certified clinicians in emergency medicine, neurology, and internal medicine. Results: Of the 731 patients with ALC in the ED, whose mean age was 68.81±16.40 years, most were in their 80s (198, 27.09%). The most common etiology of ALC was systemic infection (30.78%), followed by metabolic causes (21.07%) and stroke (18.19%). Extracerebral and intracerebral etiologies of ALC in the ED accounted for 51.85% and 26.68% of the cases, respectively. The overall mortality of ALC in the ED was 17.67%. The largest number of ALC cases of 443 patients, i.e., 60.6% of all ALC patients in the ED, visited within the time zone of 07:00–19:00. Conclusion: This study identified the extra-cerebral etiologies as the major causes of ALC in the ED.

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