Documentation and standardization of altered mental status Article Swipe
Mehmet Ali Aslaner
,
Necmi Baykan
,
Nurettın Özgür Doğan
,
Ziyan Murat
·
YOU?
·
· 2018
· Open Access
·
· DOI: https://doi.org/10.1177/1024907918799237
YOU?
·
· 2018
· Open Access
·
· DOI: https://doi.org/10.1177/1024907918799237
Background: Although altered mental status is a term commonly used for older patients, the limits of the definition are unclear. Objectives: We aimed to determine the predictive factors of altered mental status and to standardize this broad-spectrum definition. Methods: The level and content of consciousness were assessed both in the basal status and in the emergency department presentation status of patients who were aged 65 years and above. The Richmond Agitation–Sedation Scale (RASS) for level and five features for content of consciousness were used to determine the actual change in consciousness. Results: Among 1250 patients, the rate of true altered mental status was 7.7% ( n = 96), transient altered mental status was 3.5% ( n = 44), and non-altered mental status was 88.8% ( n = 1110). The 1- and 3-month mortality rates were higher for patients with true altered mental status (32.3% and 40.6%, respectively) than for other patients (3.3% and 8.4%, respectively; p < .001). The following criteria predicted true altered mental status with a high specificity: a change in RASS score ⩾2 points, newly disorganized thoughts, a perception disorder, inattention and disorientation, and an inability to communicate. Conclusion: True altered mental status criteria can be used to determine alterations in consciousness that lead to high mortality, and they can also be used as a common language for current and further investigations.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1177/1024907918799237
- https://journals.sagepub.com/doi/pdf/10.1177/1024907918799237
- OA Status
- diamond
- Cited By
- 2
- References
- 18
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W2890786009
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W2890786009Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1177/1024907918799237Digital Object Identifier
- Title
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Documentation and standardization of altered mental statusWork title
- Type
-
articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2018Year of publication
- Publication date
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2018-09-07Full publication date if available
- Authors
-
Mehmet Ali Aslaner, Necmi Baykan, Nurettın Özgür Doğan, Ziyan MuratList of authors in order
- Landing page
-
https://doi.org/10.1177/1024907918799237Publisher landing page
- PDF URL
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https://journals.sagepub.com/doi/pdf/10.1177/1024907918799237Direct link to full text PDF
- Open access
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YesWhether a free full text is available
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-
diamondOpen access status per OpenAlex
- OA URL
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https://journals.sagepub.com/doi/pdf/10.1177/1024907918799237Direct OA link when available
- Concepts
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Altered Mental Status, Medicine, Level of consciousness, Mental status examination, Psychiatry, Pediatrics, Cognition, AnesthesiaTop concepts (fields/topics) attached by OpenAlex
- Cited by
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2Total citation count in OpenAlex
- Citations by year (recent)
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2024: 1, 2019: 1Per-year citation counts (last 5 years)
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18Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.non-altered | 119 |
| abstract_inverted_index.standardize | 34 |
| abstract_inverted_index.communicate. | 190 |
| abstract_inverted_index.disorganized | 178 |
| abstract_inverted_index.presentation | 57 |
| abstract_inverted_index.specificity: | 169 |
| abstract_inverted_index.consciousness | 44, 81, 204 |
| abstract_inverted_index.respectively) | 146 |
| abstract_inverted_index.respectively; | 154 |
| abstract_inverted_index.broad-spectrum | 36 |
| abstract_inverted_index.consciousness. | 90 |
| abstract_inverted_index.disorientation, | 185 |
| abstract_inverted_index.investigations. | 224 |
| abstract_inverted_index.Agitation–Sedation | 70 |
| cited_by_percentile_year.max | 94 |
| cited_by_percentile_year.min | 90 |
| corresponding_author_ids | https://openalex.org/A5074376026 |
| countries_distinct_count | 1 |
| institutions_distinct_count | 4 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/3 |
| sustainable_development_goals[0].score | 0.8600000143051147 |
| sustainable_development_goals[0].display_name | Good health and well-being |
| citation_normalized_percentile.value | 0.52252374 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | False |