Approach to Altered Mental Status and Inpatient Delirium

Link to article at PubMed

Neurol Clin. 2022 Feb;40(1):45-57. doi: 10.1016/j.ncl.2021.08.004.

ABSTRACT

Altered mental status is a nonspecific diagnosis that encompasses a wide spectrum of disease and is frequently cited as a reason for both hospital admission and inpatient neurologic consultation. There are numerous etiologies of altered mental status, and so although many are facile with the workup of this potentially life-threatening entity, it can nevertheless be overwhelming. Our goal was to provide a practical framework embedded in a current, comprehensive review of the epidemiology, clinical evaluation, and management of undifferentiated altered mental status. We pay particular attention to the management of a critical yet underdiagnosed subtype of altered mental status: delirium.

PMID:34798974 | PMC:PMC9469667 | DOI:10.1016/j.ncl.2021.08.004

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