TITLE

Altered consciousness in Ugandan hospital admissions

AUTHOR(S)
Rwebembera, Joselyn; Wilson, Tony
PUB. DATE
October 2009
SOURCE
Tropical Doctor;Oct2008, Vol. 39 Issue 4, p240
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
An awareness of diseases causing altered mental status (AMS) in particular localities could greatly facilitate patient management. This cross-sectional study evaluated 100 consecutive patients with AMS admitted to a hospital in Uganda. Patients were assessed by the Confusion Assessment Method. History, examination, available laboratory tests and patients' response to treatment were used to identify aetiologies. Our study included 58 males and 42 females: 82% were 16-50 years old and 38% were HIV-infected. The most common cause of AMS was infection (51.3%), with cerebral malaria and meningitis predominating. The aetiology was unidentified in 12%. The in-hospital mortality rate was 44%, with HIV infection being positively associated. As infections and metabolic derangements, the most common causes of AMS in our setting, are mostly treatable with a relatively favourable outcome, critical evaluation, early intervention and improved investigative capacity would greatly improve patient outcome.
ACCESSION #
70220032

 

Related Articles

  • THE PASSAGE OF ADULTHOOD: PSYCHIATRIC REHABILITATION SERVICE AND TRANSITION-RELATED NEEDS OF YOUNG ADULT WOMEN WITH EMOTIONAL AND PSYCHIATRIC DISORDERS. Jonikas, Jessica A.; Laris, Alexandra; Cook, Judith A. // Psychiatric Rehabilitation Journal;Fall2003, Vol. 27 Issue 2, p114 

    This review addresses the needs and experiences of young adult women, aged 16 to 21, who have a diagnosis of serious emotional disturbance (SED) or mental illness. Given the large numbers of young women with SED, evidence that they are underserved, and the continuity of many disorders from...

  • Indian research on acute organic brain syndrome: Delirium. Pinto, Charles // Indian Journal of Psychiatry;Jan2010 Supplement, Vol. 52, pS139 

    Delirium, though quite often referred to psychiatrists for management, does not find many takers for analysis, research and publications. Acute in onset, multiplicity of etiology and manifestations, high risk of mortality delirium is very rewarding in proper management and outcome. Delirium has...

  • Disability and schizophrenia: a systematic review of experienced psychosocial difficulties. Świtaj, Piotr; Anczewska, Marta; Chrostek, Anna; Sabariego, Carla; Cieza, Alarcos; Bickebach, Jerome; Chatterji, Somnath // BMC Psychiatry;2012, Vol. 12 Issue 1, p193 

    Background: Schizophrenia is a significantly disabling disease that affects all major areas of life. There is a lack of comprehensive synthesis of research findings on the full extent of psychosocial difficulties (PSDs) experienced by people living with schizophrenia. This paper provides a...

  • Trauma exposure, PTSD and psychotic-like symptoms in post-conflict Timor Leste: an epidemiological survey. Soosay, Ian; Silove, Derrick; Bateman-Steel, Catherine; Steel, Zacharay; Bebbington, Paul; Jones, Peter B; Tien Chey; Ivancic, Lorraine; Marnane, Claire // BMC Psychiatry;2012, Vol. 12 Issue 1, p229 

    Background: Studies in developed countries indicate that psychotic-like symptoms are prevalent in the community and are related to trauma exposure and PTSD. No comparable studies have been undertaken in low-income, post-conflict countries. This study aimed to assess the prevalence of...

  • The Rediscovered Concept of Recovery in Mental Illness: A Multicountry Comparison of Policy and Practice. Ramon, Shulamit; Shera, Wes; Healy, Bill; Lachman, Max; Renouf, Noel // International Journal of Mental Health;Summer2009, Vol. 38 Issue 2, p106 

    Recovery has recently reemerged in many countries as a key concept in mental health. Several long-term outcome studies have highlighted much higher recovery rates than previously assumed for persons with long-term mental illness. Service users (consumers) and professionals are now promoting this...

  • Let's bring good mental health to the mainstream. Mares, Don // Northern Colorado Business Report;5/3/2013, Vol. 18 Issue 17, p30 

    The article focuses on the issue of mental health in the U.S. and its impact on economic growth. It offers some statistical information related to mental health of people in the country. It mentions that approximately 217 workdays are fortified due to mental illness in the U.S. 92000 workers in...

  • Routine clinical outcome measures for patients with severe mental illness: CANSAS and HoNOS. Slade, Mike; Beck, Andrew; Bindman, Jonathan; Thornicroft, Graham; Wright, Steve // British Journal of Psychiatry;May99, Vol. 174, p404 

    Background Two recently developed measures intended for clinical use are HoNOS (Health of the Nation Outcome Scales), measuring social functioning and CANSAS (Camberwell Assessment of Need Short Appraisal Schedule), for measuring need. Aims We investigated the association between CANSAS and...

  • The Necessity of Family Type Interventions During First - Episode Psychosis in Schizophrenia. Andreica-Săndică*, Bianca // Journal of Trauma & Treatment;2013, Vol. 2 Issue 1, p1 

    Losing hopes and dreams regarding a person diagnosed with schizophrenia-a first psychotic episode, emotional tribulation, going between remission and relapse, the risk of self-inflected wounds and of aggressiveness against people around, are experiences which families have to face. Intrinsic...

  • Psychiatric Survivor Testimonials and Embodiment: Emotional Challenges to Medical Knowledge. Canning, Christopher // Radical Psychology: A Journal of Psychology, Politics & Radicali;2006, Vol. 5, p1 

    Since the early 1990s, techniques and technologies for studying neurological and genetic causes of psychiatric illness have increased rapidly, during which time bio-medicines have (re)defined the relationship between personhood, the brain, body, and illness. Working within a sociological and...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics