| 119구급대에 이송된 의식변화 환자들의 원인에 대한 고찰 |
여현도
, 박종윤
, 안성준
, 김용환
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| 성균관대학교 의과대학 삼성창원병원 응급의학과 |
| The etiologies in patients with altered mental status transported by the emergency medical services |
| Hyun Do Yeo
, Jong Yoon Park
, Seong Jun Ahn
, Yong Hwan Kim
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| Department of Emergency Medicine, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine, Changwon, Korea |
| Correspondence |
Yong Hwan Kim ,Tel: 055-233-6119, Fax: 055-233-8934, Email: suka1212@naver.com,
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Received: June 27, 2023; Revised: September 19, 2023 Accepted: October 9, 2023. Published online: August 30, 2024. |
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| ABSTRACT |
Objective:
There is insufficient data on the etiology of altered mental status (AMS). This study aimed to classify the causes of AMS in patients transported by the 119 emergency medical services (EMS) and analyze the characteristics of vital signs.
Method:
We enrolled patients with AMS based on the Glasgow Coma Scale (GCS) score <15, who were transferred to the emergency department by 119 EMS. The causes of AMS were determined through a retrospective review of their medical records.
Results:
A total of 2,730 patients were enrolled. The major causes for AMS were stroke (19.9%), intoxication (17.7%), traumatic brain injury (9.6%), sepsis (6.4%), and seizures (6.3%). The proportion of non-central nervous system (non-CNS) causes was higher than CNS-related causes (72.4% vs. 27.6%, P<0.001). The proportion of patients with shock was 6.2%. Age >60 years (odds ratio [OR]=2.30; 95% confidence interval [CI], 1.77-3.00), female (OR=0.69; 95% CI, 0.55-0.87), GCS <9 (OR=1.96; 95% CI, 1.57-2.46), systolic blood pressure (SBP) <90 mmHg (OR=2.96; 95% CI, 2.04-4.29), SBP ≥180 mmHg (OR=1.73; 95% CI, 1.29-2.32), respiratory rate >20/min (OR=1.72; 95% CI, 1.34-2.20), saturation <94% (OR, 1.89; 95% CI, 1.46-2.44), body temperature >37.5
Conclusion:
The etiologies of AMS in patients were varied. Non-CNS causes were more prevalent than CNS-related causes. Approximately 6% of patients met the criteria for shock. |
| Key words:
Consciousness disorders; Emergency medical services; Emergency medicine |
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