Characteristics of patients with decreased mental status while staying in an emergency department: Comparative study with alert patients

응급실 체류 중에 의식이 저하된 환자의 특성: 의식명료 환자와의 비교연구

  • Received : 2018.06.26
  • Accepted : 2018.10.05
  • Published : 2018.10.31


This was a retrospective study that compared the characteristics of patients with decreased mental status (DMS) during their stays in an emergency department (ED) with that of patients with alert mental status (AMS). The participants in this study consisted of 90 patients with DMS who were staying in an ED along with 100 randomly selected patients with AMS. The DMS group contained more instances of cerebrovascular disease, liver disease, diabetes, and hypertension compared to the AMS group (p=0.001, p=0.003, p<0.001, and p=0.002, respectively). With regard to triage, the DMS group had higher severity than the AMS group (p<.001). The final diagnosis for the DMS group was as follows: 64.9% neurological and 63.3% related to the digestive system, which differed from that of the AMS group (p<.001). Fifty-six (62.2%) patients with DMS had their statuses discovered by nurses, while nine patients in the DMS group had received cardiopulmonary resuscitation. These results suggest that ED nurses frequently assess the consciousness of patients who they suspect may have neurologic or digestive diseases and are classified as high severity, even when the patients are alert.


Emergency nursing;Mental Disorders;Treatment Outcome;Triage;Cardiopulmonary Resuscitation


Supported by : 광주대학교


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