Altered mental status in the emergency department and the findings of computed tomography

Mazi Mohammed Alanazi; Yara Faisal Kamal; Ibrahim Salem Binrabaa; Muhannad Sulaiman Alhusayni; Faisal Majed A. Alkhannani; Abdullah Lafi Alhassan; Salem Ibrahim S. Aljaddua; Faisal Adel Alshammari; Ali Oudah Asiri; Manal Ebraheem Althobiti

doi:10.24911/IJMDC.51-1732118853

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Online Published: 07 Dec 2024

IJMDC. 2024; 8(11): 3270-3275

doi: 10.24911/IJMDC.51-1732118853

Altered mental status in the emergency department and the findings of computed tomography

Mazi Mohammed Alanazi, Yara Faisal Kamal, Ibrahim Salem Binrabaa, Muhannad Sulaiman Alhusayni, Faisal Majed A. Alkhannani, Abdullah Lafi Alhassan, Salem Ibrahim S. Aljaddua, Faisal Adel Alshammari, Ali Oudah Asiri, Manal Ebraheem Althobiti.

Abstract
When a patient presents to the emergency room with an acute altered mental state, a computed tomography (CT) scan of the head is frequently performed. The outcomes of positive CT tests and their connection to changes in clinical treatment are assessed. The study was conducted by the Preferred Reporting Items for Systematic Reviews and Meta-analyses standard and the PubMed, CINAHL, Embase, and PubMed Central databases were searched. The chosen studies ranged from the year 2019 to 2023. Five studies totaling 13,172 patients were included in this analysis including two retrospective case-control studies, two cohort studies, and one observational, quasi-experimental research. The United States, Taiwan, Italy, Israel, and India were the locations of the studies. The outcomes of the included studies were hemorrhage, mass effect, hydrocephalus, worsening of previous findings, intra-cerebral hemorrhage, space-occupying lesions, new ischemic infarction, hydrocephalus, bleeding, ischemic stroke, herniation, and intracranial hemorrhage. In most non-traumatic individuals with changed mental states, no significant CT abnormalities were found. Serious conditions were observed in a small percentage of individuals.

Key words: Altered mental status, delirium, computed tomography, emergency department, systemic review

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Pubmed Style

Alanazi MM, Kamal YF, Binrabaa IS, Alhusayni MS, Alkhannani FMA, Alhassan AL, Aljaddua SIS, Alshammari FA, Asiri AO, Althobiti ME. Altered mental status in the emergency department and the findings of computed tomography. IJMDC. 2024; 8(11): 3270-3275. doi:10.24911/IJMDC.51-1732118853

Web Style

Alanazi MM, Kamal YF, Binrabaa IS, Alhusayni MS, Alkhannani FMA, Alhassan AL, Aljaddua SIS, Alshammari FA, Asiri AO, Althobiti ME. Altered mental status in the emergency department and the findings of computed tomography. https://www.ijmdc.com/?mno=229600 [Access: January 14, 2025]. doi:10.24911/IJMDC.51-1732118853

AMA (American Medical Association) Style

Alanazi MM, Kamal YF, Binrabaa IS, Alhusayni MS, Alkhannani FMA, Alhassan AL, Aljaddua SIS, Alshammari FA, Asiri AO, Althobiti ME. Altered mental status in the emergency department and the findings of computed tomography. IJMDC. 2024; 8(11): 3270-3275. doi:10.24911/IJMDC.51-1732118853

Vancouver/ICMJE Style

Alanazi MM, Kamal YF, Binrabaa IS, Alhusayni MS, Alkhannani FMA, Alhassan AL, Aljaddua SIS, Alshammari FA, Asiri AO, Althobiti ME. Altered mental status in the emergency department and the findings of computed tomography. IJMDC. (2024), [cited January 14, 2025]; 8(11): 3270-3275. doi:10.24911/IJMDC.51-1732118853

Harvard Style

Alanazi, M. M., Kamal, . Y. F., Binrabaa, . I. S., Alhusayni, . M. S., Alkhannani, . F. M. A., Alhassan, . A. L., Aljaddua, . S. I. S., Alshammari, . F. A., Asiri, . A. O. & Althobiti, . M. E. (2024) Altered mental status in the emergency department and the findings of computed tomography. IJMDC, 8 (11), 3270-3275. doi:10.24911/IJMDC.51-1732118853

Turabian Style

Alanazi, Mazi Mohammed, Yara Faisal Kamal, Ibrahim Salem Binrabaa, Muhannad Sulaiman Alhusayni, Faisal Majed A. Alkhannani, Abdullah Lafi Alhassan, Salem Ibrahim S. Aljaddua, Faisal Adel Alshammari, Ali Oudah Asiri, and Manal Ebraheem Althobiti. 2024. Altered mental status in the emergency department and the findings of computed tomography. International Journal of Medicine in Developing Countries, 8 (11), 3270-3275. doi:10.24911/IJMDC.51-1732118853

Chicago Style

Alanazi, Mazi Mohammed, Yara Faisal Kamal, Ibrahim Salem Binrabaa, Muhannad Sulaiman Alhusayni, Faisal Majed A. Alkhannani, Abdullah Lafi Alhassan, Salem Ibrahim S. Aljaddua, Faisal Adel Alshammari, Ali Oudah Asiri, and Manal Ebraheem Althobiti. "Altered mental status in the emergency department and the findings of computed tomography." International Journal of Medicine in Developing Countries 8 (2024), 3270-3275. doi:10.24911/IJMDC.51-1732118853

MLA (The Modern Language Association) Style

Alanazi, Mazi Mohammed, Yara Faisal Kamal, Ibrahim Salem Binrabaa, Muhannad Sulaiman Alhusayni, Faisal Majed A. Alkhannani, Abdullah Lafi Alhassan, Salem Ibrahim S. Aljaddua, Faisal Adel Alshammari, Ali Oudah Asiri, and Manal Ebraheem Althobiti. "Altered mental status in the emergency department and the findings of computed tomography." International Journal of Medicine in Developing Countries 8.11 (2024), 3270-3275. Print. doi:10.24911/IJMDC.51-1732118853

APA (American Psychological Association) Style

Alanazi, M. M., Kamal, . Y. F., Binrabaa, . I. S., Alhusayni, . M. S., Alkhannani, . F. M. A., Alhassan, . A. L., Aljaddua, . S. I. S., Alshammari, . F. A., Asiri, . A. O. & Althobiti, . M. E. (2024) Altered mental status in the emergency department and the findings of computed tomography. International Journal of Medicine in Developing Countries, 8 (11), 3270-3275. doi:10.24911/IJMDC.51-1732118853

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