ReviewClinics in geriatric medicine2013
Altered mental status in older patients in the emergency department.
Review in Clinics in geriatric medicine, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 58 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Documentation of Altered Mental Status
Deprescribing Potentially Inappropriate Medications in the Emergency Department for Persons Living With Dementia
Who cites it
58 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Reduced level of arousal and increased mortality in adult acute medical admissions: a systematic review and meta-analysis.BMC geriatrics · 2017Pooled it
- Machine learning-assisted screening for cognitive impairment in the emergency department.Journal of the American Geriatrics Society · 2022Trial
- The Value of First-Day CRP and NLR in Distinguishing Infectious from Non-Infectious Causes of Loss of Consciousness in the Emergency Department.Open access emergency medicine : OAEM · 2026Article
- Article
- High-dose IV acetaminophen reduces delirium risk in older adults with acute abdominal conditions: a retrospective cohort study.Journal of pharmaceutical health care and sciences · 2025Article
- Incidental Findings in Clinical Practice: A Case of Hepatic Encephalopathy and Subsequent Lung Cancer Detection.Cureus · 2025Article
- Detection of emergency department patients at risk of dementia through artificial intelligence.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025Observational
- Association of Coprescribing of Gabapentinoid and Other Psychoactive Medications With Altered Mental Status and Falls in Adults Receiving Dialysis.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2025Observational
- Implementation of delirium screening in the emergency department: A qualitative study with early adopters.Journal of the American Geriatrics Society · 2024Article
- Community paramedicine in dementia care.Journal of the American Geriatrics Society · 2024Article
- Permissive Hypotension in a Patient with Severe Hypernatremia: A Case Report.Clinical practice and cases in emergency medicine · 2024Article
- Limitations in the use of automated mental status detection for clinical decision support.International journal of medical informatics · 2023Article
- Decreasing hospitalizations through geriatric hotlines: a prospective French multicenter study of people aged 75 and above.BMC geriatrics · 2023Observational
- Article
- Screening Tool Risk Score Assessment in the Emergency Department for Geriatric (S-TRIAGE) in 28-day mortality.International journal of emergency medicine · 2023Article
- Leveraging the Electronic Health Record to Implement Emergency Department Delirium Screening.Applied clinical informatics · 2023Article
- Performance of Six Clinical Physiological Scoring Systems in Predicting In-Hospital Mortality in Elderly and Very Elderly Patients with Acute Upper Gastrointestinal Bleeding in Emergency Department.Medicina (Kaunas, Lithuania) · 2023Article
- Treatment of portosystemic shunt-borne hepatic encephalopathy in a 97-year-old woman using balloon-occluded retrograde transvenous obliteration: A case report.World journal of clinical cases · 2023Article
- Wisconsin Healthcare Utilization Cost Among American Indians/Alaska Natives with and without Alzheimer's Disease and Related Dementias.Journal of Alzheimer's disease : JAD · 2023Article
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
Abstract
Altered mental status is a common chief compliant among older patients in the emergency department (ED). Acute changes in mental status are more concerning and are usually secondary to delirium, stupor, and coma. Although stupor and coma are easily identifiable, the clinical presentation of delirium can be subtle and is often missed without actively screening for it. For patients with acute changes in mental status the ED evaluation should focus on searching for the underlying etiology. Infection is one of the most common precipitants of delirium, but multiple causes may exist concurrently.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.