Evidence map›Paper›PMID 36777903›Full record

ArticleThe Egyptian journal of internal medicine2023

Pulmonary embolism presenting as delirium: an acute confusional state in an elderly patient-a case report.

Chidimma A Ahaneku, Benard B Akpu, Chibueze H Njoku, David E Elem, Bassey E Ekeng

Abstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in The Egyptian journal of internal medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Chidimma A AhanekuDepartment of Internal Medicine, Respiratory Unit, University of Calabar, Teaching Hospital, Calabar, Nigeria.ORCID 0000-0002-7794-7636
Benard B AkpuDepartment of Internal Medicine, Cardiology, Unit, University of Calabar, Teaching Hospital, Calabar, Nigeria.
Chibueze H NjokuDepartment of Internal Medicine, Respiratory Unit, University of Calabar, Teaching Hospital, Calabar, Nigeria.
David E ElemDepartment of Internal Medicine, Infectious Disease Unit, University of Calabar, Teaching Hospital, Calabar, Nigeria.
Bassey E EkengDepartment of Internal Medicine, Infectious Disease Unit, University of Calabar, Teaching Hospital, Calabar, Nigeria.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Large numbers of elderly patients are admitted to hospitals in acute confusional states. In many, the underlying causes are easily found; in some, correct diagnosis is difficult. Pulmonary embolism (PE), the most serious clinical presentation of venous thromboembolism, is often misdiagnosed because of its non-specific features including delirium. Case presentation: A 73-year-old woman was admitted to our hospital in a confused state with no obvious risk factors of PE. D-dimer levels were elevated and contrast-enhanced high-resolution computed tomography (HRCT) of the chest confirmed the diagnosis of PE. She was treated with enoxaparin and discharged on dabigatran. Her symptoms had resolved at the time of discharge, and she has been stable for over three month's follow-up visit. Conclusion: PE should be regarded as a differential in elderly patients with an acute confusional state despite the absence of obvious risk factors. Investigating for and treating when confirmed may save a life.

Indexed as

Acute confusional stateD-dimerDeliriumHigh-resolution computed tomographyPulmonary embolism

Identifiers

PMID36777903
PMCPMC9899661

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