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. 2021 Jun 3;269(1):12–18. doi: 10.1007/s00415-021-10623-5

Table 3.

Altered mental status causes

Diagnosis No. (%) (n = 166)
AMS from metabolic encephalopathy 154 (92.8)
 Single cause 36 (21.7)
 Multifactorial 118 (71.1)
AMS from single neurologic factor 5 (3.0)
 Ischemic stroke 2 (1.2)
 Post-ictal 2 (1.2)
 Subarachnoid hemorrhage 1 (0.6)
AMS from indeterminant cause 7 (4.2)
 Possible seizure/possible encephalitis 1 (0.6)
 Panic attack 1 (0.6)
 Probable metabolic 5 (3.0)
Total metabolic derangements
 Hypoxia 103 (62.0)
 Renal failure 75 (45.2)
 Fever 50 (30.1)
 Hypernatremia 34 (20.4)
 Sepsis 22 (13.2)
 Acid–base disturbance 21 (12.6)
 Hyperglycemia 15 (9.0)
 Hypoglycemia 7 (4.2)
 Hyponatremia 5 (3.0)
 Hypercapnea 3 (1.8)
Total neurological diagnoses 20 (12.0)
 Seizure related 10 (6.0)
 Ischemic stroke 6 (3.6)
 Intracerebral hemorrhage 1 (0.6)
 Subarachnoid hemorrhage 1 (0.6)
 Multi-compartment hemorrhage 1 (0.6)
 Hypertensive encephalopathy 1 (0.6)