RESUMO
Background: Acute confusional state or delirium is a clinical syndrome characterized by disturbed consciousness, cognitive function, or perception. The delirium usually develops over a short period of time (usually hours to days) and it has a tendency to fluctuate during the course of the day. Materials and methods: This study was undertaken on the patients presenting with acute confusional state to the emergency wing of Acharya Shri Chander College of Medical Sciences and Hospital, Jammu to find out the Outcome, Hospital Stay and Prognosticate of different causes of ACS. Patients of acute confusion state that were admitted in the emergency wing of Postgraduate Department of Medicine Acharya Shri Chander College of medical sciences and hospital were enrolled prospectively in the study. Sixty patients of acute confusional state from November 2015 to October 2016 were enrolled who were selected from various patients admitted in ASCOMS. Results: Most patients were in the age group of 61-70 years i.e. 6th decade. Mean age of males was 63.78 (range, 35 to 92) years and of females was 65.85 (range, 26 to 95) years. Median age of males was 64 years and of females 68 years. Sex wise, patients were equally distributed with 32 (53.33%) males and 28 (46.67%) females with male to female ratio of 1.14:1 Out of 60 patients there were 10 deaths, the mortality being 16.67%, 39 (65%) had good recovery and 11 (16.67%) patients had partial recovery. Overall mortality was 16.67%. The mortality depends on age, etiology of acute confusional state, initial GCS and some lab Parameters (TLC, PH, SO2). Conclusion: The increased hospital stay and the prolonged acute confusional state in patients discharged alive were increased age, etiology of ACS, abnormal CT head, decreased PO2 and SO2, focal neurological deficit.