Reduced level of arousal and increased mortality in adult acute medical admissions: a systematic review and meta-analysis.
Amy ToddSamantha BlackleyJennifer K BurtonDavid J StottE Wesley ElyZoë TiegesAlasdair M J MacLullichSusan Deborah ShenkinPublished in: BMC geriatrics (2017)
Reduced level of arousal on hospital admission may be a strong predictor of in-hospital mortality. Most evidence was of low quality. Reduced level of arousal is highly specific to delirium, better formal detection of hypoactive delirium and implementation of care pathways may improve outcomes. Future studies to assess the impact of interventions on in-hospital mortality should use validated assessments of both level of arousal and delirium.
Keyphrases
- healthcare
- cardiac surgery
- quality improvement
- emergency department
- hip fracture
- primary care
- palliative care
- liver failure
- coronary artery disease
- acute kidney injury
- cardiovascular events
- metabolic syndrome
- drug induced
- intensive care unit
- insulin resistance
- young adults
- hepatitis b virus
- extracorporeal membrane oxygenation
- health insurance
- glycemic control