Causes of Loss of Consciousness and Coma State in Patients Referred to Ayatollah Rouhani Hospital in Babol, I.R. Iran (2011-2012)
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A. Ahmadi Ahangar (MD) * , P. Saadat (MD) , R. Sohrabnejad (MD) , S. Khafri (PhD) , A. Zarghami , M. Khajehzadeh (BSc) ![](./files/0allsites/images/pubmed20.png) |
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Abstract: (18647 Views) |
BACKGROUND AND
OBJECTIVE: Coma state constitutes at least 3% of patients referring to
hospital emergency unit. Knowing the common causes of coma in each region can
be effective in preventing and treating these cases. The aim of this study was
to assess the causes of loss of consciousness and coma state in patients
referred to Ayatollah Rouhani hospital in Babol (2011-2012). METHODS: This
cross-sectional study was conducted on 108 patients with complaint of loss of
consciousness presenting to the hospital emergency department of Ayatollah
Rouhani hospital in Babol, Iran (2011-2012). Demographic characteristics, primary
diagnosis and degree of coma were recorded and then clinical signs and causes
of loss of consciousness were surveyed. FINDINGS: Of 108
studied patients, 54 patients (50 %) were women and 54(50 %) were men. The mean
age of the study population was 66.81±18.52 with a median of 72 years. Most
common clinical signs were hemiparesis in 12(11.1%) and urinary incontinence in
11 cases (10.2%). Regarding the history of comorbid disease, there was
hypertension in 42 patients (38.9%), stroke in 38(35.2 %) and diabetes in
37(34.3 %), respectively. In final diagnosis infectious diseases in 23 cases
(21.3%) was the most etiology, cerebrovascular disease in 18(16.6%), metabolic
causes in 16(14.8%), seizure disorder in 12(11.1%) and intoxication in 10(9.3%)
were the other common causes. CONCLUSION: The results of this study
showed that infectious diseases and cerebrovascular disease and metabolic disorders
were most common causes of loss of consciousness but history of systemic
disorders such as hypertension and previous neurological disease especially
ischemic stroke were seen in many cases. |
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Keywords: Loss of consciousness, Coma, Cerebrovascular disease stroke, Infection, Hypertension, Intoxications |
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Full-Text [PDF 348 kb]
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Type of Study: case report |
Subject:
Histology Received: 2014/03/18 | Accepted: 2014/06/25 | Published: 2014/08/26
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