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Clinics and Practice
Volume 1
Issue 1
10.4081/cp.2011.e9
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Clinics and Practice is published by MDPI from Volume 11 Issue 1 (2021). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with PAGEPress.
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Background:
Case Report

Incidence of Dehydration Encephalopathy among Patients with Disturbed Consciousness at a Hospital Emergency Unit

by
Emina Ogawa
1,
Ryuji Sakakibara
1,*,
Kei Endo
2,
Fuyuki Tateno
1,
Yasuo Matsuzawa
2,
Nobuo Hosoe
2,
Masahiko Kishi
1 and
Kohji Shirai
1
1
Neurology, Internal Medicine, Sakura Medical Center, Toho University, Sakura, Japan
2
Emergency Unit, Sakura Medical Center, Toho University, Sakura, Japan
*
Author to whom correspondence should be addressed.
Clin. Pract. 2011, 1(1), e9; https://doi.org/10.4081/cp.2011.e9
Submission received: 15 March 2011 / Accepted: 28 March 2011 / Published: 31 March 2011

Abstract

Systemic dehydration and diffuse central nervous system signs without any other illness is referred to as dehydration encephalopathy (DE). However, the incidence of DE at emergency units remains uncertain. We investigated the incidence of DE among persons with disturbed consciousness who visited the emergency unit. We reviewed the medical case records of the emergency unit at our university hospital during a 6-month period. Among them, 132 patients presented with disturbed consciousness as the sole initial manifestation on arrival. They were 75 men, 47 women; mean age 68 years (16-95 years). After carefully excluding other etiologies, the incidence of DE was 2% among all persons in the emergency unit and 4% among persons older than 68 years.In conclusion, the incidence of DE in our emergency unit was not common. Nevertheless, recognition of DE is extremely important in order to avoid unnecessary medication in elderly subjects.
Keywords: dehydration; encephalopathy; elderly; emergency; disturbed consciousness dehydration; encephalopathy; elderly; emergency; disturbed consciousness

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MDPI and ACS Style

Ogawa, E.; Sakakibara, R.; Endo, K.; Tateno, F.; Matsuzawa, Y.; Hosoe, N.; Kishi, M.; Shirai, K. Incidence of Dehydration Encephalopathy among Patients with Disturbed Consciousness at a Hospital Emergency Unit. Clin. Pract. 2011, 1, e9. https://doi.org/10.4081/cp.2011.e9

AMA Style

Ogawa E, Sakakibara R, Endo K, Tateno F, Matsuzawa Y, Hosoe N, Kishi M, Shirai K. Incidence of Dehydration Encephalopathy among Patients with Disturbed Consciousness at a Hospital Emergency Unit. Clinics and Practice. 2011; 1(1):e9. https://doi.org/10.4081/cp.2011.e9

Chicago/Turabian Style

Ogawa, Emina, Ryuji Sakakibara, Kei Endo, Fuyuki Tateno, Yasuo Matsuzawa, Nobuo Hosoe, Masahiko Kishi, and Kohji Shirai. 2011. "Incidence of Dehydration Encephalopathy among Patients with Disturbed Consciousness at a Hospital Emergency Unit" Clinics and Practice 1, no. 1: e9. https://doi.org/10.4081/cp.2011.e9

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