TO STUDY CLINICAL PROFILE OF ACUTE CONFUSIONAL STATE IN A TERTIARY CARE HOSPITAL IN A HILLY AREA.

Abstract

Acute confusional state/Delirium is a condition that develops quickly (usually over hours or days) and involves changes in consciousness, attention, cognition (thinking and reasoning), and perception. . Delirium is usually temporary and reversible and does not reflect a persistent psychiatric disorder.1 Delirium may result from a general medical condition, from use of drugs or similar substances, or from withdrawal from these substances. Some researchers suggest that there are two forms of delirium: hyperactive (agitated) and hypoactive (lethargic). If individuals with delirium experience the hyperactive form, they may be more prone to hallucinations, delusions, agitation, and disorientation. The rate is higher in elderly persons, those with cancer, and those with acquired immunodeficiency syndrome (AIDS). Patients who have had an operation (especially heart surgery, hip surgery, and organ transplants), as well as patients with burns, dialysis, or central nervous system lesions, are at increased risk for delirium. It is very common in individuals with terminal illnesses, often occurring just before death.4 we conducted this study to see the aetiological profile of Acute Confusional State in patients admitted in medical wards in IGMC Shimla and to study the behavior pattern of such patients.