Little is known about diseases associated with altered mental status (AMS) in resource-limited settings. We studied adult medicine patients presenting with AMS in Lilongwe, Malawi and found that AMS and HIV infection were each significantly associated with mortality. It is therefore critical that evaluation and management in this patient population is improved.
ChangCJTamHPKoWJTsaiPR. Predicting hospital mortality in adult patients with prolonged stay (>14 days) in surgical intensive care unit. Minerva Anestesiol2013; 79: 843–852.
3.
JarvisJNBicanicTLoyseANamarikaDJacksonANussbaumJC. Determinants of mortality in a combined cohort of 501 patients with HIV-associated Cryptococcal meningitis: Implications for improving outcomes. Clin Infect Dis2013; 58: 736–745.
KendigCEMcCullochDJRosenbergNESamuelJCMabediCShoresCG. Prevalence of HIV and disease outcomes on the medical and surgical wards at Kamuzu Central Hospital, Lilongwe, Malawi. Trop Med Int Health2013; 41: 163–170.
6.
HoELJayH. Altered mental status in HIV patients. Emerg Med Clin N Am2010; 28: 311–323.
7.
AkinkuotuARoemerERichardsonANamarikaDCMunthaliCBahlingA. In-hospital mortality rates and HIV: a medical ward review, Lilongwe, Malawi. Int J STD & AIDS2011; 22: 465–470.
8.
LaCourse SM, Chester FM, Matoga M, Munthali C, Nsona D, Haac B, et al. Implementation of routine counselor-initiated opt-out HIV testing on the adult medical ward at Kamuzu Central Hospital, Lilongwe, Malawi. J Acquir Immune Defic Syndr 2015 Jan 23 [Epub ahead of print].
9.
World Health Organization. Assessing national capacity for the prevention and control of non-communicable disease: Report from the 2010 Global Health Survey. Geneva: World Health Organization; 2012.
