Abstract
We retrospectively studied clinical features of consecutive 34 patients (74.4±14.7 years) with unconscious who were admitted to our department between Feb. 2000 and Jan. 2002, and made critical path for unconscious patients. 82% of patients had previous illness. Examinations done during the hospitalization were as follows; brain CT (100%), cervical ultrasonography (88%), cardiac ultrasonography (88%), 24 hours holter electrocardiogram (68%), electroencephalogram (62%), brain MRI and MRA (35%). Clinical diagnosis were vasovagal syncope (12 cases), TIA (5 cases), epilepsy (3 cases), angina pectoris (3 cases), hypotension (2cases), sick sinus syndrome (1 case), hypoglycemia (1 case), and undetermined (7 cases). The average days of hospitalization was 9.1±7.0 days. From these data, we determined the goal of critical path, examinations, observation items, and the days of hospital stay.
