Aetiologies of altered states of consciousness: A prospective hospital-based study in a series of 464 patients of northern Tanzania
Journal of the Neurological Sciences January 15, 2011 DOI: 10.1016/j.jns.2010.10.004 (opens in new tab)
Study at a glance
AI-extracted from the abstract| Characteristics | Prospective observational study Peer reviewed |
|---|---|
| Sample size | 768 |
| Population | Patients with neurological/psychiatric diagnoses at Haydom Lutheran Hospital in northern Tanzania |
| Duration | Eight months |
| Topics | Altered states of consciousness Philosophy of mind |
| Key findings | Altered states of consciousness accounted for 60.4% of neurological/psychiatric admissions, with non-infectious causes as the leading etiologies and high in-hospital mortality (26-27%). |
Abstract
BackgroundEmpirical knowledge suggests that altered states of consciousness are common in sub-Saharan Africa. However, to date prevalence studies are scarce.MethodsThe study was conducted at the Haydom Lutheran Hospital in northern Tanzania. Over a period of eight months all patients with altered states of consciousness were seen prospectively by a neurologist. The study population was subdivided into patients with acute confusional states (ACS) and those with impairment of consciousness (IOC).ResultsOut of 768 patients with neurological/psychiatric diagnoses 464 patients (60.4%) with altered states of consciousness were admitted. 159 patients had ACS (20.7%) and 447 IOC (58.2%). The diagnoses were not mutually exclusive. The most frequent aetiologies were of non-infectious origin. In patients with ACS, non-infectious encephalopathy, psychiatric disorder and dementia made up for 13.8%, 7.6% and 6.9%, respectively. In 25.2% of the cases with ACS, the reason remained obscure. In patients with IOC, the leading causes were epileptic seizures (febrile seizures 20.6% and epilepsy 13.9%) and head trauma 13.9%. Both ACS and IOC carried a bleak prognosis with 26% and 27% in-hospital mortality, respectively.InterpretationThe above data emphasize that altered states of consciousness contribute substantially to morbidity and mortality in a rural African hospital. In our study sample, non-infectious causes represented the leading aetiologies although HIV testing was not available at the time of the study.
Comparable studies
Other observational and cohort studies on altered states of consciousness, most cited first.
| Study | Year | Design | Participants |
|---|---|---|---|
| Neural correlates of the DMT experience assessed with multivariate EEG. 6 female, 7 male human participants | 2019 | Observational cohort | n = 13 |
| Measures of entropy and complexity in altered states of consciousness Subjects during resting wakefulness, different sleep stages, and epileptic seizures | 2017 | Observational study | |
| Altered States of Consciousness and Short-Term Psychological After-Effects Induced by the First Time Ritual Use of Ayahuasca in an Urban Context in Brazil First-time ayahuasca users in Santo Daime and União do Vegetal rituals | 2005 | Observational cohort | n = 28 |
| Quantifying arousal and awareness in altered states of consciousness using interpretable deep learning Healthy individuals during sleep, individuals under general anesthesia, and patients... | 2022 | Observational cohort | n = 71 |
| Subanaesthetic ketamine and altered states of consciousness in humans Human volunteers | 2018 | Observational study | n = 15 |