Thiamine for altered mental status: a high-value strategy beyond alcohol

Early empiric thiamine aligns with principles of high-value care and represents a simple, underutilized intervention that may prevent irreversible neurologic injury in hospitalized patients with AMS. Broader adoption of a more inclusive, clinically grounded approach is warranted until higher-quality evidence clarifies optimal screening and treatment strategies.

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Publication Details

Journal
Postgraduate Medicine
Published
2026-01-02
DOI
https://doi.org/10.1080/00325481.2026.2630436
Primary Topic
Alcoholism and Thiamine Deficiency
Type
article
Field-Weighted Citation Impact
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article

Thiamine for altered mental status: a high-value strategy beyond alcohol

Nilesh Patel
Postgraduate Medicine
Alcoholism and Thiamine Deficiency
article

Thiamine for altered mental status: a high-value strategy beyond alcohol

Nilesh Patel
article en

Abstract

Early empiric thiamine aligns with principles of high-value care and represents a simple, underutilized intervention that may prevent irreversible neurologic injury in hospitalized patients with AMS. Broader adoption of a more inclusive, clinically grounded approach is warranted until higher-quality evidence clarifies optimal screening and treatment strategies.

Postgraduate MedicineVol. 138(1)
University of Tennessee Medical Center (US), University of Tennessee at Knoxville (US)
Good health and well-being
Openalex Percentile: Top 59%
Alcoholism and Thiamine Deficiency
DOISourceOpenAlex
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Thiamine for altered mental status: a high-value strategy beyond alcohol — Nilesh Patel · Postgraduate Medicine (2026) | TGRS Research Map | TGRS