Parkinson’s disease and the frequent reasons for emergency admission
Ozlem Guneysel1, Oguzhan Onultan2, Ozge Onur1
1Marmara University School of Medicine, Department of Emergency Medicine, Istanbul, Turkey; 2Kadıköy Universal Hospital, Department of Neurology, Istanbul, Turkey
Introduction: Available data suggest that Parkinson’s disease (PD) patients have a significant socioeconomic impact owing partly to increased hospital and drug utilization. The aims of this study were to provide a profile of patients with PD who required admission to hospital and to determine the reasons for emergency admission.
Patients and methods: Between September 1st, 2004 and August 31st, 2006, patients with PD who were admitted to our emergency department (ED) were included in the study. Patients with PD who were diagnosed by a neurologist formerly, and admitted to the ED with any reason constituted the study population. Demographical data, reasons for admission, years exposed to PD, number of admissions to the emergency department in the past 12 months, prior Hoehn and Yahr (H&Y) scores were recorded. H&Y was performed again for all patients 4 weeks after discharge.
Results: Seventy-six patients with PD were included in the study. Reasons for admission to hospital were infectious diseases (31.6%), trauma (27.6%), cardiovascular emergencies (14.5%), cerebrovascular emergencies (11.8%), gastrointestinal emergencies (7.9%), and electrolyte disturbances (6.6%), respectively. There was no dependence between the time of exposure to PD and H&Y score. Number of emergency admittance in the last 12 months was independent from the last H&Y score (p = 0.297). However, there was a dependency between the reasons for emergency admittance and the H&Y scores (p = 0.023).
Discussion: H&Y score is not dependent on the emergency admittance or on the outcome after discharge from the emergency department. The motor disability by itself cannot predict the whole picture of PD and the systemic complications leading to emergency admittance.
Keywords: Parkinson’s disease, emergency admittance, Hoehn and Yahr scale
This work is published by Dove Medical Press Limited, and licensed under Creative Commons Attribution - Non Commercial (unported, v3.0) License. The full terms of the License are available at http://creativecommons.org/licenses/by-nc/3.0/. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. Permissions beyond the scope of the License are administered by Dove Medical Press Limited. Information on how to request permission may be found at: http://www.dovepress.com/permissions.php
Readers of this article also read:
A cross-sectional study on perception of stigma by Chinese schizophrenia patients [Expression of concern]
Ren ZB, Wang HQ, Feng B, Gu CY, Ma YC, Chen H, Li BL, Liu LY
Published Date: 18 July 2014
Measurement bias between optical coherence tomography instruments can affect access to treatment: a new lottery
Kidess A, El Salloukh A, Dutt P, Keane PA, Tsaloumas MD, Denniston AK
Published Date: 12 December 2013
Soosay Raj TA, Smith AM, Moore AS
Published Date: 5 December 2013
Double-blind, comparative study of milnacipran and paroxetine in Japanese patients with major depression [Corrigendum]
Kamijima K, Hashimoto S, Nagayoshi E, Koyama T
Published Date: 5 June 2013
The combination of corneal collagen crosslinking with riboflavin and ultraviolet-a irridation and excimer laser surgery.
Ralla B, Holtmann C, Geerling G
Published Date: 26 March 2013
Cárdenas WH, Mamani JB, Sibov TT, Caous CA, Amaro E Jr, Gamarra LF
Published Date: 21 September 2012
Close association between polymorphisms of the nitric oxide synthetase 3 gene and neurological disorders other than stroke
Published Date: 11 May 2012
RA Kurt, K Gündüz
Published Date: 6 September 2010
Shenxun Shi, Liang Shu
Published Date: 18 February 2006
Differentiating cognitive impairment from symptoms of anxiety in postcoronary artery bypass grafting encephalopathy: a case report
Frank M Dattilio, John E Castaldo
Published Date: 18 February 2006