Parkinson’s disease and the frequent reasons for emergency admission

Ozlem Guneysel1, Oguzhan Onultan2, Ozge Onur11Marmara University School of Medicine, Department of Emergency Medicine, Istanbul, Turkey; 2Kadiköy Universal Hospital, Department of Neurology, Istanbul, TurkeyIntroduction: Available data suggest that Parkinson’s disease (PD)...

Descripción completa

Guardado en:
Detalles Bibliográficos
Autores principales: Ozlem Guneysel, Oguzhan Onultan, Ozge Onur
Formato: article
Lenguaje:EN
Publicado: Dove Medical Press 2008
Materias:
Acceso en línea:https://doaj.org/article/a57a687f66d044b098ccc61e8785a831
Etiquetas: Agregar Etiqueta
Sin Etiquetas, Sea el primero en etiquetar este registro!
id oai:doaj.org-article:a57a687f66d044b098ccc61e8785a831
record_format dspace
spelling oai:doaj.org-article:a57a687f66d044b098ccc61e8785a8312021-12-02T04:08:07ZParkinson’s disease and the frequent reasons for emergency admission1176-63281178-2021https://doaj.org/article/a57a687f66d044b098ccc61e8785a8312008-09-01T00:00:00Zhttp://www.dovepress.com/parkinsonrsquos-disease-and-the-frequent-reasons-for-emergency-admissi-a2195https://doaj.org/toc/1176-6328https://doaj.org/toc/1178-2021Ozlem Guneysel1, Oguzhan Onultan2, Ozge Onur11Marmara University School of Medicine, Department of Emergency Medicine, Istanbul, Turkey; 2Kadiköy Universal Hospital, Department of Neurology, Istanbul, TurkeyIntroduction: 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 Ozlem GuneyselOguzhan OnultanOzge OnurDove Medical PressarticleNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol 2008, Iss Issue 4, Pp 711-714 (2008)
institution DOAJ
collection DOAJ
language EN
topic Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
spellingShingle Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
Ozlem Guneysel
Oguzhan Onultan
Ozge Onur
Parkinson’s disease and the frequent reasons for emergency admission
description Ozlem Guneysel1, Oguzhan Onultan2, Ozge Onur11Marmara University School of Medicine, Department of Emergency Medicine, Istanbul, Turkey; 2Kadiköy Universal Hospital, Department of Neurology, Istanbul, TurkeyIntroduction: 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
format article
author Ozlem Guneysel
Oguzhan Onultan
Ozge Onur
author_facet Ozlem Guneysel
Oguzhan Onultan
Ozge Onur
author_sort Ozlem Guneysel
title Parkinson’s disease and the frequent reasons for emergency admission
title_short Parkinson’s disease and the frequent reasons for emergency admission
title_full Parkinson’s disease and the frequent reasons for emergency admission
title_fullStr Parkinson’s disease and the frequent reasons for emergency admission
title_full_unstemmed Parkinson’s disease and the frequent reasons for emergency admission
title_sort parkinson’s disease and the frequent reasons for emergency admission
publisher Dove Medical Press
publishDate 2008
url https://doaj.org/article/a57a687f66d044b098ccc61e8785a831
work_keys_str_mv AT ozlemguneysel parkinsonamprsquosdiseaseandthefrequentreasonsforemergencyadmission
AT oguzhanonultan parkinsonamprsquosdiseaseandthefrequentreasonsforemergencyadmission
AT ozgeonur parkinsonamprsquosdiseaseandthefrequentreasonsforemergencyadmission
_version_ 1718401449901162496