Evaluation of Patients with Parkinson’s Disease in Intensive Care Units: A Cohort Study

Background. Parkinson’s disease affects approximately 1% of the worldwide population older than 60 years. This number is estimated to double by 2030, increasing the global burden of the disease. Patients with Parkinson’s disease are hospitalized 1.5 times more frequently and for longer periods than...

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Autores principales:	Álvaro Réa-Neto, Bruna C. Dal Vesco, Rafaella S. Bernardelli, Aline M. Kametani, Mirella C. Oliveira, Hélio A. G. Teive
Formato:	article
Lenguaje:	EN
Publicado:	Hindawi Limited 2021
Materias:	Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/b94f2db50a574e1e846b6b818c03bdfd
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spelling	oai:doaj.org-article:b94f2db50a574e1e846b6b818c03bdfd2021-11-15T01:19:10ZEvaluation of Patients with Parkinson’s Disease in Intensive Care Units: A Cohort Study2042-008010.1155/2021/2948323https://doaj.org/article/b94f2db50a574e1e846b6b818c03bdfd2021-01-01T00:00:00Zhttp://dx.doi.org/10.1155/2021/2948323https://doaj.org/toc/2042-0080Background. Parkinson’s disease affects approximately 1% of the worldwide population older than 60 years. This number is estimated to double by 2030, increasing the global burden of the disease. Patients with Parkinson’s disease are hospitalized 1.5 times more frequently and for longer periods than those without the disease, increasing health-related costs. Objective. To compare the characteristics and outcome of patients with and without Parkinson’s disease admitted to intensive care units (ICUs). Methods. Historical cohort study of ICU admissions in a Brazilian city over 18 years. All patients with Parkinson’s disease identified were matched for age, sex, year, and place of hospitalization with patients without the disease randomly selected from the same database. Results. The study included 231 patients with Parkinson’s disease (PD group) and 462 controls without the disease (NPD group). Compared with patients in the NPD group, those in the PD group were more frequently admitted with lower level of consciousness and increased APACHE II severity score but required less frequently vasoactive drugs. In total, 42.4% of the patients in the PD group were admitted to the ICUs due to sepsis or trauma. Although these patients had longer hospital stay, the mortality rates were comparable between groups. Parkinson’s disease was not associated with mortality, even when controlled for associated factors of disease severity. Conclusion. Although patients with Parkinson’s disease were admitted with higher severity scores and remained in the ICU for a longer time, their mortality rate was not higher than that in patients without the disease.Álvaro Réa-NetoBruna C. Dal VescoRafaella S. BernardelliAline M. KametaniMirella C. OliveiraHélio A. G. TeiveHindawi LimitedarticleNeurology. Diseases of the nervous systemRC346-429ENParkinson's Disease, Vol 2021 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Neurology. Diseases of the nervous system RC346-429
spellingShingle	Neurology. Diseases of the nervous system RC346-429 Álvaro Réa-Neto Bruna C. Dal Vesco Rafaella S. Bernardelli Aline M. Kametani Mirella C. Oliveira Hélio A. G. Teive Evaluation of Patients with Parkinson’s Disease in Intensive Care Units: A Cohort Study
description	Background. Parkinson’s disease affects approximately 1% of the worldwide population older than 60 years. This number is estimated to double by 2030, increasing the global burden of the disease. Patients with Parkinson’s disease are hospitalized 1.5 times more frequently and for longer periods than those without the disease, increasing health-related costs. Objective. To compare the characteristics and outcome of patients with and without Parkinson’s disease admitted to intensive care units (ICUs). Methods. Historical cohort study of ICU admissions in a Brazilian city over 18 years. All patients with Parkinson’s disease identified were matched for age, sex, year, and place of hospitalization with patients without the disease randomly selected from the same database. Results. The study included 231 patients with Parkinson’s disease (PD group) and 462 controls without the disease (NPD group). Compared with patients in the NPD group, those in the PD group were more frequently admitted with lower level of consciousness and increased APACHE II severity score but required less frequently vasoactive drugs. In total, 42.4% of the patients in the PD group were admitted to the ICUs due to sepsis or trauma. Although these patients had longer hospital stay, the mortality rates were comparable between groups. Parkinson’s disease was not associated with mortality, even when controlled for associated factors of disease severity. Conclusion. Although patients with Parkinson’s disease were admitted with higher severity scores and remained in the ICU for a longer time, their mortality rate was not higher than that in patients without the disease.
format	article
author	Álvaro Réa-Neto Bruna C. Dal Vesco Rafaella S. Bernardelli Aline M. Kametani Mirella C. Oliveira Hélio A. G. Teive
author_facet	Álvaro Réa-Neto Bruna C. Dal Vesco Rafaella S. Bernardelli Aline M. Kametani Mirella C. Oliveira Hélio A. G. Teive
author_sort	Álvaro Réa-Neto
title	Evaluation of Patients with Parkinson’s Disease in Intensive Care Units: A Cohort Study
title_short	Evaluation of Patients with Parkinson’s Disease in Intensive Care Units: A Cohort Study
title_full	Evaluation of Patients with Parkinson’s Disease in Intensive Care Units: A Cohort Study
title_fullStr	Evaluation of Patients with Parkinson’s Disease in Intensive Care Units: A Cohort Study
title_full_unstemmed	Evaluation of Patients with Parkinson’s Disease in Intensive Care Units: A Cohort Study
title_sort	evaluation of patients with parkinson’s disease in intensive care units: a cohort study
publisher	Hindawi Limited
publishDate	2021
url	https://doaj.org/article/b94f2db50a574e1e846b6b818c03bdfd
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Evaluation of Patients with Parkinson’s Disease in Intensive Care Units: A Cohort Study

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