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Clinical Problems in the Hospitalized Parkinson's Disease Patient: Systematic Review

The problems Parkinson's disease (PD) patients encounter when admitted to a hospital, are known to be numerous and serious. These problems have been inventoried through a systematic review of literature on reasons for emergency and hospital admissions in PD patients, problems encountered during...

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Autores principales: Gerlach, Oliver HH, Winogrodzka, Ania, Weber, Wim EJ
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wiley Subscription Services, Inc., A Wiley Company 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3130138/
https://www.ncbi.nlm.nih.gov/pubmed/21284037
http://dx.doi.org/10.1002/mds.23449
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author Gerlach, Oliver HH
Winogrodzka, Ania
Weber, Wim EJ
author_facet Gerlach, Oliver HH
Winogrodzka, Ania
Weber, Wim EJ
author_sort Gerlach, Oliver HH
collection PubMed
description The problems Parkinson's disease (PD) patients encounter when admitted to a hospital, are known to be numerous and serious. These problems have been inventoried through a systematic review of literature on reasons for emergency and hospital admissions in PD patients, problems encountered during hospitalization, and possible solutions for the encountered problems using the Pubmed database. PD patients are hospitalized in frequencies ranging from 7 to 28% per year. PD/parkinsonism patients are approximately one and a half times more frequently and generally 2 to 14 days longer hospitalized than non-PD patients. Acute events occurring during hospitalization were mainly urinary infection, confusion, and pressure ulcers. Medication errors were also frequent adverse events. During and after surgery PD patients had an increased incidence of infections, confusion, falls, and decubitus, and 31% of patients was dissatisfied in the way their PD was managed. There are only two studies on medication continuation during surgery and one analyzing the effect of an early postoperative neurologic consultation, and numerous case reports, and opinionated views and reviews including other substitutes for dopaminergic medication intraoperatively. In conclusion, most studies were retrospective on small numbers of patients. The major clinical problems are injuries, infections, poor control of PD, and complications of PD treatment. There are many (un-researched) proposals for improvement. A substantial number of PD patients' admissions might be prevented. There should be guidelines concerning the hospitalized PD patients, with accent on early neurological consultation and team work between different specialities, and incorporating nonoral dopaminergic replacement therapy when necessary. © 2011 Movement Disorder Society
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spelling pubmed-31301382011-07-14 Clinical Problems in the Hospitalized Parkinson's Disease Patient: Systematic Review Gerlach, Oliver HH Winogrodzka, Ania Weber, Wim EJ Mov Disord Review The problems Parkinson's disease (PD) patients encounter when admitted to a hospital, are known to be numerous and serious. These problems have been inventoried through a systematic review of literature on reasons for emergency and hospital admissions in PD patients, problems encountered during hospitalization, and possible solutions for the encountered problems using the Pubmed database. PD patients are hospitalized in frequencies ranging from 7 to 28% per year. PD/parkinsonism patients are approximately one and a half times more frequently and generally 2 to 14 days longer hospitalized than non-PD patients. Acute events occurring during hospitalization were mainly urinary infection, confusion, and pressure ulcers. Medication errors were also frequent adverse events. During and after surgery PD patients had an increased incidence of infections, confusion, falls, and decubitus, and 31% of patients was dissatisfied in the way their PD was managed. There are only two studies on medication continuation during surgery and one analyzing the effect of an early postoperative neurologic consultation, and numerous case reports, and opinionated views and reviews including other substitutes for dopaminergic medication intraoperatively. In conclusion, most studies were retrospective on small numbers of patients. The major clinical problems are injuries, infections, poor control of PD, and complications of PD treatment. There are many (un-researched) proposals for improvement. A substantial number of PD patients' admissions might be prevented. There should be guidelines concerning the hospitalized PD patients, with accent on early neurological consultation and team work between different specialities, and incorporating nonoral dopaminergic replacement therapy when necessary. © 2011 Movement Disorder Society Wiley Subscription Services, Inc., A Wiley Company 2011-02-01 2011-01-31 /pmc/articles/PMC3130138/ /pubmed/21284037 http://dx.doi.org/10.1002/mds.23449 Text en Copyright © 2011 Movement Disorders Society http://creativecommons.org/licenses/by/2.5/ Re-use of this article is permitted in accordance with the Creative Commons Deed, Attribution 2.5, which does not permit commercial exploitation.
spellingShingle Review
Gerlach, Oliver HH
Winogrodzka, Ania
Weber, Wim EJ
Clinical Problems in the Hospitalized Parkinson's Disease Patient: Systematic Review
title Clinical Problems in the Hospitalized Parkinson's Disease Patient: Systematic Review
title_full Clinical Problems in the Hospitalized Parkinson's Disease Patient: Systematic Review
title_fullStr Clinical Problems in the Hospitalized Parkinson's Disease Patient: Systematic Review
title_full_unstemmed Clinical Problems in the Hospitalized Parkinson's Disease Patient: Systematic Review
title_short Clinical Problems in the Hospitalized Parkinson's Disease Patient: Systematic Review
title_sort clinical problems in the hospitalized parkinson's disease patient: systematic review
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3130138/
https://www.ncbi.nlm.nih.gov/pubmed/21284037
http://dx.doi.org/10.1002/mds.23449
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