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Low Norton Scale Score Predicts Worse Outcomes for Parkinson’s Disease Patients Hospitalized Due to Infection

Background:Parkinson’s disease (PD) patients are prone to infections leading to hospitalization. We used the Norton Scale score (NSS) as a prognostic tool for these patients. Method: Retrospective analysis of consecutive PD patients, all had NSS appreciation upon admission. Analyses were made to est...

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Autores principales: Segal, Omer, Hassin-Baer, Sharon, Kliers, Iris, Cale’, Keren Shaked, Segal, Gad
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5119867/
https://www.ncbi.nlm.nih.gov/pubmed/28138471
http://dx.doi.org/10.1177/2333721415608139
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author Segal, Omer
Hassin-Baer, Sharon
Kliers, Iris
Cale’, Keren Shaked
Segal, Gad
author_facet Segal, Omer
Hassin-Baer, Sharon
Kliers, Iris
Cale’, Keren Shaked
Segal, Gad
author_sort Segal, Omer
collection PubMed
description Background:Parkinson’s disease (PD) patients are prone to infections leading to hospitalization. We used the Norton Scale score (NSS) as a prognostic tool for these patients. Method: Retrospective analysis of consecutive PD patients, all had NSS appreciation upon admission. Analyses were made to establish the association between NSS upon admission, short-term, and long-term clinical outcomes. Results: Five hundred twenty-eight PD patients’ records were reviewed, of which 81 were eligible for analysis. Patients who died during hospitalization had a significantly lower NSS (10.0 vs. 13.1, p = .026). Among surviving patients, those who were discharged to more intensive care facilities relative to their original place of arrival also had a significantly lower NSS (10.38 vs. 13.63, p = .0002). Lower NSS was found to increase the risk for 1-year mortality (odds ratio = 1.3; 95% confidence interval = [1.09, 1.56], p = .003). Conclusion: Lower NSS upon admission of PD patients, suffering from infection is associated with worse clinical outcomes.
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spelling pubmed-51198672016-12-28 Low Norton Scale Score Predicts Worse Outcomes for Parkinson’s Disease Patients Hospitalized Due to Infection Segal, Omer Hassin-Baer, Sharon Kliers, Iris Cale’, Keren Shaked Segal, Gad Gerontol Geriatr Med Article Background:Parkinson’s disease (PD) patients are prone to infections leading to hospitalization. We used the Norton Scale score (NSS) as a prognostic tool for these patients. Method: Retrospective analysis of consecutive PD patients, all had NSS appreciation upon admission. Analyses were made to establish the association between NSS upon admission, short-term, and long-term clinical outcomes. Results: Five hundred twenty-eight PD patients’ records were reviewed, of which 81 were eligible for analysis. Patients who died during hospitalization had a significantly lower NSS (10.0 vs. 13.1, p = .026). Among surviving patients, those who were discharged to more intensive care facilities relative to their original place of arrival also had a significantly lower NSS (10.38 vs. 13.63, p = .0002). Lower NSS was found to increase the risk for 1-year mortality (odds ratio = 1.3; 95% confidence interval = [1.09, 1.56], p = .003). Conclusion: Lower NSS upon admission of PD patients, suffering from infection is associated with worse clinical outcomes. SAGE Publications 2015-09-23 /pmc/articles/PMC5119867/ /pubmed/28138471 http://dx.doi.org/10.1177/2333721415608139 Text en © The Author(s) 2015 http://creativecommons.org/licenses/by-nc/3.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 3.0 License (http://www.creativecommons.org/licenses/by-nc/3.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Article
Segal, Omer
Hassin-Baer, Sharon
Kliers, Iris
Cale’, Keren Shaked
Segal, Gad
Low Norton Scale Score Predicts Worse Outcomes for Parkinson’s Disease Patients Hospitalized Due to Infection
title Low Norton Scale Score Predicts Worse Outcomes for Parkinson’s Disease Patients Hospitalized Due to Infection
title_full Low Norton Scale Score Predicts Worse Outcomes for Parkinson’s Disease Patients Hospitalized Due to Infection
title_fullStr Low Norton Scale Score Predicts Worse Outcomes for Parkinson’s Disease Patients Hospitalized Due to Infection
title_full_unstemmed Low Norton Scale Score Predicts Worse Outcomes for Parkinson’s Disease Patients Hospitalized Due to Infection
title_short Low Norton Scale Score Predicts Worse Outcomes for Parkinson’s Disease Patients Hospitalized Due to Infection
title_sort low norton scale score predicts worse outcomes for parkinson’s disease patients hospitalized due to infection
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5119867/
https://www.ncbi.nlm.nih.gov/pubmed/28138471
http://dx.doi.org/10.1177/2333721415608139
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