Clinical problems in the hospitalized Parkinson's disease patient: Systematic review
Identifieur interne : 000027 ( Main/Corpus ); précédent : 000026; suivant : 000028Clinical problems in the hospitalized Parkinson's disease patient: Systematic review
Auteurs : Oliver H. H. Gerlach ; Ania Winogrodzka ; Wim E. J. WeberSource :
- Movement Disorders [ 0885-3185 ] ; 2011-02-01.
English descriptors
Abstract
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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DOI: 10.1002/mds.23449
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ISTEX:13E296B4683930E8A76D07435304AA4D57432F29Le document en format XML
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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</div></front></TEI><istex><corpusName>wiley</corpusName><author><json:item><name>Oliver H.H. 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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. 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Full financial disclosures and author roles can be found in the online version of this article. Author Roles: OHHG and WEJW participated in design and data collection, interpretation of the data, and prepared the manuscript. AW participated in manuscript preparation and revisions and helped to bring the manuscript to its final version. All authors have read and approved the final manuscript. Full Financial Disclosures of all Authors for the Past Year: None for all authors</note><note type="content">*Re‐use of this article is permitted in accordance with the Terms and Conditions set out at http://wileyonlinelibrary.com/onlineopen#OnlineOpen_Terms</note><note>Unknown funding agency</note></notesStmt><sourceDesc><biblStruct type="inbook"><analytic><title level="a" type="main" xml:lang="en">Clinical problems in the hospitalized Parkinson's disease patient: Systematic review</title><author><persName><forename type="first">Oliver H.H.</forename><surname>Gerlach</surname></persName><roleName type="degree">MD</roleName><note type="correspondence"><p>Correspondence: Section of Movement Disorders, Department of Neurology, Maastricht University Medical Centre, Maastricht, The Netherlands, PO Box 5800, 6202 AZ Maastricht, The Netherlands</p></note><affiliation>Section of Movement Disorders, Department of Neurology, Maastricht University Medical Centre, Maastricht, The Netherlands</affiliation></author><author><persName><forename type="first">Ania</forename><surname>Winogrodzka</surname></persName><roleName type="degree">MD, PhD</roleName><affiliation>Section of Movement Disorders, Department of Neurology, Maastricht University Medical Centre, Maastricht, The Netherlands</affiliation></author><author><persName><forename type="first">Wim E.J.</forename><surname>Weber</surname></persName><roleName type="degree">MD, PhD</roleName><affiliation>Section of Movement Disorders, Department of Neurology, Maastricht University Medical Centre, Maastricht, The Netherlands</affiliation></author></analytic><monogr><title level="j">Movement Disorders</title><title level="j" type="abbrev">Mov. 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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. 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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</p></abstract></abstractGroup></contentMeta><noteGroup><note xml:id="fn2"><p><b>Relevant conflicts of interest/financial disclosures:</b> Nothing to report. Full financial disclosures and author roles can be found in the online version of this article.</p><p><b>Author Roles:</b> OHHG and WEJW participated in design and data collection, interpretation of the data, and prepared the manuscript. AW participated in manuscript preparation and revisions and helped to bring the manuscript to its final version. All authors have read and approved the final manuscript.</p><p><b>Full Financial Disclosures of all Authors for the Past Year:</b> None for all authors</p></note><note xml:id="fn4"><p>Re‐use of this article is permitted in accordance with the Terms and Conditions set out at <url href="http://wileyonlinelibrary.com/onlineopen#OnlineOpen_Terms">http://wileyonlinelibrary.com/onlineopen#OnlineOpen_Terms</url></p></note></noteGroup></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Clinical problems in the hospitalized Parkinson's disease patient: Systematic review</title></titleInfo><titleInfo type="abbreviated" lang="en"><title>The Hospitalized Parkinson's Disease Patient</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Clinical problems in the hospitalized Parkinson's disease patient: Systematic review</title></titleInfo><name type="personal"><namePart type="given">Oliver H.H.</namePart><namePart type="family">Gerlach</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>Section of Movement Disorders, Department of Neurology, Maastricht University Medical Centre, Maastricht, The Netherlands</affiliation><description>Correspondence: Section of Movement Disorders, Department of Neurology, Maastricht University Medical Centre, Maastricht, The Netherlands, PO Box 5800, 6202 AZ Maastricht, The Netherlands</description><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Ania</namePart><namePart type="family">Winogrodzka</namePart><namePart type="termsOfAddress">MD, PhD</namePart><affiliation>Section of Movement Disorders, Department of Neurology, Maastricht University Medical Centre, Maastricht, The Netherlands</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Wim E.J.</namePart><namePart type="family">Weber</namePart><namePart type="termsOfAddress">MD, PhD</namePart><affiliation>Section of Movement Disorders, Department of Neurology, Maastricht University Medical Centre, Maastricht, The Netherlands</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="article" displayLabel="article"></genre><originInfo><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><place><placeTerm type="text">Hoboken</placeTerm></place><dateIssued encoding="w3cdtf">2011-02-01</dateIssued><dateCaptured encoding="w3cdtf">2009-12-11</dateCaptured><dateValid encoding="w3cdtf">2010-08-27</dateValid><copyrightDate encoding="w3cdtf">2011</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><internetMediaType>text/html</internetMediaType><extent unit="tables">4</extent><extent unit="references">98</extent><extent unit="words">8838</extent></physicalDescription><abstract lang="en">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</abstract><note type="additional physical form">Author Roles and Disclosures</note><note type="content">*Relevant conflicts of interest/financial disclosures: Nothing to report. Full financial disclosures and author roles can be found in the online version of this article. Author Roles: OHHG and WEJW participated in design and data collection, interpretation of the data, and prepared the manuscript. AW participated in manuscript preparation and revisions and helped to bring the manuscript to its final version. All authors have read and approved the final manuscript. Full Financial Disclosures of all Authors for the Past Year: None for all authors</note><note type="content">*Re‐use of this article is permitted in accordance with the Terms and Conditions set out at http://wileyonlinelibrary.com/onlineopen#OnlineOpen_Terms</note><note type="funding">Unknown funding agency</note><subject lang="en"><genre>Keywords</genre><topic>Parkinson's disease</topic><topic>hospitalization</topic><topic>emergency room</topic><topic>perioperative</topic></subject><relatedItem type="host"><titleInfo><title>Movement Disorders</title></titleInfo><titleInfo type="abbreviated"><title>Mov. Disord.</title></titleInfo><genre type="Journal">journal</genre><subject><genre>article category</genre><topic>Review</topic></subject><identifier type="ISSN">0885-3185</identifier><identifier type="eISSN">1531-8257</identifier><identifier type="DOI">10.1002/(ISSN)1531-8257</identifier><identifier type="PublisherID">MDS</identifier><part><date>2011</date><detail type="volume"><caption>vol.</caption><number>26</number></detail><detail type="issue"><caption>no.</caption><number>2</number></detail><extent unit="pages"><start>197</start><end>208</end><total>12</total></extent></part></relatedItem><identifier type="istex">13E296B4683930E8A76D07435304AA4D57432F29</identifier><identifier type="DOI">10.1002/mds.23449</identifier><identifier type="ArticleID">MDS23449</identifier><accessCondition type="use and reproduction" contentType="copyright">Copyright © 2011 Movement Disorder Society</accessCondition><recordInfo><recordContentSource>WILEY</recordContentSource><recordOrigin>Wiley Subscription Services, Inc., A Wiley Company</recordOrigin></recordInfo></mods></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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