Artículo
Falls predict acute hospitalization in Parkinson's disease
Autor/es | Santos García, Diego
de Deus Fonticoba, Teresa Cores, Carlos Suárez Castro, Ester Hernández Vara, Jorge Jesús, Silvia Mir Rivera, Pablo Martínez-Martín, Pablo |
Departamento | Universidad de Sevilla. Instituto de Biomedicina de Sevilla (IBIS) Universidad de Sevilla. Departamento de Medicina |
Fecha de publicación | 2023 |
Fecha de depósito | 2024-02-07 |
Publicado en |
|
Resumen | Background: There is a need for identifying risk factors for hospitalization in Parkinson’s disease (PD) and also interventions
to reduce acute hospital admission.
Objective: To analyze the frequency, causes, and predictors ... Background: There is a need for identifying risk factors for hospitalization in Parkinson’s disease (PD) and also interventions to reduce acute hospital admission. Objective: To analyze the frequency, causes, and predictors of acute hospitalization (AH) in PD patients from a Spanish cohort. Methods: PD patients recruited from 35 centers of Spain from the COPPADIS-2015 (COhort of Patients with PArkinson’s DIsease in Spain, 2015) cohort from January 2016 to November 2017, were included in the study. In order to identify predictors of AH, Kaplan-Meier estimates of factors considered as potential predictors were obtained and Cox regression performed on time to hospital encounter 1-year after the baseline visit. Results: Thirty-five out of 605 (5.8%) PD patients (62.5 ± 8.9 years old; 59.8% males) presented an AH during the 1-year follow-up after the baseline visit. Traumatic falls represented the most frequent cause of admission, being 23.7% of all acute hospitalizations. To suffer from motor fluctuations (HR [hazard ratio] 2.461; 95% CI, 1.065–5.678; p = 0.035), a very severe non-motor symptoms burden (HR [hazard ratio] 2.828; 95% CI, 1.319–6.063; p = 0.008), falls (HR 3.966; 95% CI 1.757–8.470; p = 0.001), and dysphagia (HR 2.356; 95% CI 1.124–4.941; p = 0.023) was associated with AH after adjustment to age, gender, disease duration, levodopa equivalent daily dose, total number of non-antiparkinsonian drugs, and UPDRS-IIIOFF. Of the previous variables, only falls (HR 2.998; 95% CI 1.080–8.322; p = 0.035) was an independent predictor of AH. Conclusion: Falls is an independent predictor of AH in PD patients. |
Cita | Santos García, D., de Deus Fonticoba, T., Cores, C., Suárez Castro, E., Hernández Vara, J., Jesús, S.,...,Martínez-Martín, P. (2023). Falls predict acute hospitalization in Parkinson's disease. Journal Of Parkinsons Disease, 13 (1), 105-124. https://doi.org/10.3233/JPD-212539. |
Ficheros | Tamaño | Formato | Ver | Descripción |
---|---|---|---|---|
Falls Predict...pdf | 1.035Mb | [PDF] | Ver/ | |