Predictors of outcomes in people with Parkinson's disease admitted to a large UK teaching hospital.
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All Authors
Crowther, G.
Cosgrove, J.
Turpin, P.
Htun, E.
Henderson, M.
LTHT Author
Cosgrove, Jeremy
LTHT Department
Neurosciences
Neurology
Neurology
Non Medic
Publication Date
2025
Item Type
Journal Article
Language
Subject
Subject Headings
Abstract
People with Parkinson's disease (PwP) are more commonly admitted to hospital, have higher morbidity and mortality, are more likely to be discharged into 24 hour care and have longer lengths of stay than people without Parkinson's disease (PD). We analysed historic, deidentified data for all PwP admitted to a large UK hospital trust over a 2-year period. We compared outcomes for patients by age, time since PD diagnosis, the presence of dementia, the reason for admission and the admitting speciality, to understand which aspects of care predict outcomes. 712 PwP accounted for 1156 admissions. The median length of stay was 9 days; a diagnosis of dementia, long bone fracture and being admitted under the care of rehabilitation or orthopaedics were associated with longer stays. 9 % of admissions died in hospital, a further 9 % died in the first 90 days post discharge; mortality was higher with increasing age (19 % in those >90 years), comorbid dementia (15 %) and in people whose reason for admission was pneumonia (26 %). 35 % of admissions were readmitted in the 30 days post discharge. Being admitted due to falls or being admitted under accident and emergency almost doubled this rate. 21 % of people did not return home to the same accommodation they left; this was more than doubled (48 %) in those admitted for long bone fractures. By understanding of which aspects of the hospital admission influence outcomes for PwP, we can improve hospital care in the future, learning lessons from areas of the hospital with better and worse outcomes alike.
Journal
Parkinsonism & Related Disorders