Funding: Support from the South Australian branch of the Brain Foundation and the University of Adelaide Faculty of Health Sciences is acknowledged.
Reasons for admission to hospital for Parkinson’s disease
Article first published online: 7 JUL 2006
2006 Royal Australasian College of Physicians
Internal Medicine Journal
Volume 36, Issue 8, pages 524–526, August 2006
How to Cite
Temlett, J. A. and Thompson, P. D. (2006), Reasons for admission to hospital for Parkinson’s disease. Internal Medicine Journal, 36: 524–526. doi: 10.1111/j.1445-5994.2006.01123.x
Potential conflicts of interest: None.
- Issue published online: 7 JUL 2006
- Article first published online: 7 JUL 2006
- Received 19 July 2005; accepted 20 October 2005.
- Parkinson’s disease;
- hospital admission
The management of Parkinson’s disease (PD) tends to focus on the presenting motor syndrome; yet, in the long term, nonmotor complications of the illness and complications of treatment become increasingly troublesome. The aims of this study were to review the reasons for 761 hospital admissions for patients with a diagnosis of PD and to determine the cause of hospitalization. Only 15% were admitted for primary management of the motor syndrome. PD was the secondary diagnosis in 645 admissions. Of the latter, 39% were admitted because of falls leading to fracture, pneumonia, encephalopathy or dementia and hypotension with syncope. Cardiac and gastrointestinal diseases accounted for a further 22% of admissions. Complications of the later stages of PD and associated treatments are more likely to lead to hospital admission than management of the primary motor syndrome. Some of the emergency hospital admissions for PD may be potentially avoidable with better planning of management in the outpatient and community setting.