Parkinson’s Disease and the frequent reasons for emergency admission in Metropolitan Medical Center; a 2 year retrospective study

Kenneth Alfonso W. Wong, M.D., Criscely L. Go

Abstract

The objective of this study was to provide a profi le of patients with Parkinson’s disease (PD) who required admission to hospital. We reviewed retrospectively all patients with PD who were admitted to our hospital from December 1, 2010 to  December 1, 2012. There were  47 PD patients. The average age was 76 years. Of these patients, 30 were males and 17 were females. The average duration of hospitalization was 11.7 days. The main reasons for admissions were: 1) chest infections (40%), 2) Gastrointestinal symptoms (19%), 3) Trauma control of PD symptoms (6%), 4) Soft tissue infections (6%)  5) Urinary retention  6% and 6) Control of PD symptoms  (4%). Nine per cent were classifi ed as Hoehn and Yahr stage 2, 31% as stage 3, 31% as stage 4 and 24% as stage 5. The current in-patient load of PD patients is expected to rise with the aging population. A significant number of people within the community may have undiagnosed PD. These patients suffer multiple medical problems and need a multi-disciplinary team approach to management. Greater resources will be required to support these patients in the community.

Keywords: Parkinson’s disease, (ICD) – 9 code 332.0, Hoehn and Yahr (H&Y), Emergency Admission

Correspondence
Criscely L. Go. M.D.
Consultant Neurologist, Metropolitan Medical Center, Manila, Philippines,
Email: crouix_scs@yahoo.com