Population Health Sciences Institute, Newcastle University, Baddiley-Clark Building, Newcastle upon Tyne, UK.
Northumbria Healthcare NHS Foundation Trust, North Tyneside General Hospital, Rake Lane, North Shields, Tyne and Wear, UK.
J Parkinsons Dis. 2022;12(6):1833-1840. doi: 10.3233/JPD-223173.
People with Parkinson's disease (PD) have higher rates of hospitalisation and healthcare utilisation compared to the general population. The COVID-19 pandemic caused significant changes in admissions to hospital and access to healthcare. People with PD are some of the most vulnerable to such changes. There is no pre-existing data on the cause and duration of admission to hospital of people with PD during the COVID-19 pandemic.
To determine the cause, duration, and outcome of hospital admissions to Northumbria Healthcare NHS Foundation Trust (NHCFT) for people with idiopathic Parkinson's disease (IPD) in 2020.
All people with IPD who had an emergency admission to NHCFT between 01/01/2020 and 31/12/2020 were identified. Demographic and disease characteristics, the number, duration, cause of admission and the location prior to admission were collected from an audit of medical notes.
271 people with IPD had one or more emergency admissions to NHCFT between 01/01/2020 and 31/12/2020. There was a total of 453 emergency admissions, with a median duration of 5 (IQR 2-13) days. The most common causes of admission to hospital were PD-related motor dysfunction (includes falls with no other underlying cause or associated injury) and injury (includes falls with fracture), at 78 (17.2%) and 70 (15.5%) respectively.
People with IPD had a short duration but high number of emergency admissions to hospital. Our chronological data on number of admissions shows a peak in admissions during August 2020. As a result of these findings and emerging data we suggest that individuals with PD deconditioned during 2020.
与普通人群相比，帕金森病（PD）患者的住院率和医疗保健利用率更高。COVID-19 大流行导致住院和获得医疗保健的情况发生了重大变化。PD 患者是受此类变化影响最大的人群之一。在 COVID-19 大流行期间，PD 患者住院的原因和持续时间尚无先前的数据。
确定 2020 年在诺森比亚保健 NHS 基金会信托（NHCFT）因特发性帕金森病（IPD）住院的人的住院原因、持续时间和结果。
从医疗记录的审核中收集了 2020 年 1 月 1 日至 12 月 31 日期间在 NHCFT 因紧急情况住院的所有 IPD 患者的人口统计学和疾病特征、住院人数、持续时间、住院原因以及入院前的位置。
2020 年 1 月 1 日至 12 月 31 日期间，共有 271 名 IPD 患者在 NHCFT 进行了一次或多次紧急住院治疗。共有 453 次紧急住院，中位数持续时间为 5（IQR 2-13）天。最常见的住院原因是与 PD 相关的运动功能障碍（包括无其他潜在原因或相关损伤的跌倒）和损伤（包括骨折），分别为 78 例（17.2%）和 70 例（15.5%）。
IPD 患者的紧急住院时间短，但住院人数多。我们关于住院人数的时间序列数据显示，2020 年 8 月住院人数达到高峰。鉴于这些发现和新出现的数据，我们建议 2020 年 PD 患者身体状况下降。
