Parkinsonism in Ontario: Comorbidity associated with hospitalization in a large cohort

Parkinsonism in Ontario: Comorbidity associated with hospitalization in a large cohort
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DOI:
10.1002/mds.10648
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发表时间:
2004-01-01
期刊:
影响因子:
8.6
通讯作者:
Naylor, CD
Naylor, CD
中科院分区:
医学1区
文献类型:
--
作者:
Guttman, M;Slaughter, PM;Naylor, CD

文献摘要

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为了研究帕金森氏症(PKM)患者的合并症,1994年至1999年15304例患者的相对住院率与30608例对照进行了比较。校正差异生存率后,吸入性肺炎(6.34,95%可信区间[CI], 5.23, 7.93)、情感性精神病(2.71,95% CI, 2.13, 3.32)、髋部骨折(2.56,95% CI, 2.35, 2.76)、其他尿路疾病包括感染(2.5,95% CI, 2.17, 2.86)、败血症(2.39,95% CI, 2.02, 2.85)和液体和电解质紊乱(2.27,95% CI, 1.93,2.66)的病例比对照组的发生率更高。心脑血管和外周血管疾病的发生率相似。预防措施和积极的管理这些条件作为门诊病人可以降低住院率,提高发病率和死亡率的PKM。(C) 2003运动障碍学会。
To study comorbidity in patients with Parkinsonism (PKM), relative hospitalization rates from 1994 to 1999 for 15,304 cases were compared with 30,608 controls. After correction for differential survival, the rates were higher for cases compared to controls for aspiration pneumonia (6.34; 95% confidence interval [CI], 5.23, 7.93), affective psychosis (2.71; 95% CI, 2.13, 3.32), hip fractures (2.56; 95% CI, 2.35, 2.76), other urinary tract disorders including infections (2.5; 95% CI, 2.17, 2.86), septicemia (2.39; 95% CI, 2.02, 2.85) and fluid and electrolyte disorders (2.27; 95% CI, 1.93,2.66). The rates for cardiac, cerebrovascular, and peripheral vascular disease were similar. Preventive measures and aggressive management of these conditions as outpatients may reduce the rates of hospitalization and improve the morbidity and mortality of PKM. (C) 2003 Movement Disorder Society.