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Falls Predict Acute Hospitalization in Parkinson's Disease
Diego Santos García1, Teresa de Deus Fonticoba2, Carlos Cores1
1CHUAC, Complejo Hospitalario Universitario de A Coruña, A Coruña, Spain.
Journal of Parkinson'S Disease
|April 12, 2021
Summary
Falls are a significant risk factor for acute hospitalizations in Parkinson's disease (PD) patients. Identifying and preventing falls can reduce hospital admissions for individuals with PD.
Area of Science:
- Neurology
- Geriatrics
- Public Health
Background:
- Parkinson's disease (PD) patients face a need for identifying hospitalization risk factors.
- Interventions are required to decrease acute hospital admissions in PD patients.
Purpose of the Study:
- To determine the frequency, causes, and predictors of acute hospitalization (AH) in Parkinson's disease patients.
- To analyze data from a Spanish cohort to understand hospitalization trends in PD.
Main Methods:
- Utilized data from the COPPADIS-2015 cohort, including 605 Parkinson's disease patients from 35 Spanish centers.
- Employed Kaplan-Meier estimates and Cox regression analysis to identify predictors of acute hospitalization within a 1-year follow-up period.
Main Results:
- 5.8% of Parkinson's disease patients experienced acute hospitalization within one year.
- Traumatic falls were the most frequent cause (23.7%) of acute hospitalizations.
- Motor fluctuations, severe non-motor symptoms, falls, and dysphagia were associated with AH; falls emerged as an independent predictor.
Conclusions:
- Falls are identified as an independent predictor of acute hospitalization in Parkinson's disease patients.
- Preventive strategies targeting falls are crucial for reducing hospitalizations in this population.
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