The neurodegenerative process in Parkinson's
disease (PD) results in a relentless progression of motor and non-motor symptoms.
Affected individuals are frequently hospitalised for complications of the
disease including falls, fractures, infections, and neuropsychiatric symptoms.
When admitted to hospital, inpatient care is often suboptimal as it focusses on
the primary cause of admission, and is associated with poor patient outcomes
and significant healthcare costs.
Aim
To
review existing literature for evidence-based interventions aimed at reducing
hospital admissions in PD.
Methods
Electronic
literature search in EMBASE, MEDLINE and CINAHL databases for studies
evaluating interventions to reduce hospital admissions in PD. We included
publications with full abstracts, published in the English language and
addressing interventions to reduce hospital admissions in PD.
Results
To
date there are no randomised controlled trials addressing the topic. We
identified nine relevant retrospective studies. Results from these studies
suggest an association between frequent neurologist consultations, open access
clinics, and medication compliance with a reduction in PD hospital admissions
and emergency room visits.
Conclusion
This
systematic review highlights the lack of robust evidence for measures aimed at
reducing hospital admissions in people with PD. Future prospective studies are
required to evaluate the effectiveness of proposed interventions.
http://www.prd-journal.com/article/S1353-8020(16)30011-6/abstract
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