Neurological Sciences

, Volume 25, Issue 2, pp 66–71 | Cite as

Comorbid disorders and hospitalisation in Parkinson’s disease: a prospective study

  • E. Martignoni
  • L. Godi
  • A. Citterio
  • R. Zangaglia
  • G. Riboldazzi
  • D. Calandrella
  • C. Pacchetti
  • G. Nappi
  • and the Parkinson’s Disease Comorbidity Study Group*
ORIGINAL

Abstract.

Parkinson’s disease (PD) is often associated with other disorders, typical of the disease or of the age of PD patients, that can lead to hospitalisation, sometimes as emergencies. In this one-year prospective, longitudinal study, we investigated the comorbid events prompting the hospitalisation, or occurring during the planned hospitalisation, of an unselected group of 180 PD patients, admitted to 9 general hospitals in the course of the study. The most frequent acute comorbid events were trauma (30.5%), mostly due to falls, and vascular disorders (29.3%). Comorbidities were closely related to PD in 50% of cases. More than 50% of patients did not require (in addition to PD therapy) specific treatment for the acute comorbid event. Older age was associated with increased risk of complications. The setting up of multidisciplinary networks covering entire territories could help to improve the way in which we tackle the clinical and social problems generated by PD and its comorbidities.

Key words

Parkinson’s disease Comorbidity Hospitalisation Falls Vascular disorders Health burdens 

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Copyright information

© Springer-Verlag Italia 2004

Authors and Affiliations

  • E. Martignoni
    • 1
    • 2
    • 3
  • L. Godi
    • 4
  • A. Citterio
    • 5
  • R. Zangaglia
    • 2
  • G. Riboldazzi
    • 3
  • D. Calandrella
    • 3
  • C. Pacchetti
    • 2
  • G. Nappi
    • 2
    • 6
  • and the Parkinson’s Disease Comorbidity Study Group*
  1. 1.Department of Medical SciencesA. Avogadro University of Eastern PiedmontNovaraItaly
  2. 2.Parkinson’s Disease and other Movement Disorders CentreIRCCS C. Mondino Institute of NeurologyPaviaItaly
  3. 3.Parkinson’s Disease and other Movement DisordersCentre Circolo Fondazione Macchi HospitalVareseItaly
  4. 4.Neurology UnitPresidi Ospedalieri Riuniti ASL 13NovaraItaly
  5. 5.Neuroepidemiology UnitIRCCS C. Mondino Institute of NeurologyPaviaItaly
  6. 6.“La Sapienza” UniversityRomeItaly

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