Postoperative Komplikationen bei Patienten mit Parkinson'scher Krankheit – Medizinische und ökonomische Aspekte

Autor:	J. Standop, U. Jüptner, M. Overhaus, Ullrich Wüllner, A. Hirner, M. C. Müller, S. Wirz
Rok vydání:	2008
Předmět:	medicine.medical_specialty Rehabilitation Parkinson's disease business.industry Incidence (epidemiology) medicine.medical_treatment Disease medicine.disease Surgery Pneumonia Cardiothoracic surgery Concomitant Ambulatory medicine Neurology (clinical) business
Zdroj:	Aktuelle Neurologie. 35:285-289
ISSN:	1438-9428 0302-4350
DOI:	10.1055/s-2008-1067418
Popis:	The demographic development with an increasing number of geriatric patients will result in a rising number of Parkinson's disease (PD) patients requiring surgery. To determine the impact of concomitant PD on the postoperative course we compared 27 patients with PD requiring general, visceral or thoracic surgery with 27 control patients using a matched-pairs approach; indication for surgery, operative treatment procedure, number of concomitant diseases, period of treatment, gender and age were used as matching parameters. PD patients showed an increased incidence of pneumonia and falls. Furthermore, the length of postoperative stay and ICU requirements were increased in this group, whereas control patients could be discharged more often for ambulatory rehabilitation. Compensation for PD patients compared to controls was considerably lower within the DRG-system and carried no advantage for PD patients. PD promotes the morbidity of surgical treatment procedures and demands increased resources, which are not reflected in the DRG system. Specific perioperative care to reduce conditional complications, sufficient ICU availability and need for stationary rehabilitation has to be considered in PD patients requiring surgery.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::dbd70158a9ee9c2dfce8876c8fef3b0d https://doi.org/10.1055/s-2008-1067418 Zobrazit plný text záznamu