Disability and use of healthcare resources in Brazilian patients with Parkinson's disease
| Autor: | Antonio P. Vargas, Francisco J. Carod-Artal, Simone V. Nunes, Miriam Melo |
|---|---|
| Rok vydání: | 2008 |
| Předmět: |
Male
medicine.medical_specialty Activities of daily living Parkinson's disease Office Visits Cross-sectional study Comorbidity Severity of Illness Index Drug Costs Antiparkinson Agents Cost of Illness Rating scale Surveys and Questionnaires Activities of Daily Living Severity of illness Epidemiology medicine Humans Outpatient clinic business.industry Rehabilitation Physicians Family Parkinson Disease Health Services Middle Aged Patient Acceptance of Health Care medicine.disease nervous system diseases Cross-Sectional Studies Physical therapy Female business human activities Brazil |
| Zdroj: | Disability and Rehabilitation. 30:1055-1062 |
| ISSN: | 1464-5165 0963-8288 |
| Popis: | To assess disability and healthcare resource use in Parkinson's disease (PD) patients.A cross-sectional survey of 144 Brazilian PD patients consecutively admitted at a Neurological outpatient clinic. Clinical evaluation was done using the Unified Parkinson's Disease Rating Scale (UPDRS) and HoehnYahr staging (HY). The Schwab and England (SE) activity of daily living (ADL) scale was used to assess the level of dependence in the ADL. Information about the utilization of health resources was obtained interviewing the patient by means of a structured questionnaire.A total of 66% of patients (mean age 62 years; males, 53%) had a HoehnYahr stageor = 2. Mean UPDRS score was 46.2, and median SE scale score was 80. Disabled PD patients significantly received more visits by a general practitioner (p0.001). Patients with comorbid conditions significantly used more domiciliary nurse care and physiotherapist assistance (p0.01). The most frequent reason for hospitalization was the treatment of clinical complications and drug dose adjustment. Pharmacological treatment costs were associated with the severity of the disease (p0.05).Utilization of healthcare resources was influenced by functional status and comorbid conditions. |
| Databáze: | OpenAIRE |
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