PD and Hospitalization

The Facts

  • People with Parkinson’s are hospitalized 50% more than their non-PD peers 3
  • 3 out of 4 people with Parkinson’s do not receive medications on time in the hospital1
  • 61% of patients who did not get their medications on time had serious complications from it1

The Results

  • People with Parkinson’s suffer avoidable complications at a higher rate than non-PD patients.3,4,5
  • The average hospital stay for a person with Parkinson’s is longer than those of non-PD patients3,5

Why is this Happening?

  • Lack of understanding of Parkinson’s disease – symptoms, treatment, etc. even in the very best hospitals in the U.S.
  • Lack of awareness about the critical importance of Parkinson’s medication timing
  • Lack of awareness that many common medications for pain, nausea, depression, and psychosis are unsafe for people with Parkinson’s
  • Hospital pharmacies that do not stock the full array of Parkinson’s medications
  • Lack of awareness that poorly-managed Parkinson’s might result in mental confusion and other serious symptoms

References

  1. KN Magdalinou, et al. Prescribing medications in Parkinson’s disease (PD) patients during acute admissions to a District General Hospital.  Parkinsonism and Related Disorders. 2007 Dec;13(8):539-40.
  2. Chou, Kelvin L., et al. Best care practices in NPF Centers: Care of the hospitalized parkinson’s disease patient. Parkinsonism and Related Disorders, 2011.
  3. Aminoff MJ., et al. Management of the hospitalized patient with Parkinson’s disease: Current state of the field and need for guidelines. Parkinsonism and Related Disorders, 2010.
  4. Derry CP, et al. Medication Management in people with Parkinson’s disease during surgical admissions. Postgrad Med J., 2010. 86 (1016): 334-7.
  5. Guttman M, et al. Parkinsonism in Ontario: Comorbidity associated with hospitalization in a large cohort.  Movement Disorders, 2004 19(1):49-53.