Emergency department visits in Parkinson's disease: The impact of comorbid conditions.
Authors: Haider Al-Hakeem, Zidong Zhang, Elisabeth C DeMarco, Cindy C Bitter, Leslie Hinyard
Published in: American Journal of Emergency Medicine, 2023 October 22
Discussion:
- PD patients visiting the ED for injuries are generally in poorer health with multiple comorbidities. By understanding the intricate health requirements of PD patients, care can be more tailored. This could potentially decrease ED visits for this group, enhancing their quality of life and easing the healthcare system's burden.
Methods:
- The study utilized data from the Optum's de-identified Integrated Claims-Clinical dataset from 2010-2018. PD patients were identified using ICD-9/10 diagnosis codes. All ED visits following the first PD diagnosis were taken into account.
- The AHRQ Clinical Classification Software (CCS) was employed to classify comorbid conditions. Through Latent Class Analysis (LCA), patients were classified. Multiple logistic regression models were applied to relate reason-for-visit to comorbidity-profile class, demographic details, and socioeconomic attributes.
Results:
- Top reasons for ED admissions included injuries like fractures, circulatory system diseases, and general signs and symptoms like abdominal pain and fatigue. Frequent comorbidities in these patients encompassed depression, diabetes mellitus, and chronic pulmonary disease.
- Patients classified under the "Poorest Health" category in the LCA had higher chances of ED admissions for gastrointestinal system diseases, musculoskeletal system issues, and injury/poisoning. Conversely, they had lesser odds of being admitted for circulatory system diseases.
Haider Al-Hakeem, Zidong Zhang, Elisabeth C. DeMarco, Cindy C. Bitter, Leslie Hinyard, Emergency department visits in Parkinson's disease: The impact of comorbid conditions, The American Journal of Emergency Medicine, Volume 75,2024,Pages 7-13,ISSN 0735-6757,https://doi.org/10.1016/j.ajem.2023.10.017.
(https://www.sciencedirect.com/science/article/pii/S0735675723005594)