Objective: To review Parkinson patients’ admissions and identify possible preventable admissions so as to develop measures to improve care for Parkinson patients

Background: Many studies have shown that people with Parkinson Disease (PD) are at high risk of hospital encounters. Reducing hospital admission in PD patients will result in reduced mortality and morbidity. It will also reduce financial burden on patients. A clinical audit was conducted to identify preventable hospital admissions.

Method: Patients under the care of Parkinson Disease Movement Disorders program who were admitted to the hospital’s Neurology service were reviewed for the period from July to Sep 2018.

Results: 22 admissions, comprising 18 patients, were recorded from the period July to September 2018.  6(27%) admissions were for falls, 6(27%) for functional decline, 5(22%) for medication-related issues, 2(9%) with psychosis and delirium, 1(4%) for pneumonia, and 2(9%) for non-PD problems.   Three PD patients had multiple admissions.  One patient had 2 admissions for falls, another had 2 admissions for functional decline, while the third patient had 3 admissions for psychosis, medication-related problems and pneumonia.    The duration between the most recent clinic consult and admission ranged from 3 days to 18 weeks.

Conclusion: Based on our findings, the strategies that may reduce hospital admissions are closer patient monitoring and support to prevent falls, maintain function, and manage medication-related complications. The allocation of fast-track clinic consults to address urgent problems may also reduce the need for hospital admissions.

References: NA

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MDS Abstracts - https://www.mdsabstracts.org/abstract/clinical-audit-of-hospital-admissions-for-parkinson-disease/