The utilisation of one district hospital emergency department by people with Parkinson's disease

Harris, M; Fry, M

The utilisation of one district hospital emergency department by people with Parkinson's disease

Harris, M Fry, M

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Publication Type:: Journal Article
Citation:: Australasian Emergency Nursing Journal, 2017, 20 (1), pp. 1 - 5
Issue Date:: 2017-02-01

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Field	Value	Language
dc.contributor.author	Harris, M	en_US
dc.contributor.author	Fry, M https://orcid.org/0000-0003-1265-7096	en_US
dc.date.available	2016-12-15	en_US
dc.date.issued	2017-02-01	en_US
dc.identifier.citation	Australasian Emergency Nursing Journal, 2017, 20 (1), pp. 1 - 5	en_US
dc.identifier.issn	1574-6267	en_US
dc.identifier.uri	http://hdl.handle.net/10453/123399
dc.description.abstract	© 2016 College of Emergency Nursing Australasia Background Parkinson's disease (PD) is the second most common neurodegenerative disorder in Australia and the economic burden is more than $8.3 billion a year and predicted to escalate. However, little is known of the trends and characteristics of people with Parkinson's disease presenting to emergency departments (ED). Method The study design was a 12 month retrospective medical record audit. The study was conducted in one metropolitan 300 bed district hospital in an outer suburb of Sydney. Results One hundred and twenty nine adult patients (0.4%) with PD presented with a mean age of 79.5 years (SD 7.7); all were over 60 years of age. Of the 129 PD patient cases, there were 260 separate ED episodes of care with the majority (n = 151; 58.1%) of patients living in the community and presenting with falls (n = 108; 41.5%). There was no statistical difference in triage code allocation when comparing PD patients and ED adult patients (over 60years). There was no difference in representation rate when comparing those over 80years (n = 128) with those under 80 years (n = 132). The average length of stay for PD patient episodes was 323 min (SD 225) compared with 193 min (SD 136) for ED patients. Younger adult patient episodes (n = 132; 51.0%) were admitted to hospital more frequently than those aged over 80 years (Pearson's X2 test 162.2; df 1; p < 0.001. Conclusion We identified in this study that people with PD have a high rate of falls, longer length of stay, high admission rate and represent frequently to the ED. Improved detection, management and a multidisciplinary approach for people with PD along with strict medication regime adherence is likely to improve safety, quality of life, reduce symptom aggravation and ongoing risk of falls.	en_US
dc.relation.ispartof	Australasian Emergency Nursing Journal	en_US
dc.relation.isbasedon	10.1016/j.aenj.2016.12.004	en_US
dc.subject.classification	Nursing	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Parkinson Disease	en_US
dc.subject.mesh	Length of Stay	en_US
dc.subject.mesh	Retrospective Studies	en_US
dc.subject.mesh	Age Factors	en_US
dc.subject.mesh	Aged	en_US
dc.subject.mesh	Aged, 80 and over	en_US
dc.subject.mesh	Middle Aged	en_US
dc.subject.mesh	Emergency Service, Hospital	en_US
dc.subject.mesh	Hospitals, District	en_US
dc.subject.mesh	New South Wales	en_US
dc.subject.mesh	Female	en_US
dc.subject.mesh	Male	en_US
dc.title	The utilisation of one district hospital emergency department by people with Parkinson's disease	en_US
dc.type	Journal Article
utslib.citation.volume	1	en_US
utslib.citation.volume	20	en_US
utslib.for	1110 Nursing	en_US
utslib.for	1117 Public Health and Health Services	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Nursing
pubs.organisational-group	/University of Technology Sydney/Strength - CHSP - Health Services and Practice
utslib.copyright.status	closed_access
pubs.issue	1	en_US
pubs.publication-status	Published	en_US
pubs.volume	20	en_US

Abstract:

© 2016 College of Emergency Nursing Australasia Background Parkinson's disease (PD) is the second most common neurodegenerative disorder in Australia and the economic burden is more than $8.3 billion a year and predicted to escalate. However, little is known of the trends and characteristics of people with Parkinson's disease presenting to emergency departments (ED). Method The study design was a 12 month retrospective medical record audit. The study was conducted in one metropolitan 300 bed district hospital in an outer suburb of Sydney. Results One hundred and twenty nine adult patients (0.4%) with PD presented with a mean age of 79.5 years (SD 7.7); all were over 60 years of age. Of the 129 PD patient cases, there were 260 separate ED episodes of care with the majority (n = 151; 58.1%) of patients living in the community and presenting with falls (n = 108; 41.5%). There was no statistical difference in triage code allocation when comparing PD patients and ED adult patients (over 60years). There was no difference in representation rate when comparing those over 80years (n = 128) with those under 80 years (n = 132). The average length of stay for PD patient episodes was 323 min (SD 225) compared with 193 min (SD 136) for ED patients. Younger adult patient episodes (n = 132; 51.0%) were admitted to hospital more frequently than those aged over 80 years (Pearson's X2 test 162.2; df 1; p < 0.001. Conclusion We identified in this study that people with PD have a high rate of falls, longer length of stay, high admission rate and represent frequently to the ED. Improved detection, management and a multidisciplinary approach for people with PD along with strict medication regime adherence is likely to improve safety, quality of life, reduce symptom aggravation and ongoing risk of falls.

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http://hdl.handle.net/10453/123399