Research from the University of Birmingham and Sandwell and West Birmingham Hospitals NHS Trust, concerning preventable hospital admissions and sub-optimal outcomes for persons with Parkinson’s Disease, points to various potential problems and inefficiencies in patient care:
Parkinson’s Disease sufferers are more likely to be admitted as an emergency admission than for elective reasons. There are 58,226 emergency Parkinson’s Disease patient admissions each year admissions (costing £194 million).
- Parkinson’s Disease sufferers are more than twice as likely to die in hospital after an emergency admission.
- Emergency admissions for people with Parkinson’s Disease are estimated to cost the NHS £194 million per year: £3,338 per patient. The cost is £1,417 for a planned non-emergency hospital admission / stay.
- The average length of stay for emergency admissions with Parkinson’s Disease is 7 days longer than admissions from other causes.
- Primary reasons for emergency admissions in Parkinson’s Disease patients include: pneumonia (13.5%); physical deterioration / motor decline (9.4%); urinary tract infection (9.2%) and hip fractures (4.3%). Parkinson’s Disease patients may be twice as likely to be admitted for these conditions (compared to non-PD patients).
- Parkinson’s Disease patients are roughly twice as likely to stay in hospital for more than three months. They are roughly 2.5 times more likely to die in hospital than non-PD patients.
“By improving the care of Parkinson’s patients from diagnosis onwards, the NHS will not only reduce emergency hospital admissions but also alleviate the strain on hospital beds which would benefit our health service as a whole.” Steve Ford: Chief Executive of Parkinson’s UK
Parkinson’s sufferers more than twice as likely to die in hospital after emergency admission as other patients. UCB Press Release, March 16th 2015.
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Low, V. Ben-Shlomo, Y. [and] Coward, E. [et al] (2015). Measuring the burden and mortality of hospitalisation in Parkinson’s disease: a cross-sectional analysis of the English Hospital Episodes Statistics database 2009-2013. Parkinsonism and Related Disorders. February 17th 2015. [Epub ahead of print].