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The Pattern of Hospital Admissions Prior to Care Home Placement in People With Parkinson’s Disease: Evidence of a Period of Crisis for Patients and Carers

Lookup NU author(s): Joanna Klaptocz, Mitali Agarwal, Zoszka Webb, Dr Meghna Prabhakar, Dr Claire McDonald, Professor Richard Walker


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© 2018, The Author(s) 2018. Objectives: We hypothesized that the number and length of hospital admissions in people with Parkinson’s disease (PD) would increase immediately prior to admission to a care home relative to those who were able to continue living at home or who died. Method: PD patients at Hoehn and Yahr Stages III to V were followed-up over two and a half years with deaths and care home placements recorded. Hospital admissions data were collected over this period. Results: Of 286 patients included in the study, 7.3% entered a care home and 28.3% died. In the final 120 days prior to the study exit point (care home placement, death, or continued living at home), longer hospital stay was significantly associated with care home placement, after adjusting for the competing risk of death. Conclusion: Our data provide evidence that, for many people with PD, a period of crisis is reached immediately prior to care home placement.

Publication metadata

Author(s): Klaptocz J, Gray WK, Marwood S, Agarwal M, Ziegler J, Webb Z, Prabhakar M, Hand A, Oates L, McDonald C, Walker RW

Publication type: Article

Publication status: Published

Journal: Journal of Aging and Health

Year: 2019

Volume: 31

Issue: 9

Pages: 1616-1630

Print publication date: 01/10/2019

Online publication date: 04/07/2018

Acceptance date: 02/04/2018

ISSN (print): 0898-2643

ISSN (electronic): 1552-6887

Publisher: SAGE Publications Inc.


DOI: 10.1177/0898264318786125


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