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Factors related to extended hospital stays following deep brain stimulation for Parkinson's disease.

Publication ,  Journal Article
Mikos, A; Pavon, J; Bowers, D; Foote, KD; Resnick, AS; Fernandez, HH; Thomas, P; Garvan, C; Roy, A; Okun, MS
Published in: Parkinsonism Relat Disord
June 2010

OBJECTIVE: Patients with Parkinson's disease (PD) are typically discharged from the hospital the day following deep brain stimulation (DBS) surgery; however, factors extending hospital stay are largely unknown. This study examined potential factors that might have corresponded to increased post-operative stays following unilateral DBS surgery. METHODS: A retrospective review was performed on 115 unilateral PD DBS patients. Age, gender, number of microelectrode passes, duration and severity of illness, and pre-operative neuropsychological scores were considered as possible contributors to length of stay. RESULTS: Most patients (79%) had a hospital stay of one day following surgery. The most frequent reasons for delayed discharge (>1 day) included mental status change (N = 6) and hemorrhage (N = 5). Those with delayed discharge had significantly lower pre-surgical cognitive screening scores (Mini-Mental State Evaluation; MMSE), higher pre-surgical "on" medication motor score, and more microelectrode passes than those with immediate discharge. In correlation analyses, increasing length of hospital stay was significantly associated with more microelectrode passes, higher pre-surgical "on" medication motor scores, and decreasing MMSE scores. When the significant variables from the preliminary analyses were entered into a Poisson regression model, a greater number of microelectrode passes as well as lower MMSE scores remained significant predictors of increased length of stay. CONCLUSIONS: The number of microelectrode passes utilized for DBS surgery as well as a patient's general cognitive status may be important factors related to extended hospital stay. UPDRS "on" medication motor score may also provide some predictive power for immediate post-operative morbidity in unilateral DBS patients.

Duke Scholars

Published In

Parkinsonism Relat Disord

DOI

EISSN

1873-5126

Publication Date

June 2010

Volume

16

Issue

5

Start / End Page

324 / 328

Location

England

Related Subject Headings

  • Retrospective Studies
  • Postoperative Complications
  • Patient Discharge
  • Parkinson Disease
  • Neuropsychological Tests
  • Neurology & Neurosurgery
  • Middle Aged
  • Mental Status Schedule
  • Mental Disorders
  • Male
 

Citation

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ICMJE
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Mikos, A., Pavon, J., Bowers, D., Foote, K. D., Resnick, A. S., Fernandez, H. H., … Okun, M. S. (2010). Factors related to extended hospital stays following deep brain stimulation for Parkinson's disease. Parkinsonism Relat Disord, 16(5), 324–328. https://doi.org/10.1016/j.parkreldis.2010.02.002
Mikos, Ania, Juliessa Pavon, Dawn Bowers, Kelly D. Foote, Andrew S. Resnick, Hubert H. Fernandez, Penelope Thomas, Cynthia Garvan, Ananya Roy, and Michael S. Okun. “Factors related to extended hospital stays following deep brain stimulation for Parkinson's disease.Parkinsonism Relat Disord 16, no. 5 (June 2010): 324–28. https://doi.org/10.1016/j.parkreldis.2010.02.002.
Mikos A, Pavon J, Bowers D, Foote KD, Resnick AS, Fernandez HH, et al. Factors related to extended hospital stays following deep brain stimulation for Parkinson's disease. Parkinsonism Relat Disord. 2010 Jun;16(5):324–8.
Mikos, Ania, et al. “Factors related to extended hospital stays following deep brain stimulation for Parkinson's disease.Parkinsonism Relat Disord, vol. 16, no. 5, June 2010, pp. 324–28. Pubmed, doi:10.1016/j.parkreldis.2010.02.002.
Mikos A, Pavon J, Bowers D, Foote KD, Resnick AS, Fernandez HH, Thomas P, Garvan C, Roy A, Okun MS. Factors related to extended hospital stays following deep brain stimulation for Parkinson's disease. Parkinsonism Relat Disord. 2010 Jun;16(5):324–328.
Journal cover image

Published In

Parkinsonism Relat Disord

DOI

EISSN

1873-5126

Publication Date

June 2010

Volume

16

Issue

5

Start / End Page

324 / 328

Location

England

Related Subject Headings

  • Retrospective Studies
  • Postoperative Complications
  • Patient Discharge
  • Parkinson Disease
  • Neuropsychological Tests
  • Neurology & Neurosurgery
  • Middle Aged
  • Mental Status Schedule
  • Mental Disorders
  • Male