跨学科脑深部刺激筛查和意外住院的关系和生活质量(S48.005)

文摘

目的:量化的效用术前脑深部电刺激(DBS)跨学科评估防止意外住院治疗和改善生活质量(QOL)。背景:大多数DBS专家中心利用跨学科的筛选确定候选人DBS,但是没有数据存在量化这一实践的实用程序。我们复习的结果的佛罗里达大学跨学科模型利用来自七个专业评估手术评估DBS的候选人。设计/方法:佛罗里达大学通知数据库查询PD患者DBS植入执行2011年1月至2013年2月。综述了记录发现意想不到的住院治疗。作为跨学科的术前检查的一部分,7个专业独立评估DBS候选人和小和重大关切被量化。临床结果评估通过使用问卷调查进行验证。结果:164例评价可能的DBS候选人和133受试者通过跨学科筛查DBS手术后(81.1 [percnt])。有28例(21.1 [percnt])经历意外住院DBS后12个月内。病人被确定为主要或次要的问题从专业服务有更多的意外住院(92.9 [percnt])相比,那些没有问题(7.1 [percnt])。 The majority of unintended hospitalizations (82.1[percnt]) were not directly related to the DBS itself. When the preoperative concern shifted from “major” to “minor” to “no concerns,” the rate of hospitalization decreased from 88.9[percnt] to 33.3[percnt] to 2.9[percnt], respectively. There was a strong association between subjects with the smallest PDQ-39 improvements at 12 months and increased hospitalizations. Falls and infections were not related to unintended hospitalizations or to interdisciplinary screening. Conclusions: There was correlation between the number of minor and major concerns raised by a seven specialty interdisciplinary pre-operative DBS screening and unintended hospitalizations and QOL scores. Our data supports the importance of interdisciplinary teams in the care of the DBS patient.

披露:盛田昭夫博士没有披露。Higuchi博士没有披露。Topiol博士没有披露。鲍尔斯博士没有披露。沃德博士没有披露。沃伦博士没有披露。DeFranco博士没有披露。片剂博士没有披露。Kulkarni博士没有披露。富特博士已经收到个人活动与美敦力补偿作为一个顾问委员会成员。 Dr. Okun has received royalty payments from Demos, Humana, Amazon, Smashwords, Books4Patients, and Cambridge. Dr. Okun has received research support from the Michael J. Fox Foundation, the National Parkinson Foundation, the Parkinson Alliance, the Smallwo