TY - T1的健康差异和短期结果的分析多民族样本接受脑深部电刺激对帕金森病在三级转诊中心(P4.073) JF -神经学乔-神经学六世- 90 - 15补充SP - P4.073盟丹尼尔加宾风迪卢卡AU -胡安·塞巴斯蒂安·迪亚兹AU -亨利·摩尔AU -卡洛斯歌手AU -邦妮莱文盟Iahn Cajigas AU -乔纳森Jagid盟现任卢卡Y1 - 2018/04/10 UR 首页- //www.ez-admanager.com/content/90/15_Supplement/P4.073.abstract N2 -目的:描述实践模式在迈阿密大学(嗯),短期结果和民族健康差异。背景:脑深部电刺激(DBS)已被证明改善生活质量的帕金森病(PD)患者。然而,很少有研究脑深部刺激(DBS)病人转诊模式从多民族社区。设计/方法:回顾性的图表总结来自迈阿密大学的DBS提到病人。结果:从2014年1月至2017年9月,3609例PD患者评估。共有202名患者被称为为PD DBS外科手术。43%是拉美裔,53.2%的非西班牙裔。患者大多是白人(83.9%),其次是多民族(7.6%)和非裔美国人(2.5%)。多学科小组评估后,104名患者接受了DBS位置。转诊时的平均年龄是65岁(+ /−13)。62.5%的患者非西班牙裔和34.6%的西班牙裔。关于种族,79.8%是白人,3.8%的非洲裔美国人和6.7%的多民族。意味着MDS-UPDRS得分pre-DBS药物是48(+ /−15)和疾病持续时间111个月(+ /−44)。188金宝慱官网下载 At 12 months after the surgery the motor score improved 54.2% (DBS ON, MEDS ON= 22+/−7). With DBS ON, meds OFF mean MDS UPDRS was 24 +/− 17. Patients also reported an overall decrease in levodopa equivalent daily dose (LEDD) from 1138 (+/−628) to 584 (+/−344, 48.7% reduction). Surgical complications included 1 infection requiring temporary generator removal and 1 lead edema managed conservatively.Conclusions: Despite a majority Hispanic (67.7%) and African American (18.5%) population in Miami, the referral pattern favors a white non-Hispanic population. A possible explanation may include poor access to neurologists or movement disorders specialists in these communities and cultural differences. All patients demonstrated significant improvement in motor UPDRS and decrease in medication after DBS regardless of ethnic group. Efforts should be made to increase the access to DBS procedure among the Hispanic and African American population.Disclosure: Dr. Di Luca has nothing to disclose. Dr. Sebastian Diaz has nothing to disclose. Dr. Moore has nothing to disclose. Dr. Singer has nothing to disclose. Dr. Levin has nothing to disclose. Dr. Cajigas has nothing to disclose. Dr. Jagid has nothing to disclose. Dr. Luca has nothing to disclose. ER -