Patient with Parkinson‘s disease in data sources of the National Health Information System

Česká verzia

Authors: J. Búřil ¹; P. Búřilová ^2,3; A. Pokorná ^2,3; I. Kováčová ³; M. Baláž ¹
Authors place of work: I. neurologická klinika, LF MU a FN u sv. Anny v Brně ¹; Katedra ošetřovatelství a porodní, asistence, LF MU, Brno ²; Ústav zdravotnických informací, a statistiky ČR, Praha ³
Published in the journal: Cesk Slov Neurol N 2020; 83/116(5): 550-554
Category: Original Paper
doi: https://doi.org/10.14735/amcsnn2020550

Summary

Aim: Parkinson’s disease (PD) is a neurodegenerative disease manifested by the triad of hypokinetic-rigid syndrome, postural instability and resting tremor. As a consequence of the aging of population, the incidence and prevalence of PD are increasing, and as the disease progresses, motor and autonomic symptoms and neuropsychiatric complications are increasing. Demographic description of the population in order to evaluate the reported hospitalization reasons and possible co-morbidities in a selected group of patients with the main diagnoses according to the International Classification of Diseases (ICD-10): G20 (Parkinson’s disease), G23.1, G23.2, G23.3 (Other degenerative diseases of basal ganglia) and G31.8 (Other specified degenerative diseases of the nervous system) was the aim of this study.

Methods: Retrospective data analysis using data from the National Health Information System (NZIS) and the National Register of Reimbursed Health Services (NRHZS). Analysis of epidemiological data to determine hospitalization reasons and possible co-morbidities in a selected group of patients with established diagnoses.

Results: A total of 78,453 cases were identified from the national registers in 2012–2018. From all hospitalizations of patients with follow-up diagnoses, the majority (58.1%) in 2017 were due to their main neurological diagnosis. From the other recurrent hospital admissions diagnosed upon admission, the most common were Other urinary tract diseases (N39) in 2.1% of patients. In 2012–2018, 39.5% of patients (N = 30,974) died because of the main follow-up diagnoses and, coronary heart disease was the most frequently reported cause of death in PD patients (20.4%).

Conclusion: According to available data from the NZIS register, hospitalization reasons and causes of death reported according to ICD-10 in patients with Parkinson’s disease were identified. In 2017, most (58.1%) patients were admitted with a major neurological diagnosis. The most frequently reported cause of death between 2012 and 2018 in patients with PD was coronary heart disease (20.4%).

Keywords:

mortality – incidence – prevalence – Parkinson‘s disease – atypical parkinsonian syndromes

Zdroje

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