Parkinson’s disease influences the perioperative risk profile in surgery

Parkinson’s disease influences the perioperative risk profile in surgery

Background and aims Aim of this study was to define the perioperative risk profile in surgery of patients suffering from Parkinson’s disease (PD) in order to improve treatment options in these patients. Materials and methods Over a period of 13 years, 51 patients suffering from Parkinson’s disease t...

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Published in:Langenbeck's archives of surgery Vol. 394; no. 3; pp. 511 - 515
Main Authors: Mueller, Marcus C., Jüptner, Ulf, Wuellner, Ullrich, Wirz, Stefan, Türler, Andreas, Hirner, Andreas, Standop, Jens
Format: Journal Article
Language:English
Published: Berlin/Heidelberg Springer-Verlag 01-05-2009
Subjects:
Abdominal Surgery
Accidental Falls - statistics & numerical data
Aged
Cardiac Surgery
Case-Control Studies
Chi-Square Distribution
Female
General Surgery
Humans
Length of Stay - statistics & numerical data
Male
Medicine
Medicine & Public Health
Original Article
Parkinson Disease - complications
Postoperative Complications - epidemiology
Retrospective Studies
Risk Assessment
Statistics, Nonparametric
Surgical Procedures, Operative
Thoracic Surgery
Time Factors
Traumatic Surgery
Treatment Outcome
Vascular Surgery
Perioperative risk
Postoperative hospital stay
Parkinson’s disease
Morbidity
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Summary:Background and aims Aim of this study was to define the perioperative risk profile in surgery of patients suffering from Parkinson’s disease (PD) in order to improve treatment options in these patients. Materials and methods Over a period of 13 years, 51 patients suffering from Parkinson’s disease treated in the departments of general, visceral, thoracic, vascular, and trauma surgery were retrospectively compared using matched-pair analysis with 51 controls not affected by PD. Both groups of patients were assessed regarding morbidity and mortality, length of treatment, and rehabilitation. Results Surgical patients suffering from Parkinson’s disease showed an increase in risk of morbidity. Postoperative falls occurred more commonly (entire cohort, p  < 0.03). In PD patients treated in the trauma surgery department, postoperative falls ( p  < 0.04), postoperative stay ( p  < 0.03), and overall duration of treatment ( p  < 0.02) were significantly longer than in patients without PD. PD patients of the trauma unit could be discharged home less often for ambulantory rehabilitation after in-patient treatment ( p  < 0.03). Conclusions Concomitant Parkinson’s disease is a significant factor of perioperative morbidity in surgical patients, especially of patients treated in the trauma unit. Perioperative morbidity in PD patients may be influenced by early diagnostic and therapeutic measures.
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ISSN:1435-2443
1435-2451
DOI:10.1007/s00423-008-0404-5