[Parkinson's disease influences the perioperative risk profile in trauma patients].
OBJECTIVE
Parkinson's disease (PD) is one of the most common degenerative diseases of the central nervous system affecting elderly patients with increasing demographic prevalence. The aim of this study was to define the perioperative risk profile in trauma patients suffering from Parkinson's disease in order to improve treatment options in these patients.


METHODS
Over a period of 13 years, 16 patients suffering from Parkinson's disease treated in the department of trauma surgery were retrospectively compared using matched-pair analysis with 16 controls not affected by PD. Both groups of patients were assessed regarding morbidity, length of treatment and rehabilitation.


RESULTS
Trauma patients suffering from Parkinson's disease showed an increase in morbidity risk. Postoperative falls occurred significantly, infections of the urinary tract and pneumonia tendentiously more often in PD patients. Postoperative stay and length of treatment were significantly longer in patients with PD. These patients also tended to stay longer preoperatively and remained longer in intensive care. PD patients required on-ward rehabilitation significantly more often.


CONCLUSIONS
Concomitant Parkinson's disease is a significant factor of perioperative morbidity in trauma patients. Perioperative morbidity in PD patients may be influenced by early diagnostic and therapeutic measures.
Müller
M C
MC
Klinik für Orthopädie und Unfallchirurgie, Universitätsklinikum Bonn.
Jüptner
U
U
Wüllner
U
U
Wirz
S
S
Türler
A
A
Wirtz
D C
DC
Hirner
A
A
Standop
J
J
D000058:Accidental Falls; D000368:Aged; D000369:Aged, 80 and over; D003422:Critical Care / Q000706:statistics & numerical data; D005260:Female; D050723:Fractures, Bone / Q000601:surgery*; D015577:Geriatric Assessment; D005858:Germany; D006801:Humans; D007902:Length of Stay / Q000706:statistics & numerical data; D008297:Male; D016555:Matched-Pair Analysis; D008875:Middle Aged; D010300:Parkinson Disease / Q000150:complications* / Q000453:epidemiology; D020734:Parkinsonian Disorders / Q000150:complications* / Q000453:epidemiology; D011014:Pneumonia / Q000175:diagnosis / Q000453:epidemiology / Q000534:rehabilitation; D011183:Postoperative Complications / Q000175:diagnosis / Q000453:epidemiology* / Q000534:rehabilitation; D012189:Retrospective Studies; D018570:Risk Assessment; D016896:Treatment Outcome; D014552:Urinary Tract Infections / Q000175:diagnosis / Q000453:epidemiology / Q000534:rehabilitation; D014947:Wounds and Injuries / Q000601:surgery*