Long term mortality of patients with Parkinson's disease treated with deep brain stimulation in a reference center

التفاصيل البيبلوغرافية
العنوان: Long term mortality of patients with Parkinson's disease treated with deep brain stimulation in a reference center
المؤلفون: Ana Oliveira, Maria José Rosas, Cláudia Sousa, Rui Vaz, Ana Luísa Rocha, Pedro Monteiro
المصدر: Clinical neurology and neurosurgery. 202
سنة النشر: 2020
مصطلحات موضوعية: Male, Parkinson's disease, Movement disorders, medicine.medical_treatment, Deep Brain Stimulation, Myocardial Infarction, Disease, Kaplan-Meier Estimate, Severity of Illness Index, 0302 clinical medicine, Risk Factors, Cause of Death, Suicide, Completed, Medicine, Myocardial infarction, Age of Onset, Pressure Ulcer, education.field_of_study, Mortality rate, Parkinson Disease, General Medicine, Middle Aged, Cardiovascular Diseases, 030220 oncology & carcinogenesis, Female, medicine.symptom, Adult, medicine.medical_specialty, Deep brain stimulation, Population, Time-to-Treatment, 03 medical and health sciences, Sex Factors, Internal medicine, Dementia, Humans, Mortality, education, Aged, Retrospective Studies, business.industry, Pneumonia, medicine.disease, Multivariate Analysis, Surgery, Neurology (clinical), business, 030217 neurology & neurosurgery, Follow-Up Studies
الوصف: Introduction Parkinson’s disease (PD) is a common neurodegenerative disorder, with a higher risk of death than general population. Deep Brain Stimulation (DBS) has been used to treat PD for more than 2 decades, but few studies exist concerning mortality in this subset of patients. Our goal is to analyse mortality in PD patients treated with DBS in our centre. Methods retrospective evaluation of clinical files of patients with PD who underwent DBS surgery consecutively between October 2002 and May 2019. Results 346 patients were included in the analysis, 60 % male, with a mean age at disease onset of 48 ± 8 years (18–64), mean age at surgery of 60 ± 7 years (33–75), and mean disease duration until surgery of 14 ± 6 years (3–52). Mean follow-up after surgery was 7 ± 4 years (range 1–17). Overall mortality rate was 17.9 % and mean age at time of death was 71 ± 6 years. The main causes of death were pneumonia, dementia and acute myocardial infarction. In our series, male gender and disease duration until surgery were the only predictors of mortality in multivariate analysis. Conclusion Our study showed a long-term survival higher than previously described, and suggests that the treatment of patients with shorter disease evolution might have a survival benefit. The leading causes of death in PD patients treated with DBS seems unrelated to surgery, as the main causes of death are comparable to non-DBS patients.
تدمد: 1872-6968
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::653ff3a3d7ffa95739845bfa844a4007
https://pubmed.ncbi.nlm.nih.gov/33493881
Rights: CLOSED
رقم الانضمام: edsair.doi.dedup.....653ff3a3d7ffa95739845bfa844a4007
قاعدة البيانات: OpenAIRE