التفاصيل البيبلوغرافية
| العنوان: |
Combined multidisciplinary in/outpatient rehabilitation delays definite nursing home admission in advanced Parkinson’s disease patients |
| المؤلفون: |
Elien Steendam-Oldekamp, Nico Weerkamp, Judith M. Vonk, Bastiaan R. Bloem, Teus van Laar |
| المصدر: |
Frontiers in Neurology, Vol 14 (2023) |
| بيانات النشر: |
Frontiers Media S.A., 2023. |
| سنة النشر: |
2023 |
| المجموعة: |
LCC:Neurology. Diseases of the nervous system |
| مصطلحات موضوعية: |
Parkinson’s disease, multidisciplinary, rehabilitation, ADL (activities of daily life), nursing home, Neurology. Diseases of the nervous system, RC346-429 |
| الوصف: |
IntroductionAdvanced Parkinson’s disease (aPD) patients have a high risk on definite nursing home admission. We analyzed the effectiveness of an in-and outpatient multidisciplinary rehabilitation, focusing on activities of daily living (ADL) and delaying definite nursing home admission.MethodsThis study included 24 aPD patients, who received a 6-week inpatient multidisciplinary rehabilitation program, including optimization of pharmacotherapy, which was followed by an individualized outpatient support program during 2 years (intervention group). A non-randomized matched control group (n = 19), received care as usual. Primary endpoints consisted of the Amsterdam Linear Disability Scale (ALDS) and percentage of patients being able to live independently at home after 2 years. Secondary endpoints included changes in medication (LEDD), motor performance (SCOPA-SPES), cognition (SCOPA-COG), hallucinations (NPI) and depression (BDI).ResultsOverall, 83% of patients were able to return home after the 6-week inpatient intervention, and 65% still lived at home at 2 years follow-up. Median ALDS scores after 2 years in the intervention group were significantly better, compared to the control group (p = 0.002). All secondary endpoints had improved significantly vs. baseline directly after the 6-week inpatient rehabilitation, which had disappeared at 2 years follow-up, with the exception of the daily dose of medication, which was significantly higher in the intervention group.ConclusionThis 2-year follow-up study showed that a combined multidisciplinary in/outpatient rehabilitation program for aPD patients, was able to stabilize ADL functions, and finally delayed definite nursing home admissions in 65% of treated patients.Trial registrationfilenumber M10.091051; ABR code NL32699.042.10. |
| نوع الوثيقة: |
article |
| وصف الملف: |
electronic resource |
| اللغة: |
English |
| تدمد: |
1664-2295 |
| Relation: |
https://www.frontiersin.org/articles/10.3389/fneur.2023.1128891/full; https://doaj.org/toc/1664-2295 |
| DOI: |
10.3389/fneur.2023.1128891 |
| URL الوصول: |
https://doaj.org/article/c77dd2e9feaa475f925ba205d540eb28 |
| رقم الانضمام: |
edsdoj.77dd2e9feaa475f925ba205d540eb28 |
| قاعدة البيانات: |
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