| アブストラクト | BACKGROUND: People with Parkinson's Disease (PwP) have a higher rate of hospitalisation compared to the general population. Little is known about the impact of having a co-resident and their health on hospitalisation rates of PwP. METHODS: We utilised Clinical Practice Research Datalink (CPRD) GOLD data (2010-2015) to identify PwP and co-residents. We classed either the fittest or youngest adult as the primary caregiver in each household. Caregiver health was classified by the Cambridge Multimorbidity Score (CMS), primary care utilisation and prescriptions. We calculated the hospitalisation (elective, emergency) incidence rate ratios (IRRs) for PwP who lived alone compared to those with a caregiver using negative binomial regression, and whether worse caregiver health predicted higher risk of admissions. RESULTS: We identified 3254 PwP and 4007 family members. PwP who lived alone were less likely to have an elective admission (0.79; 95 % CI 0.69-0.91) and more likely to have an emergency admission (1.40; 95 % CI 1.70-1.54). Worse caregiver health, as measured by the CMS, was associated with an increased risk of emergency admission (IRR 1.35; 95 % CI 1.17-1.57), but this attenuated and was consistent with chance in the fully adjusted model (1.04; 95 % CI 0.95-1.13). No strong associations were seen between caregiver health and elective admissions. CONCLUSION: PwP who live alone are at increased risk of emergency and less likely to have elective hospital admissions. It is important that health care providers support such people and ensure they receive equitable access to the potential benefits of elective procedures. |
|---|
| ジャーナル名 | Parkinsonism & related disorders |
|---|
| 投稿日 | 2024/8/10 |
|---|
| 投稿者 | Brack, Carmen; Tenison, Emma; Henderson, Emily; Makin, Stephen; Ben-Shlomo, Yoav |
|---|
| 組織名 | Centre for Rural Health, University of Aberdeen, UK.;Ageing and Movement Research Group, Department of Population Health Sciences,;Bristol Medical School, University of Bristol, Bristol, BS8 1NU, UK; Older;People's Unit, Royal United Hospitals Bath NHS Foundation Trust, Combe Park,;Bath, BA1 3NG, UK.;Population Health Sciences, Bristol Medical School, University of Bristol, UK;;The National Institute for Health and Care Research Applied Research;Collaboration West (NIHR ARC West) at University Hospitals Bristol and Weston NHS;Foundation Trust, UK. Electronic address: y.ben-shlomo@bristol.ac.uk. |
|---|
| Pubmed リンク | https://www.ncbi.nlm.nih.gov/pubmed/39121562/ |
|---|
