Research Article
Follow-Up of Advanced Parkinson’s Disease Patients after Clinical or Surgical Emergencies: A Practical Approach
Table 2
Demographic and clinical description of advanced PD cases with clinical and surgical emergencies treatment.
| Case | Age (years) | Gender | PD duration (years) | Acute event | Complication | Baseline off UPDRS III score | Levodopa dose | Other inhospital drugs | Levodopa management | Follow-up off UPDRS III | Follow-up H&Y scale |
| 1 | 78 | F | 15 | Acute diverticulitis | Delirium, acute peritonitis | 43 | Withdrawn | Bromopride | Sublingual | 53 | V | 2 | 75 | M | 20 | Femur fracture | Delirium | 39 | Withdrawn | Opioid, risperidone | Oral restarted | 50 | V | 3 | 79 | M | 18 | Broncho pneumonia | Delirium, lung abscess | 43 | Reduced | Opiod | Oral optimized | 54 | V | 4 | 80 | M | 20 | Acute myocardial infarction | Delirium, cardiogenic shock | 44 | Unchanged | Trimetazidine | None | 55 | V | 5 | 77 | F | 16 | Mesenteric thrombosis | Delirium | 39 | Withdrawn | Opioid | OG tube | 59 | V | 6 | 74 | M | 14 | Femur fracture | Delirium | 38 | Withdrawn | Opioid, levomepromazine | OG tube | 48 | V | 7 | 73 | M | 17 | Femur fracture | Delirium | 42 | Withdrawn | Opioid, promethazine | OG tube | 52 | V | 8 | 72 | F | 13 | Pulmonary embolism | Delirium, acute respiratory insufficiency | 37 | Unchanged | None | None | 48 | V | 9 | 75 | M | 14 | Acute diverticulitis | Delirium | 38 | Unchanged | Risperidone | Sublingual | 50 | V | 10 | 79 | F | 16 | Urinary tract infection | Delirium, sepsis | 36 | Reduced | None | Oral optimized | 47 | V | 11 | 78 | F | 14 | Femur fracture | Delirium | 43 | Reduced | Opiod, amlodipine | OG tube | 53 | V | 12 | 74 | M | 13 | Colonic pseudoobstruction | Delirium | 38 | Withdrawn | Neostigmine | Sublingual | 52 | V | 13 | 85 | M | 15 | Upper airway infection | Delirium | 38 | Reduced | Bromopride, haloperidol | Oral optimized | 49 | V |
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PD = Parkinson’s disease; H&Y = Hoehn & Yahr stage, and UPDRS = Unified Parkinson’s Disease Rating Scale.
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