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.

CaseAge (years)GenderPD duration (years)Acute eventComplicationBaseline off UPDRS III scoreLevodopa doseOther inhospital drugsLevodopa managementFollow-up off UPDRS IIIFollow-up H&Y scale

178F15Acute diverticulitisDelirium, acute peritonitis43WithdrawnBromoprideSublingual53V
275M20Femur fractureDelirium39WithdrawnOpioid, risperidoneOral restarted50V
379M18Broncho pneumoniaDelirium, lung abscess43ReducedOpiodOral optimized54V
480M20Acute myocardial infarctionDelirium, cardiogenic shock44UnchangedTrimetazidineNone55V
577F16Mesenteric thrombosisDelirium39WithdrawnOpioidOG tube59V
674M14Femur fractureDelirium38WithdrawnOpioid, levomepromazineOG tube48V
773M17Femur fractureDelirium42WithdrawnOpioid, promethazineOG tube52V
872F13Pulmonary embolismDelirium, acute respiratory insufficiency37UnchangedNoneNone48V
975M14Acute diverticulitisDelirium38UnchangedRisperidoneSublingual50V
1079F16Urinary tract infectionDelirium, sepsis36ReducedNoneOral optimized47V
1178F14Femur fractureDelirium43ReducedOpiod, amlodipineOG tube53V
1274M13Colonic pseudoobstructionDelirium38WithdrawnNeostigmineSublingual52V
1385M15Upper airway infectionDelirium38ReducedBromopride, haloperidolOral optimized49V

PD = Parkinson’s disease; H&Y  =  Hoehn & Yahr stage, and UPDRS = Unified Parkinson’s Disease Rating Scale.