RT info:eu-repo/semantics/article T1 Falls Predict Acute Hospitalization in Parkinson’s Disease A1 Santos García, Diego A1 Deus-Fonticoba, Teresa de A1 Cores Bartolomé, Carlos A1 Suárez Castro, Ester A1 Hernández Vara, Jorge A1 Jesús, Silvia A1 Mir, Pablo A1 Cosgaya, Marina A1 José Martí, María A1 Pastor, Pau A1 Cabo López, Iria A1 Seijo, Manuel A1 Legarda, Inés A1 Vives Pastor, Bárbara A1 Caballol, Núria A1 Ruíz Martínez, Javier A1 Croitoru, Ioana A1 Cubo Delgado, Esther A1 Miranda, Javier A1 Alonso Losada, María Gema A1 Labandeira, Carmen A1 López Ariztegui, Nuria A1 Morales-Casado, Mabel A1 González Aramburu, Isabel A1 Infante, Jon A1 Escalante Arroyo, Sonia A1 Bernardo, Noemí A1 Blázquez Estrada, Marta A1 Menéndez González, Manuel A1 García Caldentey, Juan A1 Borrue, Carmen A1 Vela Desojo, Lydia A1 Catalán, María José A1 Gómez Mayordomo, Víctor A1 Kurtis, Mónica M. A1 Prieto, Cristina A1 Ordás Bandera, Carlos Manuel A1 Nogueira, Víctor A1 López Manzanares, Lydia A1 Ávila Rivera, María A. A1 Puente, Víctor A1 García Moreno, José Manuel A1 Solano Vila, Berta A1 Álvarez Saúco, María A1 Carrillo Padilla, Francisco A1 Martínez Castrillo, Juan Carlos A1 Sánchez Alonso, Pilar A1 Gastón, Itziar A1 Kulisevsky Bojarsky, Jaume A1 Valero, Caridad A1 Fabregues, Oriol de A1 González Ardura, Jessica A1 López Díaz, Luis M. A1 Martínez Martín, Pablo A1 COPPADIS Study Group K1 Falls K1 Hospitalization K1 Non-motor symptoms K1 Parkinson’s disease K1 Predictors K1 Sistema nervioso-Enfermedades K1 Nervous system-Diseases K1 Medicina K1 Medicine K1 Neurología K1 Neurology AB Background:There is a need for identifying risk factors for hospitalization in Parkinson’s disease (PD) and also interventions to reduce acute hospital admission.Objective:To analyze the frequency, causes, and predictors of acute hospitalization (AH) in PD patients from a Spanish cohort.Methods:PD patients recruited from 35 centers of Spain from the COPPADIS-2015 (COhort of Patients with PArkinson’s DIsease in Spain, 2015) cohort from January 2016 to November 2017, were included in the study. In order to identify predictors of AH, Kaplan-Meier estimates of factors considered as potential predictors were obtained and Cox regression performed on time to hospital encounter 1-year after the baseline visit.Results:Thirty-five out of 605 (5.8%) PD patients (62.5±8.9 years old; 59.8% males) presented an AH during the 1-year follow-up after the baseline visit. Traumatic falls represented the most frequent cause of admission, being 23.7% of all acute hospitalizations. To suffer from motor fluctuations (HR [hazard ratio] 2.461; 95% CI, 1.065–5.678; p = 0.035), a very severe non-motor symptoms burden (HR [hazard ratio] 2.828; 95% CI, 1.319–6.063; p = 0.008), falls (HR 3.966; 95% CI 1.757–8.470; p = 0.001), and dysphagia (HR 2.356; 95% CI 1.124–4.941; p = 0.023) was associated with AH after adjustment to age, gender, disease duration, levodopa equivalent daily dose, total number of non-antiparkinsonian drugs, and UPDRS-IIIOFF. Of the previous variables, only falls (HR 2.998; 95% CI 1.080–8.322; p = 0.035) was an independent predictor of AH.Conclusion:Falls is an independent predictor of AH in PD patients. PB IOS Press SN 1877-7171 YR 2023 FD 2023-01 LK http://hdl.handle.net/10259/8839 UL http://hdl.handle.net/10259/8839 LA eng DS Repositorio Institucional de la Universidad de Burgos RD 25-dic-2024