• Journals
  • Discipline
  • Indexed
  • Institutions
  • About
JavaScript is disabled for your browser. Some features of this site may not work without it.
View Item 
  •   Home
  • Sociedad Médica de Santiago
  • Revista Médica de Chile
  • View Item
  •   Home
  • Sociedad Médica de Santiago
  • Revista Médica de Chile
  • View Item

DELAY IN THE DIAGNOSIS OF PARKINSON’S DISEASE IN A CHILEAN PUBLIC HOSPITAL.

Latencia diagnóstica en la enfermedad de Parkinson. Estudio en 200 pacientes de novo en un Hospoital Público de Chile.

Author
Lay-Son, Luis

Eloiza, Claudio

Trujillo-Godoy, Osvaldo

Full text
http://www.revistamedicadechile.cl/ojs/index.php/rmedica/article/view/3807
Abstract
Background: Early diagnosis is fundamental in patients with Parkinson’s disease (PD) to improve their quality of life. Aim: To determine the latency in the diagnosis of Parkinson’s disease (PD) after the onset of motor symptoms. Patients and Methods: Prospective study carried out during 16 months in a public hospital. Two hundred newly diagnosed patients aged 41 to 90 years (50% women), were included and analyzed. Results: The lapse between the first symptom –more commonly tremor - and the diagnosis made by a neurologist ranged from 1 to 84 months (19.1± 13.8). In 39% of patients, it was done in the first year, in 26% during the second year and in 35% of patients, it took more than two years. The referral by a general practitioner had a delay ranging from 1 to 36 months. Sixty nine and 95% of patients were evaluated within the first 6 months after referral if they came from primary care or the same hospital, respectively. Twenty six percent of patients were classified in stages III to V of Hoehn & Yahr’s staging and the Parkinson's Disease Rating Scale motor examination ranged from 5 to 81 points, mean 24(± 12.8). Conclusions: The diagnosis of PD. Has a delay in a public hospital that could be influenced by the referral system.
 
Background: Early diagnosis is fundamental in patients with Parkinson’s disease (PD) to improve their quality of life. Aim: To determine the latency in the diagnosis of Parkinson’s disease (PD) after the onset of motor symptoms. Patients and Methods: Prospective study carried out during 16 months in a public hospital. Two hundred newly diagnosed patients aged 41 to 90 years (50% women), were included and analyzed. Results: The lapse between the first symptom –more commonly tremor - and the diagnosis made by a neurologist ranged from 1 to 84 months (19.1± 13.8). In 39% of patients, it was done in the first year, in 26% during the second year and in 35% of patients, it took more than two years. The referral by a general practitioner had a delay ranging from 1 to 36 months. Sixty nine and 95% of patients were evaluated within the first 6 months after referral if they came from primary care or the same hospital, respectively. Twenty six percent of patients were classified in stages III to V of Hoehn & Yahr’s staging and the Parkinson's Disease Rating Scale motor examination ranged from 5 to 81 points, mean 24(± 12.8). Conclusions: The diagnosis of PD. Has a delay in a public hospital that could be influenced by the referral system.
 
Metadata
Show full item record
Discipline
Artes, Arquitectura y UrbanismoCiencias Agrarias, Forestales y VeterinariasCiencias Exactas y NaturalesCiencias SocialesDerechoEconomía y AdministraciónFilosofía y HumanidadesIngenieríaMedicinaMultidisciplinarias
Institutions
Universidad de ChileUniversidad Católica de ChileUniversidad de Santiago de ChileUniversidad de ConcepciónUniversidad Austral de ChileUniversidad Católica de ValparaísoUniversidad del Bio BioUniversidad de ValparaísoUniversidad Católica del Nortemore

Browse

All of DSpaceCommunities & CollectionsBy Issue DateAuthorsTitlesSubjectsThis CollectionBy Issue DateAuthorsTitlesSubjects

My Account

LoginRegister
Dirección de Servicios de Información y Bibliotecas (SISIB) - Universidad de Chile
© 2019 Dspace - Modificado por SISIB