Latencia diagnóstica en la enfermedad de Parkinson: Estudio en 200 pacientes de novo en un hospital público de Chile / Delay in the diagnosis of Parkinson’s disease in a Chilean public hospital
Rev. méd. Chile
; 143(7): 870-873, jul. 2015. tab
Article
em Es
| LILACS
| ID: lil-757911
Biblioteca responsável:
CL1.1
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 andMethods:
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.Palavras-chave
Texto completo:
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Índice:
LILACS
Assunto principal:
Doença de Parkinson
/
Diagnóstico Tardio
Tipo de estudo:
Diagnostic_studies
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Observational_studies
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Prevalence_studies
/
Risk_factors_studies
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Screening_studies
Limite:
Adult
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Aged
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Aged80
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Female
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Humans
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Male
País/Região como assunto:
America do sul
/
Chile
Idioma:
Es
Revista:
Rev. méd. Chile
Assunto da revista:
MEDICINA
Ano de publicação:
2015
Tipo de documento:
Article