Long-Term Mortality Analysis in Parkinson’s Disease Treated with Deep Brain Stimulation
Background. Few data have been published regarding long-term mortality in patients with Parkinson’s disease treated with DBS. Methods. This study analyzed long-term mortality rates, causes, and correlates in PD patients treated with DBS. Results. 184 consecutive patients were included; mean follow-u...
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | Parkinson's Disease |
| Online Access: | http://dx.doi.org/10.1155/2014/717041 |
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| author | Sofia Rocha Ana Monteiro Paulo Linhares Clara Chamadoira Margarida Ayres Basto Carina Reis Cláudia Sousa Joana Lima Maria José Rosas João Massano Rui Vaz |
| author_facet | Sofia Rocha Ana Monteiro Paulo Linhares Clara Chamadoira Margarida Ayres Basto Carina Reis Cláudia Sousa Joana Lima Maria José Rosas João Massano Rui Vaz |
| author_sort | Sofia Rocha |
| collection | DOAJ |
| description | Background. Few data have been published regarding long-term mortality in patients with Parkinson’s disease treated with DBS. Methods. This study analyzed long-term mortality rates, causes, and correlates in PD patients treated with DBS. Results. 184 consecutive patients were included; mean follow-up was 50 months. Fifteen deaths occurred (total 8.15%, annual mortality rate 1.94%). Mean age at disease onset and at surgery was 48±2.4 and 63±1.6 years, respectively. Mean disease duration until death was 21±7.8 years. Most deaths related to stroke, myocardial infarction, other vascular/heart disorders, or severe infection; one suicide was recorded. Deceased PD patients were mostly male and had lower motor benefit after DBS, but univariate analysis failed to show significant differences regarding gender and motor benefit. Survival was 99% and 94% at 3 and 5 years. Conclusions. Long-term survival is to be expected in PD patients treated with DBS, possibly higher than previously expected. Death usually supervenes due to vascular events or infection. |
| format | Article |
| id | doaj-art-b99780b52c0e46d19e2bfd8f0ce2d302 |
| institution | OA Journals |
| issn | 2090-8083 2042-0080 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Parkinson's Disease |
| spelling | doaj-art-b99780b52c0e46d19e2bfd8f0ce2d3022025-08-20T02:23:24ZengWileyParkinson's Disease2090-80832042-00802014-01-01201410.1155/2014/717041717041Long-Term Mortality Analysis in Parkinson’s Disease Treated with Deep Brain StimulationSofia Rocha0Ana Monteiro1Paulo Linhares2Clara Chamadoira3Margarida Ayres Basto4Carina Reis5Cláudia Sousa6Joana Lima7Maria José Rosas8João Massano9Rui Vaz10Department of Neurology, Hospital de Braga, Sete Fontes, São Victor, 4710-243 Braga, PortugalMovement Disorders and Functional Surgery Unit, Centro Hospitalar São João, Alameda Prof. Hernâni Monteiro, 4200-319 Porto, PortugalMovement Disorders and Functional Surgery Unit, Centro Hospitalar São João, Alameda Prof. Hernâni Monteiro, 4200-319 Porto, PortugalMovement Disorders and Functional Surgery Unit, Centro Hospitalar São João, Alameda Prof. Hernâni Monteiro, 4200-319 Porto, PortugalMovement Disorders and Functional Surgery Unit, Centro Hospitalar São João, Alameda Prof. Hernâni Monteiro, 4200-319 Porto, PortugalMovement Disorders and Functional Surgery Unit, Centro Hospitalar São João, Alameda Prof. Hernâni Monteiro, 4200-319 Porto, PortugalMovement Disorders and Functional Surgery Unit, Centro Hospitalar São João, Alameda Prof. Hernâni Monteiro, 4200-319 Porto, PortugalMovement Disorders and Functional Surgery Unit, Centro Hospitalar São João, Alameda Prof. Hernâni Monteiro, 4200-319 Porto, PortugalMovement Disorders and Functional Surgery Unit, Centro Hospitalar São João, Alameda Prof. Hernâni Monteiro, 4200-319 Porto, PortugalMovement Disorders and Functional Surgery Unit, Centro Hospitalar São João, Alameda Prof. Hernâni Monteiro, 4200-319 Porto, PortugalMovement Disorders and Functional Surgery Unit, Centro Hospitalar São João, Alameda Prof. Hernâni Monteiro, 4200-319 Porto, PortugalBackground. Few data have been published regarding long-term mortality in patients with Parkinson’s disease treated with DBS. Methods. This study analyzed long-term mortality rates, causes, and correlates in PD patients treated with DBS. Results. 184 consecutive patients were included; mean follow-up was 50 months. Fifteen deaths occurred (total 8.15%, annual mortality rate 1.94%). Mean age at disease onset and at surgery was 48±2.4 and 63±1.6 years, respectively. Mean disease duration until death was 21±7.8 years. Most deaths related to stroke, myocardial infarction, other vascular/heart disorders, or severe infection; one suicide was recorded. Deceased PD patients were mostly male and had lower motor benefit after DBS, but univariate analysis failed to show significant differences regarding gender and motor benefit. Survival was 99% and 94% at 3 and 5 years. Conclusions. Long-term survival is to be expected in PD patients treated with DBS, possibly higher than previously expected. Death usually supervenes due to vascular events or infection.http://dx.doi.org/10.1155/2014/717041 |
| spellingShingle | Sofia Rocha Ana Monteiro Paulo Linhares Clara Chamadoira Margarida Ayres Basto Carina Reis Cláudia Sousa Joana Lima Maria José Rosas João Massano Rui Vaz Long-Term Mortality Analysis in Parkinson’s Disease Treated with Deep Brain Stimulation Parkinson's Disease |
| title | Long-Term Mortality Analysis in Parkinson’s Disease Treated with Deep Brain Stimulation |
| title_full | Long-Term Mortality Analysis in Parkinson’s Disease Treated with Deep Brain Stimulation |
| title_fullStr | Long-Term Mortality Analysis in Parkinson’s Disease Treated with Deep Brain Stimulation |
| title_full_unstemmed | Long-Term Mortality Analysis in Parkinson’s Disease Treated with Deep Brain Stimulation |
| title_short | Long-Term Mortality Analysis in Parkinson’s Disease Treated with Deep Brain Stimulation |
| title_sort | long term mortality analysis in parkinson s disease treated with deep brain stimulation |
| url | http://dx.doi.org/10.1155/2014/717041 |
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