Open AccessThe outcome and burden of Chinese patients with neurodegenerative diseases: A 10‐year clinical feature study
Author(s) -
Li GuiHua,
Li Peng,
Lu Lin,
Li Zhe,
Mo MingShu,
Chen Xiang,
Peng GuoYou,
Guo WenYuan,
Lin YuWan,
Qiu JieWen,
Yang XinLing,
Liu XinTong,
Xu PingYi
Publication year - 2020
Publication title -
international journal of clinical practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.756
H-Index - 98
eISSN - 1742-1241
pISSN - 1368-5031
DOI - 10.1111/ijcp.13534
Subject(s) - medicine , incidence (geometry) , demographics , epidemiology , disease , medical record , population , retrospective cohort study , pediatrics , emergency medicine , gerontology , demography , environmental health , physics , sociology , optics
Background As the Chinese population continues to age, the incidence of neurodegenerative diseases (NDDs) has increased dramatically, which results in heavy medical and economic burden for families and society. Objective The objective of this study was to evaluate NDDs in a southern Chinese hospital over a 10‐year period and examine trends in demographics, outcome, length of stay (LOS) and cost. Methods Retrospective medical records of patients from January 2010 to December 2019 were collected, including 7231 patients with NDDs (as case group) and 9663 patients without any NDDs (as control group). The information of social demographic data, admission source, reasons for admission, outcomes, LOS, and cost were extracted and analysed. Result The average hospitalisation age of the patients with NDDs is over 65 years (peak age 70‐89 years). Compared with the control group, the case group had a longer LOS and a higher cost and the numbers of patients with NDDs increased yearly from 2010 to 2019. The LOS shortened while the cost increased. Clinical features affected LOS and cost. Patients suffering from infection, abnormal blood pressure and the imbalance of water‐electrolyte homoeostasis as main reasons for admission were decreased; however, heart disease, cerebrovascular accident and mental diseases were significantly increased, the overall change trend of fracture/trauma remained stable. The rate of discharge to home care and mortality declined; discharge to other medical or community facilities increased over 10 years. Conclusion The majority of NDDs patients tended to be older. During the last 10 years from 2010 to 2019, the numbers of NDDs patients increased yearly, the trend of LOS became shortening and the cost gradually increasing. The main reasons of admission and outcomes of hospital showed different trends.