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Measuring the Burden of Hospitalization in Patients with Parkinson´s Disease in Spain
This epidemiological survey estimates the hospitalization burden related to Parkinson´s Disease in Spain. This observational retrospective survey was performed by reviewing data from the National Surveillance System for Hospital Data, which includes more than 98% of Spanish hospitals. All hospitaliz...
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Published in: | PloS one 2016, Vol.11 (3), p.e0151563 |
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description | This epidemiological survey estimates the hospitalization burden related to Parkinson´s Disease in Spain.
This observational retrospective survey was performed by reviewing data from the National Surveillance System for Hospital Data, which includes more than 98% of Spanish hospitals. All hospitalizations of patients with Parkinson´s disease that were reported from 1997-2012 were analyzed. Codes were selected using the 9th International Classification of Diseases: ICD-9-CM: 332.0.
A total of 438,513 hospital discharges of patients with Parkinson´s Disease were reported during the study period. The annual hospitalization rate was 64.2 cases per 100,000. The average length of hospital stay was 10 days. The trend for the annual hospitalization rate differed significantly depending on whether Parkinson´s disease was the main cause of hospitalization (n = 23,086, 1.14% annual increase) or was not the main cause of hospitalization (n = 415,427, 15.37% annual increase). The overall case-fatality rate among hospitalized patients was 10%. The case fatality rate among patient´s hospitalized with Parkinson´s disease as the main cause of hospitalization was 2.5%. The hospitalization rate and case-fatality rate significantly increased with age. The primary causes of hospitalization when Parkinson´s disease was not coded as the main cause of hospitalization were as follows: respiratory system diseases (24%), circulatory system diseases (19%), injuries and poisoning, including fractures (12%), diseases of the digestive system (10%) and neoplasms (5%). The annual average cost for National Health Care System was € 120 M, with a mean hospitalization cost of €4,378.
Parkinson´s disease poses a significant health threat in Spain, particularly in the elderly. While hospitalizations due to Parkinson´s Disease are relatively stable over time, the number of patients presenting with Parkinson´s disease as an important comorbidity has increased dramatically. Medical staff must be specifically trained to treat the particular needs of hospitalized patients suffering from Parkinson´s disease as an important comorbidity. |
doi_str_mv | 10.1371/journal.pone.0151563 |
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This observational retrospective survey was performed by reviewing data from the National Surveillance System for Hospital Data, which includes more than 98% of Spanish hospitals. All hospitalizations of patients with Parkinson´s disease that were reported from 1997-2012 were analyzed. Codes were selected using the 9th International Classification of Diseases: ICD-9-CM: 332.0.
A total of 438,513 hospital discharges of patients with Parkinson´s Disease were reported during the study period. The annual hospitalization rate was 64.2 cases per 100,000. The average length of hospital stay was 10 days. The trend for the annual hospitalization rate differed significantly depending on whether Parkinson´s disease was the main cause of hospitalization (n = 23,086, 1.14% annual increase) or was not the main cause of hospitalization (n = 415,427, 15.37% annual increase). The overall case-fatality rate among hospitalized patients was 10%. The case fatality rate among patient´s hospitalized with Parkinson´s disease as the main cause of hospitalization was 2.5%. The hospitalization rate and case-fatality rate significantly increased with age. The primary causes of hospitalization when Parkinson´s disease was not coded as the main cause of hospitalization were as follows: respiratory system diseases (24%), circulatory system diseases (19%), injuries and poisoning, including fractures (12%), diseases of the digestive system (10%) and neoplasms (5%). The annual average cost for National Health Care System was € 120 M, with a mean hospitalization cost of €4,378.
Parkinson´s disease poses a significant health threat in Spain, particularly in the elderly. While hospitalizations due to Parkinson´s Disease are relatively stable over time, the number of patients presenting with Parkinson´s disease as an important comorbidity has increased dramatically. Medical staff must be specifically trained to treat the particular needs of hospitalized patients suffering from Parkinson´s disease as an important comorbidity.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0151563</identifier><identifier>PMID: 26977930</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Age Factors ; Aged ; Aged, 80 and over ; Biology and Life Sciences ; Cardiovascular Diseases - epidemiology ; Circulatory system ; Comorbidity ; Diabetes Mellitus - epidemiology ; Digestive system ; Digestive System Diseases - epidemiology ; Diseases ; Emergency Service, Hospital - economics ; Emergency Service, Hospital - statistics & numerical data ; Epidemiology ; Female ; Fractures ; Geriatrics ; Health care ; Health Care Surveys ; Health risks ; Hospital Mortality ; Hospitalization ; Hospitalization - economics ; Hospitalization - statistics & numerical data ; Hospitals, Public - economics ; Hospitals, Public - statistics & numerical data ; Humans ; Hyperlipidemias - epidemiology ; International Classification of Diseases ; Male ; Medical diagnosis ; Medical personnel ; Medicine and Health Sciences ; Middle Aged ; Mortality ; National Health Programs - economics ; National Health Programs - statistics & numerical data ; Neoplasms ; Neoplasms - epidemiology ; Older people ; Parkinson Disease - epidemiology ; Parkinson's disease ; Patient Discharge - statistics & numerical data ; Patients ; People and Places ; Preventive medicine ; Respiration Disorders - epidemiology ; Respiratory system ; Retrospective Studies ; Spain - epidemiology ; Wounds and Injuries - epidemiology</subject><ispartof>PloS one, 2016, Vol.11 (3), p.e0151563</ispartof><rights>2016 Gil-Prieto et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2016 Gil-Prieto et al 2016 Gil-Prieto et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3713-117039c7009ec0f66a1feac2a8b0cd931c731bab321233221f0cc436af0054c33</citedby><cites>FETCH-LOGICAL-c3713-117039c7009ec0f66a1feac2a8b0cd931c731bab321233221f0cc436af0054c33</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/1773465708/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/1773465708?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,4024,25753,27923,27924,27925,37012,44590,53791,53793,75126</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26977930$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Gonzalez-Alegre, Pedro</contributor><creatorcontrib>Gil-Prieto, Ruth</creatorcontrib><creatorcontrib>Pascual-Garcia, Raquel</creatorcontrib><creatorcontrib>San-Roman-Montero, Jesus</creatorcontrib><creatorcontrib>Martinez-Martin, Pablo</creatorcontrib><creatorcontrib>Castrodeza-Sanz, Javier</creatorcontrib><creatorcontrib>Gil-de-Miguel, Angel</creatorcontrib><title>Measuring the Burden of Hospitalization in Patients with Parkinson´s Disease in Spain</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>This epidemiological survey estimates the hospitalization burden related to Parkinson´s Disease in Spain.
This observational retrospective survey was performed by reviewing data from the National Surveillance System for Hospital Data, which includes more than 98% of Spanish hospitals. All hospitalizations of patients with Parkinson´s disease that were reported from 1997-2012 were analyzed. Codes were selected using the 9th International Classification of Diseases: ICD-9-CM: 332.0.
A total of 438,513 hospital discharges of patients with Parkinson´s Disease were reported during the study period. The annual hospitalization rate was 64.2 cases per 100,000. The average length of hospital stay was 10 days. The trend for the annual hospitalization rate differed significantly depending on whether Parkinson´s disease was the main cause of hospitalization (n = 23,086, 1.14% annual increase) or was not the main cause of hospitalization (n = 415,427, 15.37% annual increase). The overall case-fatality rate among hospitalized patients was 10%. The case fatality rate among patient´s hospitalized with Parkinson´s disease as the main cause of hospitalization was 2.5%. The hospitalization rate and case-fatality rate significantly increased with age. The primary causes of hospitalization when Parkinson´s disease was not coded as the main cause of hospitalization were as follows: respiratory system diseases (24%), circulatory system diseases (19%), injuries and poisoning, including fractures (12%), diseases of the digestive system (10%) and neoplasms (5%). The annual average cost for National Health Care System was € 120 M, with a mean hospitalization cost of €4,378.
Parkinson´s disease poses a significant health threat in Spain, particularly in the elderly. While hospitalizations due to Parkinson´s Disease are relatively stable over time, the number of patients presenting with Parkinson´s disease as an important comorbidity has increased dramatically. Medical staff must be specifically trained to treat the particular needs of hospitalized patients suffering from Parkinson´s disease as an important comorbidity.</description><subject>Age Factors</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biology and Life Sciences</subject><subject>Cardiovascular Diseases - epidemiology</subject><subject>Circulatory system</subject><subject>Comorbidity</subject><subject>Diabetes Mellitus - epidemiology</subject><subject>Digestive system</subject><subject>Digestive System Diseases - epidemiology</subject><subject>Diseases</subject><subject>Emergency Service, Hospital - economics</subject><subject>Emergency Service, Hospital - statistics & numerical data</subject><subject>Epidemiology</subject><subject>Female</subject><subject>Fractures</subject><subject>Geriatrics</subject><subject>Health care</subject><subject>Health Care Surveys</subject><subject>Health risks</subject><subject>Hospital Mortality</subject><subject>Hospitalization</subject><subject>Hospitalization - economics</subject><subject>Hospitalization - statistics & numerical data</subject><subject>Hospitals, Public - economics</subject><subject>Hospitals, Public - statistics & numerical data</subject><subject>Humans</subject><subject>Hyperlipidemias - epidemiology</subject><subject>International Classification of Diseases</subject><subject>Male</subject><subject>Medical diagnosis</subject><subject>Medical personnel</subject><subject>Medicine and Health Sciences</subject><subject>Middle Aged</subject><subject>Mortality</subject><subject>National Health Programs - economics</subject><subject>National Health Programs - statistics & numerical data</subject><subject>Neoplasms</subject><subject>Neoplasms - epidemiology</subject><subject>Older people</subject><subject>Parkinson Disease - epidemiology</subject><subject>Parkinson's disease</subject><subject>Patient Discharge - statistics & numerical data</subject><subject>Patients</subject><subject>People and Places</subject><subject>Preventive medicine</subject><subject>Respiration Disorders - epidemiology</subject><subject>Respiratory system</subject><subject>Retrospective Studies</subject><subject>Spain - epidemiology</subject><subject>Wounds and Injuries - epidemiology</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNp1kd1uFCEUx4nR2Fp9A6OTeL0rcBgYbky0VtukRhM_bslZhtllncIUZmz0uXwCn0zWnTbthVcc4H9-5-NPyFNGlwwUe7mNUwrYL4cY3JKymtUS7pFDpoEvJKdw_1Z8QB7lvKW0hkbKh-SAS62UBnpIvn1wmKfkw7oaN656M6XWhSp21WnMgx-x979w9DFUPlSfSuTCmKsrP27KLX33Icfw53eu3vpcOG6n-jygD4_Jgw777J7M5xH5-u7ky_Hp4vzj-7Pj1-cLW0aABWOKgraKUu0s7aRE1jm0HJsVta0GZhWwFa6AMw7AOeuotQIkdmUWYQGOyPM9d-hjNvNKsmFKgZC1ok1RnO0VbcStGZK_wPTTRPTm30NMa4Np9LZ3hslat2B1q5AK1egGGyWYRdVxRUXNC-vVXG1aXbjWlmUk7O9A7_4EvzHr-MMIpbmQugBezIAULyeXx_-0LPYqm2LOyXU3FRg1O--vs8zOezN7X9Ke3e7uJunabPgLnK6tSA</recordid><startdate>2016</startdate><enddate>2016</enddate><creator>Gil-Prieto, Ruth</creator><creator>Pascual-Garcia, Raquel</creator><creator>San-Roman-Montero, Jesus</creator><creator>Martinez-Martin, Pablo</creator><creator>Castrodeza-Sanz, Javier</creator><creator>Gil-de-Miguel, Angel</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7QO</scope><scope>7RV</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TG</scope><scope>7TM</scope><scope>7U9</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>KB0</scope><scope>KL.</scope><scope>L6V</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PATMY</scope><scope>PDBOC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>RC3</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>2016</creationdate><title>Measuring the Burden of Hospitalization in Patients with Parkinson´s Disease in Spain</title><author>Gil-Prieto, Ruth ; Pascual-Garcia, Raquel ; San-Roman-Montero, Jesus ; Martinez-Martin, Pablo ; Castrodeza-Sanz, Javier ; Gil-de-Miguel, Angel</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3713-117039c7009ec0f66a1feac2a8b0cd931c731bab321233221f0cc436af0054c33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Age Factors</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biology and Life Sciences</topic><topic>Cardiovascular Diseases - epidemiology</topic><topic>Circulatory system</topic><topic>Comorbidity</topic><topic>Diabetes Mellitus - epidemiology</topic><topic>Digestive system</topic><topic>Digestive System Diseases - epidemiology</topic><topic>Diseases</topic><topic>Emergency Service, Hospital - economics</topic><topic>Emergency Service, Hospital - statistics & numerical data</topic><topic>Epidemiology</topic><topic>Female</topic><topic>Fractures</topic><topic>Geriatrics</topic><topic>Health care</topic><topic>Health Care Surveys</topic><topic>Health risks</topic><topic>Hospital Mortality</topic><topic>Hospitalization</topic><topic>Hospitalization - economics</topic><topic>Hospitalization - statistics & numerical data</topic><topic>Hospitals, Public - economics</topic><topic>Hospitals, Public - statistics & numerical data</topic><topic>Humans</topic><topic>Hyperlipidemias - epidemiology</topic><topic>International Classification of Diseases</topic><topic>Male</topic><topic>Medical diagnosis</topic><topic>Medical personnel</topic><topic>Medicine and Health Sciences</topic><topic>Middle Aged</topic><topic>Mortality</topic><topic>National Health Programs - economics</topic><topic>National Health Programs - statistics & numerical data</topic><topic>Neoplasms</topic><topic>Neoplasms - epidemiology</topic><topic>Older people</topic><topic>Parkinson Disease - epidemiology</topic><topic>Parkinson's disease</topic><topic>Patient Discharge - statistics & numerical data</topic><topic>Patients</topic><topic>People and Places</topic><topic>Preventive medicine</topic><topic>Respiration Disorders - epidemiology</topic><topic>Respiratory system</topic><topic>Retrospective Studies</topic><topic>Spain - epidemiology</topic><topic>Wounds and Injuries - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gil-Prieto, Ruth</creatorcontrib><creatorcontrib>Pascual-Garcia, Raquel</creatorcontrib><creatorcontrib>San-Roman-Montero, Jesus</creatorcontrib><creatorcontrib>Martinez-Martin, Pablo</creatorcontrib><creatorcontrib>Castrodeza-Sanz, Javier</creatorcontrib><creatorcontrib>Gil-de-Miguel, Angel</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Animal Behavior Abstracts</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Biotechnology Research Abstracts</collection><collection>ProQuest Nursing and Allied Health Source</collection><collection>Ecology Abstracts</collection><collection>Entomology Abstracts (Full archive)</collection><collection>Immunology Abstracts</collection><collection>Meteorological & Geoastrophysical Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Agricultural Science Collection</collection><collection>ProQuest Health and Medical</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database (Proquest)</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Materials Science & Engineering Collection</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>Advanced Technologies & Aerospace Collection</collection><collection>Agricultural & Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>Technology Collection</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Materials Science Collection</collection><collection>ProQuest Central</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Materials Science Database</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Meteorological & Geoastrophysical Abstracts - 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This observational retrospective survey was performed by reviewing data from the National Surveillance System for Hospital Data, which includes more than 98% of Spanish hospitals. All hospitalizations of patients with Parkinson´s disease that were reported from 1997-2012 were analyzed. Codes were selected using the 9th International Classification of Diseases: ICD-9-CM: 332.0.
A total of 438,513 hospital discharges of patients with Parkinson´s Disease were reported during the study period. The annual hospitalization rate was 64.2 cases per 100,000. The average length of hospital stay was 10 days. The trend for the annual hospitalization rate differed significantly depending on whether Parkinson´s disease was the main cause of hospitalization (n = 23,086, 1.14% annual increase) or was not the main cause of hospitalization (n = 415,427, 15.37% annual increase). The overall case-fatality rate among hospitalized patients was 10%. The case fatality rate among patient´s hospitalized with Parkinson´s disease as the main cause of hospitalization was 2.5%. The hospitalization rate and case-fatality rate significantly increased with age. The primary causes of hospitalization when Parkinson´s disease was not coded as the main cause of hospitalization were as follows: respiratory system diseases (24%), circulatory system diseases (19%), injuries and poisoning, including fractures (12%), diseases of the digestive system (10%) and neoplasms (5%). The annual average cost for National Health Care System was € 120 M, with a mean hospitalization cost of €4,378.
Parkinson´s disease poses a significant health threat in Spain, particularly in the elderly. While hospitalizations due to Parkinson´s Disease are relatively stable over time, the number of patients presenting with Parkinson´s disease as an important comorbidity has increased dramatically. Medical staff must be specifically trained to treat the particular needs of hospitalized patients suffering from Parkinson´s disease as an important comorbidity.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>26977930</pmid><doi>10.1371/journal.pone.0151563</doi><oa>free_for_read</oa></addata></record> |
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subjects | Age Factors Aged Aged, 80 and over Biology and Life Sciences Cardiovascular Diseases - epidemiology Circulatory system Comorbidity Diabetes Mellitus - epidemiology Digestive system Digestive System Diseases - epidemiology Diseases Emergency Service, Hospital - economics Emergency Service, Hospital - statistics & numerical data Epidemiology Female Fractures Geriatrics Health care Health Care Surveys Health risks Hospital Mortality Hospitalization Hospitalization - economics Hospitalization - statistics & numerical data Hospitals, Public - economics Hospitals, Public - statistics & numerical data Humans Hyperlipidemias - epidemiology International Classification of Diseases Male Medical diagnosis Medical personnel Medicine and Health Sciences Middle Aged Mortality National Health Programs - economics National Health Programs - statistics & numerical data Neoplasms Neoplasms - epidemiology Older people Parkinson Disease - epidemiology Parkinson's disease Patient Discharge - statistics & numerical data Patients People and Places Preventive medicine Respiration Disorders - epidemiology Respiratory system Retrospective Studies Spain - epidemiology Wounds and Injuries - epidemiology |
title | Measuring the Burden of Hospitalization in Patients with Parkinson´s Disease in Spain |
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