Adverse effects and complications of continuous intestinal infusion of levodopa-carbidopa in a cohort of patients with Parkinson's disease in a tertiary hospital

INTRODUCTION: Continuous intestinal infusion of levodopa/carbidopa is a second-line treatment indicated in advanced stages of Parkinson's disease (PD). For its implantation, a percutaneous endoscopic gastrostomy must be performed.

OBJECTIVES: The main objective has been to describe the frequency and characteristics of the side effects associated with this treatment. As a secondary objective, we have analyzed the epidemiological and clinical characteristics of the PD patients who have received this treatment in our hospital.

PATIENTS AND METHODS: Descriptive, single-center, retrospective study for a consecutive sample of PD patients treated with Continuous intestinal infusion of Levodopa/Carbidopa from the beginning of 2006 to the end of August 2021.

RESULTS: 81 treatment planifications have been analyzed. Treatment success (duration greater than 12 months) was achieved in 78.1% (n = 50) of the patients in whom this follow-up period was available. The median duration of treatment was 35 months. 58.6% of the patients presented some type of complication. A total of 43 minor complications and 16 serious adverse events were reported.

CONCLUSION: The constitution of an experienced multidisciplinary team is essential to guarantee the adequate management and follow-up of these patients.

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:74

Enthalten in:

Revista de neurologia - 74(2022), 5 vom: 01. März, Seite 143-148

Sprache:

Spanisch

Weiterer Titel:

Efectos adversos y complicaciones de la infusión intestinal continua de levodopa-carbidopa en una cohorte de pacientes con enfermedad de Parkinson de un hospital terciario

Beteiligte Personen:

Campins-Romeu, M [VerfasserIn]
Sastre-Bataller, I [VerfasserIn]
Pons-Beltrán, V [VerfasserIn]
Baviera-Muñoz, R [VerfasserIn]
Losada-López, M [VerfasserIn]
Morata-Martínez, C [VerfasserIn]
Pérez-García, J [VerfasserIn]
Martínez-Torres, I [VerfasserIn]

Links:

Volltext

Themen:

46627O600J
Antiparkinson Agents
Carbidopa
Drug Combinations
Gels
Journal Article
Levodopa
MNX7R8C5VO

Anmerkungen:

Date Completed 04.04.2022

Date Revised 05.04.2022

published: Print

Citation Status MEDLINE

doi:

10.33588/rn.7405.2021482

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM337434794