Table 1.
Aim | Outcome measure | Codes |
---|---|---|
1. Healthcare services change | Any outpatient visit | Any visit recorded in the outpatient specialist services database |
Any neurologic outpatient visit | Any neurologic visit recorded in the outpatient specialist services database | |
Any outpatient physical therapy evaluation or treatment | Any physical therapy visit or activity recorded in the outpatient specialist services database | |
Any test | Any test recorded in the outpatient specialist services database | |
Any non-urgent hospital admission | Any scheduled admission recorded in the hospital discharge administrative database | |
Any drug prescriptiona | Any prescription recorded in the drug prescription databases | |
Parkinson's disease drug prescriptiona | ATC codes: N04BA02, N04BA03 and N04BA05 for Levodopa; N04BC04, N04BC05, N04BC01 and N04BC09 for dopamine agonists; N04BD01, N04BD02 and N04BD03 for MAO inhibitors | |
2. Impact analysis | Any urgent hospital admission | Any urgent admission recorded in the hospital discharge administrative database |
Hospital admissions for major injuries | ICD-9-CM codes: 800–829 (fracture of skull/of spine and trunk/of upper and lower limb); 850–854 (intracranial injury excluding those with skull fracture); 717 (internal derangement of knee); 920 (contusion of face, scalp, and neck except eye(s)); 905.2–905.4 (late effect of fracture of neck of femur/of lower extremities); 733.13 (pathologic fracture of vertebrae); 922.31 (contusion of back); 924.01 (contusion of hip); 959.11–959.12 (other injury of chest wall/of abdomen); 959.19 (other injury of other sites of trunk) | |
Hospital admissions for infectionsb | ICD-9-CM codes: 480–486, 466, 507 (pneumonia); 038 (septicaemia); 595 (cystitis); 707 (decubitus) | |
Hospital admissions for gastro-intestinal events | ICD-9-CM codes: 560 (intestinal obstruction); 562 (diverticular disease); 567 (peritonitis); 569 (intestinal or peritoneal abscess/intestinal perforation/intestinal fistula); 578 (diverticular bleeding) | |
Hospital admissions for thromboembolic events | ICD-9-CM codes: 451 (deep vein thrombosis); 415 (pulmonary embolism) | |
Hospital admissions for psychiatric events | ICD-9-CM codes: 290–299, 300–315.9 (psychosis) | |
Hospital admissions for hypotension/syncope | ICD-9-CM codes: 780.2 (hypotension); 458 (syncope) | |
Hospital admissions for acute cardiac and cerebrovascular events | ICD-9-CM codes: 410–411, 428 (acute cardiac events); 430–434, 436 (acute cerebrovascular events). | |
3. Prognostic analysis | All categories related to aim 2 were merged as composite any PD related major clinical outcome | Same as above |
Calculated as days of therapy on the basis of Defined Daily Doses.
Discharge codes related to COVID-19 events were excluded (079.82; 480.3).