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Research Article| Volume 107, P133-137, January 2023

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Multidisciplinary clinic contributes to the decreasing trend in the number of emergency hospitalizations for amyotrophic lateral sclerosis in Japan

DOI:https://doi.org/10.1016/j.jocn.2022.10.011
Multidisciplinary clinic contributes to the decreasing trend in the number of emergency hospitalizations for amyotrophic lateral sclerosis in Japan
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      Highlights

      • •
        A wide range of medical care is required in patients with ALS as symptoms progress.
      • •
        The medical charts of patients with amyotrophic lateral sclerosis were studied.
      • •
        Collaborative care by multidisciplinary team is recommended for patients with ALS.
      • •
        The multidisciplinary care team for ALS shares information on treatment and problems.
      • •
        Multidisciplinary care effectively controlled multiple emergency hospitalizations and improved survival.

      Abstract

      Background

      Multidisciplinary care is recommended for amyotrophic lateral sclerosis (ALS). We opened the first multidisciplinary care “ALS clinic” in Japan in February 2017. This study aimed to clarify the impact of multidisciplinary care on the number and incidence rate of emergency hospitalizations, as well as the survival rate of patients with ALS.

      Methods

      We studied the medical charts of patients with ALS who visited our hospital between March 1, 2014, and February 29, 2020, in a retrospective study. All patients were divided into two groups: a General Neurology Clinic group (GNC) and an ALS Clinic group (AC), based on the duration of the first visit to our hospital.

      Results

      The survey participants included 90 patients with ALS (32 in the GNC vs 58 in the AC). The mean follow-up duration was 276 ± 257 days in the GNC and 307 ± 267 days in the AC. The number of emergency hospitalizations was 11 in the GNC and nine in the AC. The number of patients with two or more emergency hospitalizations was decreased in the AC (3 in the GNC vs 0 in the AC), which was statistically significantly different (p = 0.04). The survival rate was significantly different between the two groups (p = 0.01).

      Conclusions

      Our results suggest that intervention through ALS multidisciplinary care in the hospital setting effectively controls emergency hospitalizations and improves the survival rate in patients with ALS. Multidisciplinary care is recommended since various medical treatments are required as the condition progresses.

      Keywords

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      Article info

      Publication history

      Accepted: October 10, 2022
      Received: June 30, 2022

      Identification

      DOI: https://doi.org/10.1016/j.jocn.2022.10.011

      Copyright

      © 2022 Elsevier Ltd. All rights reserved.

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