Dementia and COVID-19: complications of managing a pandemic during another pandemic

Sadigh-Eteghad, Saeed; Seyedi‐Sahebari, Sepideh; Naseri, Amirreza

doi:10.1590/1980-57642020dn14-040017

Cited by 4 publications

(4 citation statements)

References 14 publications

(19 reference statements)

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“…Elderly people with dementia associated with Alzheimer’s disease (ADRD) are a particularly vulnerable group as they often have comorbidities [ 17 , 18 , 19 ]. Moreover, individuals with dementia are more likely to experience strokes, atherosclerosis, diabetes, insomnia, urinary incontinence, fractures and pneumonia compared to individuals of the same age without dementia [ 20 ], again putting them at greater risk of developing severe COVID-19 symptoms if they become infected with the virus, leading to higher mortality in this patient population [ 21 ].Compliance with public health authorities’ recommendations to reduce the transmission and spread of COVID-19 may not be achievable in ADRD patients for a variety of reasons. People with Alzheimer’s disease may have a higher risk of developing COVID-19 [ 21 ].…”

Section: Resultsmentioning

confidence: 99%

“…Moreover, individuals with dementia are more likely to experience strokes, atherosclerosis, diabetes, insomnia, urinary incontinence, fractures and pneumonia compared to individuals of the same age without dementia [ 20 ], again putting them at greater risk of developing severe COVID-19 symptoms if they become infected with the virus, leading to higher mortality in this patient population [ 21 ].Compliance with public health authorities’ recommendations to reduce the transmission and spread of COVID-19 may not be achievable in ADRD patients for a variety of reasons. People with Alzheimer’s disease may have a higher risk of developing COVID-19 [ 21 ]. They may be unable to follow public health recommendations for preventing SARS-CoV-2 infection, such as covering their mouth and nose when coughing, hand hygiene, physically distancing from others or staying at home.…”

Section: Resultsmentioning

confidence: 99%

“…Prolonged hospitalization would bear dire consequences for these individuals. Therefore, caring for Alzheimer’s patients, who are often older and have multiple risk factors, poses a serious challenge to public health, carers, health workers and nursing homes if they become infected with SARS-CoV-2 [ 21 , 22 ]. Doctors must be especially vigilant about COVID-19 problems that could directly impact patient care.…”

Section: Resultsmentioning

confidence: 99%

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Social Stigma of Patients Suffering from COVID-19: Challenges for Health Care System

Rewerska-Juśko

Rejdak

2022

Healthcare

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The meaning of the term social stigma has changed over the years. The history of this concept dates back to ancient times. Currently, social stigma is defined as the attitude of discrimination, disapproval, or negative perception of a given group due to the properties and features it represents. Stigmatization concerns the physical and mental spheres of an individual. The burden of stigma affects many people. Moreover, it is present in medicine, affects people with COVID-19 and presents a challenge for the health care system. Social stigma of individuals with COVID-19 is a worldwide problem and can be compounded by including race, profession, social status, religious identity, and vaccination status. Stigmatization may lead to negative consequences, including discrimination and social rejection of stigmatized individuals. In addition, it affects the close relatives of stigmatized individuals. The main goal of this review paper is to present the problem of stigma among patients suffering from COVID-19 and to list major challenges for the health care system in solving this problem. We undertook a review of literature published in PubMed systems, Scopus and Google Scholar. The results indicate that the stigmatization bears many negative consequences including limited access to health care, potential impact on health status of patients and worse outcomes. Early identification of the problem may help to implement appropriate strategies to combat the stigma.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Social Stigma of Patients Suffering from COVID-19: Challenges for Health Care System

Rewerska-Juśko

Rejdak

2022

Healthcare

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“…Dementia develops in one person every 3 seconds. This figure is expected to increase to 152 million by 2050 [12,13].…”

Section: Globalize Your Researchmentioning

confidence: 99%

Pathomorphosis of Vascular Dementia with Psychotic Symptoms

Karimova¹

2022

JNNS

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Objective: To study the pathomorphosis of vascular dementia over the past 30 years. The study of the pathomorphosis of mental disorders makes significant adjustments to the criteria for diagnosis and nosography. Dementia has also undergone pathomorphosis over the years. Materials and Methods: The research was carried out in the Psychiatric Hospitalsin Azerbaijan. A retrospective analysis was carried out for the period 1990-1999, which were compared with a similar contingent during 2010-2020. Results: The number of hospitalized patients with vascular dementia has increased over the past 10 years, which means both an increase in the incidence of the disease and an increase in symptoms requiring psychiatric treatment. Conclusions: Pathomorphosis has also manifested itself in sex. Thus, the number of female patients has increased in the last 10 years. As a result of the disease, there is a positive trend, a decrease in mortality.

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Outcomes of COVID-19-Associated Hospitalizations in Geriatric Patients with Dementia in the United States: A Propensity Score Matched Analysis

Escobar Gil,

Quazi,

Verma

et al. 2024

Geriatrics

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Previous studies have convincingly demonstrated the negative impact of dementia on overall health outcomes. In the context of the COVID-19 pandemic, there is burgeoning evidence suggesting a possible association between dementia and adverse outcomes, however the relationship has not been conclusively established. We conducted a retrospective cohort study involving 816,960 hospitalized COVID-19 patients aged 65 or older from the 2020 national inpatient sample. The cohort was bifurcated into patients with dementia (n = 180,845) and those without (n = 636,115). Multivariate regression and propensity score matched analyses (PSM) assessed in-hospital mortality and complications. We observed that COVID-19 patients with dementia had a notably higher risk of in-hospital mortality (23.1% vs. 18.6%; aOR = 1.2 [95% CI 1.1–1.2]). This elevated risk persisted even after PSM. Interestingly, dementia patients had a reduced risk of several acute in-hospital complications, including liver failure and sudden cardiac arrest. Nevertheless, they had longer hospital stays and lower total hospital charges. Our findings conclusively demonstrate that dementia patients face a heightened risk of mortality when hospitalized with COVID-19 but are less likely to experience certain complications. This complexity underscores the urgent need for individualized care strategies for this vulnerable group.

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Dementia and COVID-19: complications of managing a pandemic during another pandemic

Cited by 4 publications

References 14 publications

Social Stigma of Patients Suffering from COVID-19: Challenges for Health Care System

Social Stigma of Patients Suffering from COVID-19: Challenges for Health Care System

Pathomorphosis of Vascular Dementia with Psychotic Symptoms

Outcomes of COVID-19-Associated Hospitalizations in Geriatric Patients with Dementia in the United States: A Propensity Score Matched Analysis

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