Dementia Clinical Care in Relation to COVID-19.

IF 2 4区医学 Q1 Medicine

Current Treatment Options in Neurology Pub Date : 2022-01-01 Epub Date: 2022-02-23 DOI:10.1007/s11940-022-00706-7

Angelo Bianchetti, Renzo Rozzini, Luca Bianchetti, Flaminia Coccia, Fabio Guerini, Marco Trabucchi

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引用次数: 0

Abstract

Purpose of review: This review discusses the complex relationship between COVID-19 and dementia and how the pandemic has affected the management of patients with dementia. This population resulted particularly susceptible to SARS-CoV-2 infection and its effects and also to the negative effects of the measures taken worldwide to control the spread of the virus.

Recent findings: Patients with dementia were at increased risk for COVID-19 compared to patients without dementia, and diagnosis of dementia represents an independent risk factor for hospitalization in COVID-19 patients. Mortality due to SARS-CoV2 infection in subjects with dementia is 2-5 times higher than in the general population. Cognitive impairment and delirium have been described in COVID-19 survivors. SARS-COV2 pandemic exacerbates the vulnerability of dementia patients and their caregivers, due to the morbidity and mortality from COVID-19, the indirect effects of the pandemic on the social supports, and the effects on healthcare system on which they depend.

Summary: The COVID-19 pandemic requires people with dementia to move from traditional models of health care to innovative models for home care, to support caregivers' burden, and to improve long term care.

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与新冠肺炎相关的痴呆症临床护理

综述目的：本综述讨论了 COVID-19 与痴呆症之间的复杂关系，以及该流行病如何影响痴呆症患者的管理。这一人群特别容易感染 SARS-CoV-2 及其影响，也容易受到全球为控制病毒传播所采取的措施的负面影响：与非痴呆症患者相比，痴呆症患者感染 COVID-19 的风险更高，痴呆症诊断是 COVID-19 患者住院的一个独立风险因素。痴呆症患者因感染 SARS-CoV2 而导致的死亡率是普通人群的 2-5 倍。在 COVID-19 的幸存者中出现过认知障碍和谵妄。由于 COVID-19 的发病率和死亡率、大流行对社会支持的间接影响以及对他们所依赖的医疗保健系统的影响，SARS-COV2 大流行加剧了痴呆症患者及其护理者的脆弱性。摘要：COVID-19 大流行要求痴呆症患者从传统的医疗保健模式转向创新的家庭护理模式，以支持护理者的负担，并改善长期护理。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current Treatment Options in Neurology CLINICAL NEUROLOGY-

CiteScore

4.00

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： This journal aims to review the most important, recently published treatment option advances in the field of neurology. By presenting clear, insightful, balanced contributions by international experts, the journal intends to facilitate worldwide approaches to the treatment of neurologic conditions. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as epilepsy, headache, neurologic ophthalmology and otology, neuromuscular disorders, psychiatric manifestations of neurologic disease, and sleep disorders. Section Editors select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. We also provide commentaries from well-known neurologists, and an international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research.