Behavioral and Psychological Effects of Coronavirus Disease-19 Quarantine in Patients With Dementia

Cagnin, Annachiara; Lorenzo, Raffaele Di; Marra, Camillo; Bonanni, Laura; Cupidi, Chiara; Laganà, Valentina; Rubino, Elisa; Vacca, Alessandro; Provero, Paolo; Isella, Valeria; Vanacore, Nicola; Agosta, Federica; Appollonio, Ildebrando; Caffarra, Paolo; Pettenuzzo, Ilaria; Sambati, Renato; Quaranta, Davide; Guglielmi, Valeria; Logroscino, Giancarlo; Filippi, Massimo; Tedeschi, Gioacchino; Ferrarese, Carlo; Rainero, Innocenzo; Bruni, Amalia C.

doi:10.3389/fpsyt.2020.578015

Cited by 192 publications

(282 citation statements)

References 55 publications

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“…Moreover, the social restrictions and increased isolation may lead to increased negative effects on memory disorders and neuropsychiatric symptoms of older people with NCD (18,19). In fact, recent data on this topic reported an increase of behavioral symptoms in elderly with dementia (8)(9)(10). It is also possible that there may be an increased need for assessment of new patients in geriatric psychiatry settings as a result of the negative consequence of quarantine and social distancing measures.…”

Section: Discussionmentioning

confidence: 99%

“…Many countries have employed similar restrictive measures (2-4) and have made changes to the routine management of patients with non-communicable diseases [e.g., canceling "so-called" non-urgent appointments, which have important implications for the identification and treatment, and therefore for the progression of these chronic conditions (5)]. Although the focus on procedures to urgently slow SARS-CoV-2 infection rates and minimize the number of infected individuals has extreme importance, it has short-and long-term negative consequences on health and well-being of patients with non-communicable diseases, including neurocognitive disorders (NCD) (6)(7)(8)(9)(10).…”

Section: Introductionmentioning

confidence: 99%

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Effects of COVID-19 Infection Control Measures on Appointment Cancelation in an Italian Outpatient Memory Clinic

et al. 2020

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Background: In the first wave of the COVID-19 pandemic in 2020, many countries made changes to the routine management of patients with non-communicable diseases, including neurocognitive disorders. Therefore, many “so-called” non-urgent elective procedures and outpatient appointments have been canceled or postponed, possibly impacting negatively on health and well-being of patients in the short- and long-term.Aim: Here, we aimed at describing numbers and types of outpatient appointments canceled as a result of government's restrictive measures in our memory clinic.Methods: The scheduled appointments at the memory clinic of the Santa Lucia Foundation IRCCS, Rome, Italy, are recorded in a comprehensive dataset under strict administrative control. Here, we compared appointments (first-time and follow-up) that were canceled from January to April 2020 with those of the corresponding months in 2019.Results: We observed a substantial decrease in appointments during 2020. The majority of scheduled appointments were follow-up, and about a quarter were first-time appointments. We estimated that 66.7% and 77.4% of patients missed out respectively their first and follow-up appointments in our memory clinic due to government's restrictive measures in March–April 2020.Conclusions: A large number of patients with neurocognitive disorders missed crucial appointments due to government's restrictive measures, and many experienced a delay in initial diagnosis and initiation of treatment. This has relevant impact on their treatment and consequently has (is still having and potentially will have) an increase on the healthcare service burden of clinics. Furthermore, as a second wave of COVID-19 affects Europe, and with winter approaching, it is a compelling priority to ensure easy and rapid access to appropriate assessment, care and treatment in the event of a new outbreak and potential subsequent lockdowns, with particular attention to the development of specific healthcare technologies customized to older persons with cognitive impairment.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Effects of COVID-19 Infection Control Measures on Appointment Cancelation in an Italian Outpatient Memory Clinic

et al. 2020

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“…Recently, Cagnin and Coll. [60] reported an extended survey on the effect of COVID-related lockdown in Italy. They showed that quarantine induces a rapid increase of BPSD in approximately 60% of patients and stress-related symptoms in two-thirds of caregivers and concluded that health services need to plan a post-pandemic strategy in order to address these emerging needs.…”

Section: Impact Of Covid-19 On Psychiatric Health Of Patients With Comentioning

confidence: 99%

Direct and indirect neurological, cognitive, and behavioral effects of COVID-19 on the healthy elderly, mild-cognitive-impairment, and Alzheimer’s disease populations

2021

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“…However, it is not rare that different strategies are implemented at the national, and sub-national or institutional levels. This may be due to perceived socioeconomic pressures 38 , to staffing concerns, especially with respect to health care workers when hospital systems are under strain 39 , or to patient care considerations, given the detrimental effect that long isolation periods can for example have on cognitively impaired patients 40 . In these settings, testing is frequently used to shorten the duration of quarantine and/or isolation.…”

Section: Introductionmentioning

confidence: 99%

“…A. Prevalence estimation for travellers entering from a country with a stable incidence (50 cases/100,000/week for the last 5 weeks), B. a declining incidence (200, 160, 120, 80, 40 cases/100,000/week for the last five weeks) and C. a rising incidence(20,40,80, 160, 320 cases/100,000/week for the last five weeks). D. Time-dependent PCR sensitivities in the respective cohorts of travellers in the days post-entry.…”

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confidence: 99%

COVIDStrategyCalculator: A software to assess testing- and quarantine strategies for incoming travelers, contact person management and de-isolation

Toorn

Bourquain

et al. 2020

Preprint

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In early 2020 COVID-19 turned into a global pandemic. Non-pharmaceutical interventions (NPIs), including the isolation of infected individuals, tracing and quarantine of exposed individuals are decisive tools to prevent onwards transmission and curb fatalities. Strategies that combine NPIs with SARS-CoV-2 testing may help to shorten quarantine durations while being non-inferior with respect to infection prevention. Thus, combined strategies can help reducing the socio-economic burden of SARS-CoV-2 and increase public acceptance.We developed a software that enables policy makers to calculate the reduction in transmissibility through quarantine or isolation in combination with arbitrary testing strategies. The user chooses between three different modi [(i) isolation of infected individuals, (ii) management of potentially infected contacts and (iii) quarantine of incoming travelers], while having flexibility in customizing testing strategies and model parameters. The software enables decision makers to tailor calculations specifically to their questions and perform an assessment ‘on the fly’, based on current evidence on infection dynamics.Underneath, we analytically solve a stochastic transit compartment model of the infection time course, which captures temporal changes in test sensitivities, incubation- and infectious periods, as well as times to symptom onset using its default parameters.Using default parameters, we estimated that testing travelers at the point of entry reduces the risk about 4.69 (4.19,4.83) fold for PCR vs. 3.59 (3.22, 3.69) fold for rapid diagnostic tests (RDT, 87% relative sensitivity) when combined with symptom screening. In comparison to 14 days of pure quarantine, 8 (PCR) vs. 10 (RDT) days of pre-test quarantine would be noninferior for incoming travelers as well as for contact person management. De-isolation of infected individuals 11 days after symptom onset reduces the risk by >99fold (7.68,>1012). This tool is freely available from: https://github.com/CovidStrategyCalculator/CovidStrategyCalculator

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Behavioral and Psychological Effects of Coronavirus Disease-19 Quarantine in Patients With Dementia

Cited by 192 publications

References 55 publications

Effects of COVID-19 Infection Control Measures on Appointment Cancelation in an Italian Outpatient Memory Clinic

Effects of COVID-19 Infection Control Measures on Appointment Cancelation in an Italian Outpatient Memory Clinic

Direct and indirect neurological, cognitive, and behavioral effects of COVID-19 on the healthy elderly, mild-cognitive-impairment, and Alzheimer’s disease populations

COVIDStrategyCalculator: A software to assess testing- and quarantine strategies for incoming travelers, contact person management and de-isolation

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