The challenges of <scp>COVID</scp>‐19 for people with dementia with Lewy bodies and family caregivers

Killen, Alison; Olsen, Kirsty; McKeith, Ian; Thomas, Alan; O’Brien, John; Donaghy, Paul C.; Taylor, John‐Paul

doi:10.1002/gps.5393

Cited by 33 publications

(27 citation statements)

References 37 publications

(26 reference statements)

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“…Reflecting on caregivers with comorbidities, as they are in a high-risk group, it is possible to include concerns about themselves becoming ill or losing support and contact with relatives and friends while socially isolated; both factors contribute to experiencing poor sleep quality, disturbed sleep patterns, and high anxiety levels (Killen et al, 2020). In the Taylor et al…”

Section: Resultsmentioning

confidence: 99%

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Psychological effects of the pandemic on caregivers of older adults: A rapid systematic review

Dullius

Secchi

Scortegagna

2021

RSD

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The COVID-19 pandemic has rendered numerous impacts on society, especially to caregivers of older adults, who are facing many tasks. These elevated number of demands and modifications can affect these caregivers’ mental health. This study aimed to gather empirical evidence on existing researches about the impact of caregiver’s mental health of older adults during the COVID-19 pandemic. This rapid systematic review, developed from international and Brazilian databases from January/2020 to April/2021, identified 4714 potentially relevant articles, published in English and Portuguese. Eighteen (18) articles that potentially met the inclusion criteria were screened and read. Eleven of them met the inclusion criteria and were selected for this review. Caregivers of older adults demonstrate different psychological manifestations such as higher levels of stress, anxiety, sleep problems, depression, somatic symptoms, and poor quality of life. Those can directly influence the care provided to the older adults. Knowing the effects on the caregivers can be conducted psychological interventions to prevent and minimize impacts in their lives.

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Section: Resultsmentioning

confidence: 99%

“…As a mental health challenge, caregivers are managing their anxiety and coping with uncertainty (Killen et al, 2020).…”

Section: Resultsmentioning

confidence: 99%

Psychological effects of the pandemic on caregivers of older adults: A rapid systematic review

Dullius

Secchi

Scortegagna

2021

RSD

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“…In the other perspective, SARS-CoV-2 infection may accentuate pre-existing dementia 23 Our study has several strengths. Despite observational data con rming that there is a high prevalence of dementia in older adults hospitalized with COVID-19 26 , no controlled study so far has speci cally investigated effect of dementia in the clinical outcome of COVID-19.…”

Section: Discussionmentioning

confidence: 97%

Association Between Dementia and Clinical Outcome After COVID-19: A Nationwide Cohort Study with Propensity Score Matched Control in South Korea

Wang

Park

Kim

et al. 2020

Preprint

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Despite a high prevalence of dementia in older adults hospitalized with severe acute respiratory syndrome coronavirus 2 infection (COVID-19), research investigating association between preexisting diagnoses of dementia and prognosis of COVID-19 is scarce. We explored a nationwide cohort with a total of 2,800 subjects older than 50 years who were diagnosed with COVID-19 between January and April 2020. Among them, 223 patients had underlying dementia (dementia group). We matched 1:1 for each dementia-non-dementia group pair yielding 223 patients without dementia (no dementia group) using propensity score matching. The primary outcome measure was group difference in mortality after COVID-19. Mortality rate after COVID-19 were significantly higher in dementia group than in no dementia group (33.6% vs. 20.2%, p=0.002). In addition, dementia group had higher proportion of patients requiring invasive ventilatory support than no dementia group (34.1% vs. 22.0%, p=0.006). Multivariable analysis showed that dementia group had a higher risk of mortality than no dementia group (odds ratio=3.05, p<0.001). We also found that patients in dementia group had a higher risk of needing invasive ventilatory support than those in no dementia group. Our results suggest that system including strengthen quarantines are required for patients with dementia during the COVID-19 pandemic.

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“…In the other perspective, SARS-CoV-2 infection may accentuate pre-existing dementia. 28 SARS-CoV-2 may have both direct effects on the brain via viral infection and vascular cascade within in the brain indirect effects on the brain via immunological response of the host. 29 Recent findings showed that up to one third of COVID-19 patients have demonstrated neurological sequelae.…”

Section: Discussionmentioning

confidence: 99%

Association between Dementia and Clinical Outcome after COVID-19: A Nationwide Cohort Study with Propensity Score Matched Control in South Korea

Wang

Park

Kim³

et al. 2021

Psychiatry Investig

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Objective Despite a high prevalence of dementia in older adults hospitalized with severe acute respiratory syndrome coronavirus 2 infection (SARS-CoV-2), or so called COVID-19, research investigating association between preexisting diagnoses of dementia and prognosis of COVID-19 is scarce. We aimed to investigate treatment outcome of patients with dementia after COVID-19. Methods We explored a nationwide cohort with a total of 2,800 subjects older than 50 years who were diagnosed with COVID-19 between January and April 2020. Among them, 223 patients had underlying dementia (dementia group). We matched 1:1 for each dementia- non-dementia group pair yielding 223 patients without dementia (no dementia group) using propensity score matching. Results Mortality rate after COVID-19 was higher in dementia group than in no dementia group (33.6% vs. 20.2%, p=0.002). Dementia group had higher proportion of patients requiring invasive ventilatory support than no dementia group (34.1% vs. 22.0%, p=0.006). Multivariable analysis showed that dementia group had a higher risk of mortality than no dementia group (odds ratio=3.05, p<0.001). We also found that patients in dementia group had a higher risk of needing invasive ventilatory support than those in no dementia group. Conclusion Our results suggest that system including strengthen quarantines are required for patients with dementia during the COVID- 19 pandemic.

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The challenges of COVID‐19 for people with dementia with Lewy bodies and family caregivers

Cited by 33 publications

References 37 publications

Psychological effects of the pandemic on caregivers of older adults: A rapid systematic review

Psychological effects of the pandemic on caregivers of older adults: A rapid systematic review

Association Between Dementia and Clinical Outcome After COVID-19: A Nationwide Cohort Study with Propensity Score Matched Control in South Korea

Association between Dementia and Clinical Outcome after COVID-19: A Nationwide Cohort Study with Propensity Score Matched Control in South Korea

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