1. The impact of COVID-19 on health status of home-dwelling elderly patients with dementia in East Lombardy, Italy: results from COVIDEM network
- Author
-
Nives Medici, Matteo Peli Psy, Elisa Zanacchi Psy, Elena Lucchi Psy, Melania Cappuccio, Marinella Turla, Angelo Bianchetti, Alessandro Padovani, Simona Gentile, Chiara Vecchi Psy, Alessandra Marengoni, Salvatore Caratozzolo, Mara Zanni, Marco Di Cesare, Daniele Bellandi, Renzo Rozzini, Andrea Scalvini, Rosanna Turrone Psy, Giuseppe Bellelli, Ignazio Di Fazio, Lina Falanga, Eleonora Grossi Psy, Federica Gottardi Psy, Maura Cosseddu Psy, Marina Zanetti Psy, Giuliana Vezzadini, Stefano Boffelli, Claudia Caminati, Marco Trabucchi, Maria Cotelli, Sara Fascendini, Alberto Zucchelli, Nives Palamini, Silvia Pelizzari Psy, Marta Grigolo Psy, Chiara Forlani Psy, Caratozzolo, S, Zucchelli, A, Turla, M, Cotelli, M, Fascendini, S, Zanni, M, Bianchetti, A, Psy, M, Rozzini, R, Boffelli, S, Cappuccio, M, Psy, F, Psy, C, Bellandi, D, Caminati, C, Gentile, S, Psy, E, Di Fazio, I, Vezzadini, G, Psy, R, Psy, S, Scalvini, A, Di Cesare, M, Falanga, L, Medici, N, Palamini, N, Bellelli, G, Marengoni, A, Trabucchi, M, and Padovani, A
- Subjects
Male ,Aging ,medicine.medical_specialty ,Health Status ,Pneumonia, Viral ,030204 cardiovascular system & hematology ,03 medical and health sciences ,Betacoronavirus ,0302 clinical medicine ,Internal medicine ,Diabetes mellitus ,Pandemic ,Medicine ,Dementia ,Humans ,030212 general & internal medicine ,Viral ,Pandemics ,Aged ,COPD ,business.industry ,SARS-CoV-2 ,Mortality rate ,Medical record ,COVID-19 ,Health status ,Home dwelling ,Coronavirus Infections ,Female ,Hospitalization ,Italy ,Health statu ,Pneumonia ,medicine.disease ,Vaccination ,Ageing ,Original Article ,Geriatrics and Gerontology ,business ,Complication - Abstract
Background COVID-19 outbreak has led to severe health burden in the elderly. Age, morbidity and dementia have been associated with adverse outcome. Aims To evaluate the impact of COVID-19 on health status in home-dwelling patients. Methods 848 home-dwelling outpatients with dementia contacted from April 27 to 30 and evaluated by a semi-structured interview to evaluate possible health complication due to COVID-19 from February 21 to April 30. Age, sex, education, clinical characteristics (including diagnosis of dementia) and flu vaccination history were obtained from previous medical records. Items regarding change in health status and outcome since the onset of the outbreak were collected. COVID-19 was diagnosed in patients who developed symptoms according to WHO criteria or tested positive at nasal/throat swab if hospitalized. Unplanned hospitalization, institutionalization and mortality were recorded. Results Patients were 79.7 years old (SD 7.1) and 63.1% were females. Ninety-five (11.2%) patients developed COVID-19-like symptoms. Non COVID-19 and COVID-19 patients differed for frequency of diabetes (18.5% vs. 37.9%, p p p Discussion/conclusions A high proportion of adverse outcome related to COVID-19 was observed in home-dwelling elderly patients with dementia. Active monitoring though telehealth programs would be useful particularly for those at highest risk of developing COVID-19 and its adverse outcomes.
- Published
- 2020