Introduction

Healthy elderly, mild cognitive impairment and Alzheimer’s disease populations have been among the most affected in the early stages of the COVID-19 pandemic due to the direct effects of the virus, and numerous indirect effects now emerge and will have to be carefully assessed over time.

Methods

This article reviews the main articles that have been published so far about the direct and indirect effects of the COVID-19 pandemic on these particularly fragile populations.

Results

The pandemic associated to COVID-19 has shifted most of the health resources to the emergency area and has consequently left the three main medical areas dealing with the elderly population (oncology, time-dependent diseases and degenerative disease) temporarily “uncovered”. In the phase following the emergency, it will be crucial to guarantee to each area the economic and organizational resources to quickly return to the level of support of the prepandemic state.

Conclusions

The emergency phase represented a significant occasion of discussion on the possibilities of telemedicine which will inevitably become increasingly important, but all the limits of its use in the elderly population have to be considered. In the post-lockdown recovery phase, alongside the classic medical evaluation, the psychological evaluation must become even more important for doctors caring about people with cognitive decline as well as with their caregivers.

中文翻译：

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COVID-19 对健康老年人、轻度认知障碍和阿尔茨海默病人群的直接和间接神经、认知和行为影响

介绍

由于病毒的直接影响，健康的老年人、轻度认知障碍和阿尔茨海默病人群在 COVID-19 大流行的早期阶段受到的影响最大，现在出现了许多间接影响，必须随着时间的推移进行仔细评估.

方法

本文回顾了迄今为止已发表的关于 COVID-19 大流行对这些特别脆弱的人群的直接和间接影响的主要文章。

结果

与 COVID-19 相关的大流行已将大部分卫生资源转移到急诊区，因此导致处理老年人口的三个主要医疗领域（肿瘤学、时间依赖性疾病和退行性疾病）暂时“未覆盖”。在紧急情况之后的阶段，至关重要的是要保证每个地区的经济和组织资源能够迅速恢复到大流行前状态的支持水平。

结论

紧急阶段是讨论远程医疗可能性的重要场合，远程医疗将不可避免地变得越来越重要，但必须考虑其在老年人群中使用的所有限制。在封锁后的恢复阶段，除了经典的医学评估之外，心理评估对于关心认知能力下降的人以及他们的照顾者的医生来说必须变得更加重要。