ABSTRACT

Background

Patients with a dementia diagnosis and COVID-19 sometimes manifest an atypical clinical picture. However, differences between elderly COVID-19 patients having dementia and those not having dementia have not been described yet. The in-hospital mortality and out-of-hospital mortality from both groups has not been reported.

Objective

The primary aim of this study is to determine if there is a significant difference in-hospital and out-of-hospital mortality in the elderly patients admitted for COVID-19, comparing those with dementia and those without dementia. A secondary aim is to determine whether there are significant clinical and laboratory differences between elderly COVID-19 patients with dementia and without dementia.

Methods

Data collection of hospitalizations of elderly patients aged 70 years old or older admitted for COVID-19 in 2020 at the Hospital de San Juan de Alicante.

Results

In-hospital mortality in a context of admission for COVID-19 is significantly higher in patients with out dementia. However, post-discharge out-of-hospital mortality is significantly higher in patients with dementia.

Conclusion

The out-of-hospital mortality of elderly patients with dementia appears to be significantly higher than those who do not. Therefore, the importance of caring for elderly patients with dementia after being discharged from hospital should be emphasized.

中文翻译：

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老年痴呆症患者因 COVID-19 入院：他们有何不同？

摘要

背景

患有痴呆症和 COVID-19 的患者有时会表现出不典型的临床表现。然而，尚未描述患有痴呆症的老年 COVID-19 患者与未患有痴呆症的患者之间的差异。两组的院内死亡率和院外死亡率尚未见报道。

客观的

本研究的主要目的是确定因 COVID-19 入院的老年患者的院内和院外死亡率是否存在显着差异，并与痴呆症患者和非痴呆症患者进行比较。次要目的是确定老年 COVID-19 痴呆患者和非痴呆患者之间是否存在显着的临床和实验室差异。

方法

2020 年在圣胡安德阿利坎特医院因 COVID-19 入院的 70 岁或以上老年患者的住院数据收集。

结果

在没有痴呆症的患者中，因 COVID-19 入院的住院死亡率明显更高。然而，痴呆患者出院后的院外死亡率明显更高。

结论

老年痴呆症患者的院外死亡率似乎显着高于没有痴呆症的患者。因此，应强调老年痴呆患者出院后护理的重要性。