COVID-19 in adults with dementia: clinical features and risk factors of mortality—a clinical cohort study on 125 patients
Abstract Background There is limited evidence on the characteristics and outcome of patients with dementia hospitalised for novel coronavirus infection (COVID-19). Method We conducted a prospective study in 2 gerontologic COVID units in Paris, France, from March 14, 2020, to May 7, 2020. Patients wi...
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doaj-e9e64243a58e4cb0af11d3a58f1885742021-04-11T11:39:15ZengBMCAlzheimer’s Research & Therapy1758-91932021-04-011311810.1186/s13195-021-00820-9COVID-19 in adults with dementia: clinical features and risk factors of mortality—a clinical cohort study on 125 patientsAgathe Vrillon0Elsa Mhanna1Clément Aveneau2Manon Lebozec3Lina Grosset4Diane Nankam5Fernanda Albuquerque6Raphaelle Razou Feroldi7Barbara Maakaroun8Iana Pissareva9Dalenda Cherni Gherissi10Julien Azuar11Véronique François12Claire Hourrègue13Julien Dumurgier14Lisette Volpe-Gillot15Claire Paquet16Université de Paris, INSERM U1144 Optimisation Thérapeutique en NeuropsychopharmacologieUnité Neuropsychogériatrique, Léopold Bellan HôpitalUniversité de Paris, INSERM U1144 Optimisation Thérapeutique en NeuropsychopharmacologieHôpital Charles Foix, Department of Geriatric Medicine, APHPCentre de Neurologie Cognitive, GHU APHP Nord Hôpital Lariboisière Fernand-WidalUnité Neuropsychogériatrique, Léopold Bellan HôpitalUnité Neuropsychogériatrique, Léopold Bellan HôpitalUnité Neuropsychogériatrique, Léopold Bellan HôpitalUnité Neuropsychogériatrique, Léopold Bellan HôpitalUnité Neuropsychogériatrique, Léopold Bellan HôpitalUnité Neuropsychogériatrique, Léopold Bellan HôpitalUniversité de Paris, INSERM U1144 Optimisation Thérapeutique en NeuropsychopharmacologieService de Gériatrie, GHU APHP Nord Hôpital Lariboisière Fernand-WidalCentre de Neurologie Cognitive, GHU APHP Nord Hôpital Lariboisière Fernand-WidalCentre de Neurologie Cognitive, GHU APHP Nord Hôpital Lariboisière Fernand-WidalUnité Neuropsychogériatrique, Léopold Bellan HôpitalUniversité de Paris, INSERM U1144 Optimisation Thérapeutique en NeuropsychopharmacologieAbstract Background There is limited evidence on the characteristics and outcome of patients with dementia hospitalised for novel coronavirus infection (COVID-19). Method We conducted a prospective study in 2 gerontologic COVID units in Paris, France, from March 14, 2020, to May 7, 2020. Patients with dementia hospitalised for confirmed COVID-19 infection were systematically enrolled. A binary logistic regression analysis was performed to identify factors associated with mortality at 21 days. Results We included 125 patients. Median age was 86 (IQI 82–90); 59.4% were female. Most common causes of dementia were Alzheimer’s disease, mixed dementia and vascular dementia. 67.2% had ≥ 2 comorbidities; 40.2% lived in a long-term care facility. The most common symptoms at COVID-19 onset were confusion and delirium (82.4%), asthenia (76.8%) and fever (72.8%) before polypnea (51.2%) and desaturation (50.4%). Falls were frequent at the initial phase of the disease (35.2%). The fatality rate at 21 days was 22.4%. Chronic kidney disease and CRP at admission were independent factors of death. Persisting confusion, mood and behavioural disorders were observed in survivors (19.2%). Conclusion COVID-19 in demented individuals is associated with severe outcome in SARS-CoV-2 infection and is characterised by specific clinical features and complications, with confusion and delirium at the forefront. COVID-19 testing should be considered in front of any significant change from baseline.https://doi.org/10.1186/s13195-021-00820-9COVID-19SARS-CoV-2DementiaMortalityPrognostic factors |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Agathe Vrillon Elsa Mhanna Clément Aveneau Manon Lebozec Lina Grosset Diane Nankam Fernanda Albuquerque Raphaelle Razou Feroldi Barbara Maakaroun Iana Pissareva Dalenda Cherni Gherissi Julien Azuar Véronique François Claire Hourrègue Julien Dumurgier Lisette Volpe-Gillot Claire Paquet |
spellingShingle |
Agathe Vrillon Elsa Mhanna Clément Aveneau Manon Lebozec Lina Grosset Diane Nankam Fernanda Albuquerque Raphaelle Razou Feroldi Barbara Maakaroun Iana Pissareva Dalenda Cherni Gherissi Julien Azuar Véronique François Claire Hourrègue Julien Dumurgier Lisette Volpe-Gillot Claire Paquet COVID-19 in adults with dementia: clinical features and risk factors of mortality—a clinical cohort study on 125 patients Alzheimer’s Research & Therapy COVID-19 SARS-CoV-2 Dementia Mortality Prognostic factors |
author_facet |
Agathe Vrillon Elsa Mhanna Clément Aveneau Manon Lebozec Lina Grosset Diane Nankam Fernanda Albuquerque Raphaelle Razou Feroldi Barbara Maakaroun Iana Pissareva Dalenda Cherni Gherissi Julien Azuar Véronique François Claire Hourrègue Julien Dumurgier Lisette Volpe-Gillot Claire Paquet |
author_sort |
Agathe Vrillon |
title |
COVID-19 in adults with dementia: clinical features and risk factors of mortality—a clinical cohort study on 125 patients |
title_short |
COVID-19 in adults with dementia: clinical features and risk factors of mortality—a clinical cohort study on 125 patients |
title_full |
COVID-19 in adults with dementia: clinical features and risk factors of mortality—a clinical cohort study on 125 patients |
title_fullStr |
COVID-19 in adults with dementia: clinical features and risk factors of mortality—a clinical cohort study on 125 patients |
title_full_unstemmed |
COVID-19 in adults with dementia: clinical features and risk factors of mortality—a clinical cohort study on 125 patients |
title_sort |
covid-19 in adults with dementia: clinical features and risk factors of mortality—a clinical cohort study on 125 patients |
publisher |
BMC |
series |
Alzheimer’s Research & Therapy |
issn |
1758-9193 |
publishDate |
2021-04-01 |
description |
Abstract Background There is limited evidence on the characteristics and outcome of patients with dementia hospitalised for novel coronavirus infection (COVID-19). Method We conducted a prospective study in 2 gerontologic COVID units in Paris, France, from March 14, 2020, to May 7, 2020. Patients with dementia hospitalised for confirmed COVID-19 infection were systematically enrolled. A binary logistic regression analysis was performed to identify factors associated with mortality at 21 days. Results We included 125 patients. Median age was 86 (IQI 82–90); 59.4% were female. Most common causes of dementia were Alzheimer’s disease, mixed dementia and vascular dementia. 67.2% had ≥ 2 comorbidities; 40.2% lived in a long-term care facility. The most common symptoms at COVID-19 onset were confusion and delirium (82.4%), asthenia (76.8%) and fever (72.8%) before polypnea (51.2%) and desaturation (50.4%). Falls were frequent at the initial phase of the disease (35.2%). The fatality rate at 21 days was 22.4%. Chronic kidney disease and CRP at admission were independent factors of death. Persisting confusion, mood and behavioural disorders were observed in survivors (19.2%). Conclusion COVID-19 in demented individuals is associated with severe outcome in SARS-CoV-2 infection and is characterised by specific clinical features and complications, with confusion and delirium at the forefront. COVID-19 testing should be considered in front of any significant change from baseline. |
topic |
COVID-19 SARS-CoV-2 Dementia Mortality Prognostic factors |
url |
https://doi.org/10.1186/s13195-021-00820-9 |
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