Evidence map›Paper›PMID 33838684›Full record

ArticleAlzheimer's research & therapy2021

COVID-19 in adults with dementia: clinical features and risk factors of mortality-a clinical cohort study on 125 patients.

Agathe Vrillon, Elsa Mhanna, Clément Aveneau, Manon Lebozec, Lina Grosset, Diane Nankam, Fernanda Albuquerque, Raphaelle Razou Feroldi, Barbara Maakaroun, Iana Pissareva and 7 more

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in Alzheimer's research & therapy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Review
  6. Links between COVID-19 and Alzheimer's Disease-What Do We Already Know?International journal of environmental research and public health · 2023
    Review
  7. Observational
  8. Article
  9. Animal models for COVID-19: advances, gaps and perspectives.Signal transduction and targeted therapy · 2022
    Review
  10. Review
  11. Review
  12. Review
  13. Article
  14. Article
  15. Neurological Complications of COVID-19 in the Elderly.Neuroscience and behavioral physiology · 2022
    Article
  16. Review
  17. Article
  18. Review
  19. COVID-19 Case Fatality and Alzheimer's Disease.Journal of Alzheimer's disease : JAD · 2021
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors at 3 institutions in 1 country.

Agathe Vrillon *Université de Paris, INSERM U1144 Optimisation Thérapeutique en Neuropsychopharmacologie, Paris, France. agathe.vrillon@aphp.fr.ORCID 0000-0002-0761-7885
Elsa Mhanna *Unité Neuropsychogériatrique, Léopold Bellan Hôpital, Paris, France.
Clément AveneauUniversité de Paris, INSERM U1144 Optimisation Thérapeutique en Neuropsychopharmacologie, Paris, France.
Manon LebozecHôpital Charles Foix, Department of Geriatric Medicine, APHP, Ivry sur Seine, France.
Lina GrossetCentre de Neurologie Cognitive, GHU APHP Nord Hôpital Lariboisière Fernand-Widal, Paris, France.
Diane NankamUnité Neuropsychogériatrique, Léopold Bellan Hôpital, Paris, France.
Fernanda AlbuquerqueUnité Neuropsychogériatrique, Léopold Bellan Hôpital, Paris, France.
Raphaelle Razou FeroldiUnité Neuropsychogériatrique, Léopold Bellan Hôpital, Paris, France.
Barbara MaakarounUnité Neuropsychogériatrique, Léopold Bellan Hôpital, Paris, France.
Iana PissarevaUnité Neuropsychogériatrique, Léopold Bellan Hôpital, Paris, France.
Dalenda Cherni GherissiUnité Neuropsychogériatrique, Léopold Bellan Hôpital, Paris, France.
Julien AzuarUniversité de Paris, INSERM U1144 Optimisation Thérapeutique en Neuropsychopharmacologie, Paris, France.
Véronique FrançoisService de Gériatrie, GHU APHP Nord Hôpital Lariboisière Fernand-Widal, Paris, France.
Claire HourrègueCentre de Neurologie Cognitive, GHU APHP Nord Hôpital Lariboisière Fernand-Widal, Paris, France.
Julien DumurgierCentre de Neurologie Cognitive, GHU APHP Nord Hôpital Lariboisière Fernand-Widal, Paris, France.
Lisette Volpe-GillotUnité Neuropsychogériatrique, Léopold Bellan Hôpital, Paris, France.
Claire PaquetUniversité de Paris, INSERM U1144 Optimisation Thérapeutique en Neuropsychopharmacologie, Paris, France.
Assistance Publique – Hôpitaux de Paris · FRInserm · FRSorbonne Université · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is limited evidence on the characteristics and outcome of patients with dementia hospitalised for novel coronavirus infection (COVID-19).

methodWe 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.

resultsWe 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%).

conclusionCOVID-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.

Indexed as

DementiaAged, 80 and overComorbidityCOVID-19COVID-19 TestingFemaleFranceHumansMaleProspective StudiesRisk FactorsCOVID-19DementiaMortalityPrognostic factorsSARS-CoV-2

Identifiers

PMID33838684
PMCPMC8035874
OpenAlexW3136076967

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.