Evidence map›Paper›PMID 36902632›Full record

ArticleJournal of clinical medicine2023

COVID-19 Accelerated Cognitive Decline in Elderly Patients with Pre-Existing Dementia Followed up in an Outpatient Memory Care Facility.

Lucia Merla, Maria Cristina Montesi, Jessica Ticali, Bruno Bais, Alessandro Cavarape, GianLuca Colussi

Full text read
In one paragraph

Article in Journal of clinical medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
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

12 citing papers in PubMed.

  1. Decline in dementia patients during the COVID-19 pandemic: A cohort study in Taiwan.Journal of the Chinese Medical Association : JCMA · 2026
    Article
  2. Observational
  3. Article
  4. Article
  5. Article
  6. Review
  7. Review
  8. Article
  9. Article
  10. Review
  11. Cognitive Aspects of COVID-19.Current neurology and neuroscience reports · 2023
    Review
  12. 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

6 authors.

Lucia MerlaGeriatric Medicine Residency Program, Division of Internal Medicine, Department of Medicine, University of Udine, 33100 Udine, Italy.
Maria Cristina MontesiDepartment of Continuity of Care, Geriatric and Memory Care Facility, Azienda Sanitaria Universitaria Giuliano Isontina, 34132 Trieste, Italy.
Jessica TicaliDepartment of Continuity of Care, Geriatric and Memory Care Facility, Azienda Sanitaria Universitaria Giuliano Isontina, 34132 Trieste, Italy.
Bruno BaisDivision of Internal Medicine, "Santa Maria della Misericordia" Academic Hospital, Azienda Sanitaria Universitaria Friuli Centrale, 33100 Udine, Italy.
Alessandro CavarapeGeriatric Medicine Residency Program, Division of Internal Medicine, Department of Medicine, University of Udine, 33100 Udine, Italy.ORCID 0000-0003-2726-5714
GianLuca ColussiGeriatric Medicine Residency Program, Division of Internal Medicine, Department of Medicine, University of Udine, 33100 Udine, Italy.ORCID 0000-0003-1673-540X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionCoronavirus disease 2019 (COVID-19) may affect the cognitive function and activities of daily living (ADL) of elderly patients. This study aimed to establish the COVID-19 effect on cognitive decline and the velocity of cognitive function and ADL changes in elderly patients with dementia followed up in an outpatient memory care facility.

methodsIn total, 111 consecutive patients (age 82 ± 5 years, 32% males) with a baseline visit before infection were divided into those who had or did not have COVID-19. Cognitive decline was defined as a five-point loss of Mini-Mental State Examination (MMSE) score and ADL comprising basic and instrumental ADL indexes (BADL and IADL, respectively). COVID-19 effect on cognitive decline was weighted for confounding variables by the propensity score, whereas the effect on change in the MMSE score and ADL indexes was analyzed using multivariate mixed-effect linear regression.

resultsCOVID-19 occurred in 31 patients and a cognitive decline in 44. Cognitive decline was about three and a half times more frequent in patients who had COVID-19 (weighted hazard ratio 3.56, 95% confidence interval 1.50-8.59,

conclusionsCOVID-19 had a significant impact on cognitive decline and accelerated MMSE reduction in elderly patients with dementia.

Indexed as

activities of daily livingdementia testsmental statusobservational studypropensity scoreSARS-CoV-2

Identifiers

PMID36902632
PMCPMC10003407

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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.