Evidence map›Paper›PMID 40919658›Full record

ArticleAustralasian journal on ageing2025

Impact of dementia on outcomes in older patients with COVID-19: A nationwide inpatient sample analysis.

Ruoh Lih Lei, Wei-Min Chu, Tsu-Yin Wu, Su Chen Yu, Hsiu-Min Tsai, Ju-Lan Yang, Shih-Chia Liu

Abstract read
In one paragraph

Article in Australasian journal on ageing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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

7 authors.

Ruoh Lih LeiDepartment of Nursing, College of Nursing and Health Welfare, National Chi Nan University, Puli, Nantou, Taiwan.ORCID https://orcid.org/0000-0002-3205-6530
Wei-Min ChuDivision of Family Medicine, Department of Family Medicine, Taichung Veterans General Hospital, Taichung, Taiwan.
Tsu-Yin WuCenter for Health Innovations and Studies, Eastern Michigan University, Ypsilanti, Michigan, USA.
Su Chen YuDepartment of Nursing, Kuang Tuen General Hospital, Taichung, Taiwan.
Hsiu-Min TsaiSchool of Nursing, Hungkuang University, Taichung, Taiwan.
Ju-Lan YangDepartment of Applied Mathematics, National Chung Hsing University, Taichung, Taiwan.
Shih-Chia LiuSchool of Nursing, Hungkuang University, Taichung, Taiwan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveAlthough existing evidence suggests a potential link between dementia and adverse outcomes in patients with COVID-19, a definitive relationship is uncertain. This study aimed to evaluate the impact of dementia on in-hospital outcomes of patients in the presence of COVID-19.

methodsThe US Nationwide Inpatient Sample (NIS) was searched for patients 65 years or older hospitalised for COVID-19 in 2020. Patients were categorised into those with and without dementia before COVID-19 infection. Outcomes included in-hospital mortality, discharge to long-term care, length of stay (LOS), total hospital costs and complications. Propensity score matching (PSM) was used to balance the baseline characteristics between the groups. Regression analyses were performed to assess the associations between dementia and outcomes.

resultsAfter PSM, 42,214 patients were included, with equal distribution of most study variables between groups. Dementia was associated with increased in-hospital mortality (adjusted odds ratio [aOR] = 1.17, 95% confidence interval [CI]: 1.11-1.23), discharge to long-term care facilities (aOR = 4.0, 95% CI: 3.8-4.2), occurrence of any complications (aOR = 1.33, 95% CI: 1.27, 1.38), 1.12 days longer LOS (95% CI: .93-1.31) and 2.68 thousand USD higher total hospital costs (95% CI: .72-4.64). For specific complications, dementia was associated with significantly increased risks of acute respiratory distress syndrome (aOR = 1.19, 95% CI: 1.14-1.24) encephalitis, myelitis and encephalomyelitis (aOR = 4.60, 95% CI: 1.33-15.93), as well as delirium, respiratory failure and acute kidney injury.

conclusionDementia is associated with worse outcomes of older patients with COVID-19.

Indexed as

COVID-19DementiaAgedAged, 80 and overFemaleHospital CostsHospitalizationHospital MortalityHumansInpatientsLength of StayMalePatient DischargeRetrospective StudiesRisk FactorsSARS-CoV-2agedCOVID‐19dementiapandemics

Identifiers

PMID40919658
PMCPMC12415936

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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.