Evidence map›Paper›PMID 41188722›Full record

Observational studyBMC geriatrics2025

Impact of dementia on risks of COVID-19 infection and outcomes among older adults in Sweden.

Minh Tuan Hoang, Jonas W Wastesson, Máté Szilcz, Géric Maura, Pierre-Olivier Blotière, Kristina Johnell

Abstract readObservational Study
In one paragraph

Observational study in BMC geriatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Review
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.

Minh Tuan HoangDepartment of Medical Epidemiology and Biostatistics, Karolinska Institutet, Blickagången 16, Stockholm, 14183, Sweden. minhtuan.hoang@ki.se.
Jonas W WastessonDepartment of Medical Epidemiology and Biostatistics, Karolinska Institutet, Blickagången 16, Stockholm, 14183, Sweden.
Máté SzilczDepartment of Medical Epidemiology and Biostatistics, Karolinska Institutet, Blickagången 16, Stockholm, 14183, Sweden.
Géric MauraDepartment of Medical Epidemiology and Biostatistics, Karolinska Institutet, Blickagången 16, Stockholm, 14183, Sweden.
Pierre-Olivier BlotièreDepartment of Medical Epidemiology and Biostatistics, Karolinska Institutet, Blickagången 16, Stockholm, 14183, Sweden.
Kristina JohnellDepartment of Medical Epidemiology and Biostatistics, Karolinska Institutet, Blickagången 16, Stockholm, 14183, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNational register-based studies on the influence of dementia on COVID-19 infection and outcomes are scarce. This study aims to evaluate the risk of COVID-19 infection, hospitalization, and mortality among older persons with and without dementia.

methodsThis population-based observational study utilized real-world data based on the combination of various national registries in Sweden. Outcomes included COVID-19 infection, hospitalization, and mortality between 01 March 2020 (index date) and 31 August 2020, which was usually considered as the first wave of COVID-19 in Sweden. We used flexible parametric survival regression to estimate the hazard ratios (HRs) between people with and without dementia at different time points after the index date.

resultsWe compared people with and without dementia, who were living in community dwellings (40,818 versus 1,984,503 persons) or nursing homes (31,826 versus 87,398 persons). In community dwellings, the HRs of COVID-19 infection increased from 2.08 in one month to 2.46 in two months, then decreased to 0.70 in six months after the index date. In nursing homes, the HRs declined throughout the follow-up period (from 1.89 in one month to 0.91 in six months). In community dwellings, the HRs of COVID-19 hospitalization increased from 1.40 in one month to 1.64 in six months after the index date. In nursing homes, the HRs was less than 1 in one month, and higher than 1 from four months after the index date, however, not statistically significantly. The HRs for COVID-19 mortality rose from 1.96 in one month to 2.39 in two months and dropped to 1.65 in six months in community dwellings; and declined from 2.27 in one month to 1.69 in six months in nursing homes.

conclusionsIn the first wave of COVID-19 in Sweden, higher risks of COVID-19 infection, hospitalization and mortality were observed in older persons with dementia compared to those without dementia, except for the risk of COVID-19 hospitalization in nursing homes. Further studies on the quality of care for persons with dementia are essential to prepare for future pandemics.

Indexed as

COVID-19DementiaHospitalizationAgedAged, 80 and overFemaleHumansIndependent LivingMaleNursing HomesRegistriesRisk FactorsSARS-CoV-2SwedenCOVID-19DeathDementiaHospitalizationInfectionMortalitySARS-CoV-2

Identifiers

PMID41188722
PMCPMC12584336

What OpenQuestion holds

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LicenceCC BY
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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.