Journals / Düzce Tıp Fakültesi Dergisi / 2020 / Cilt: 22 - Sayı: Special Issue

A Case Report of Delirium and Literature Review of Dementia in COVID-19 Process

COVID-19 Sürecinde Deliryum Olgu Sunumu ve Demansın Literatür Taraması

Pages
71–75
Publication Date
2020-11-30
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

This paper provides an assessment regarding the problems experienced by dementia patients in the pandemic process, and their solutions, accompanied by a case presentation.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Coronavirus directly infects the nervous system and may cause the course of the existing neurological disease to get worse in those with a chronic neurological disease.
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Key Findings & Data:People with dementia, which is the most common chronic neurological disease over 65 years old, have serious difficulties in terms of follow-up and treatment of their diseases in the social isolation process.
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Conclusion & Impact:This paper provides an assessment regarding the problems experienced by dementia patients in the pandemic process, and their solutions, accompanied by a case presentation.
🔬Design:Research Article
📍Scope:2019 Verileri
⚙️Variables:COVID-19 · demans · deliryum

Abstract

Coronavirus directly infects the nervous system and may cause the course of the existing neurological disease to get worse in those with a chronic neurological disease. People with dementia, which is the most common chronic neurological disease over 65 years old, have serious difficulties in terms of follow-up and treatment of their diseases in the social isolation process. However, due to the risk factors caused by coronavirus disease 2019 (COVID-19), it has become easier for them to go into delirium. These risk factors can be listed as social isolation, inactivity, intense stress, as well as direct invasion of the virus to the central nervous system, the effect of inflammatory cytokines, the effect of sedative drugs used and the effect that develops secondary to other accompanying diseases. This paper provides an assessment regarding the problems experienced by dementia patients in the pandemic process, and their solutions, accompanied by a case presentation.

Özet

Koronavirüs doğrudan sinir sistemini enfekte etmesinin yanı sıra kronik nörolojik hastalığı olanlarda mevcut nörolojik hastalığın daha kötü seyretmesine neden olabilmektedir. Altmış beş yaş üstünde en sık görülen kronik nörolojik hastalık olan demans hastaları sosyal izolasyon sürecinde hastalıklarının takip ve tedavisi açısından ciddi zorluklar yaşamaktadır. Bununla birlikte koronavirüs hastalığı 2019 (coronavirus disease 2019, COVID-19)’un sebep olduğu risk faktörleri nedeniyle deliryuma girmeleri de kolaylaşmıştır. Bu risk faktörleri sosyal izolasyon, hareketsizlik, yoğun stresin yanı sıra virüsün merkezi sinir sistemine direk invazyonu, inflamatuar sitokinlerin etkisi, kullanılan sedatif ilaçların etkisi ve eşlik eden hastalıkların ikincil etkileri olarak sıralanabilir. Bu yazı bir olgu sunumu eşliğinde, demans hastalarının pandemi sürecinde yaşadıkları problemler ve çözümleri üzerine bir değerlendirme sunmaktadır.

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Cite This Article

SÖNMEZ, M. T., AKTÜRK, T., SAÇMACI, H. (2020). A Case Report of Delirium and Literature Review of Dementia in COVID-19 Process. Düzce Tıp Fakültesi Dergisi, Cilt: 22 - Sayı: Special Issue, 71–75. https://ajindex.com/articles/420229

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References (11)

  1. Wang H, Li T, Barbarino P, Gauthier S, Brodaty H, Molinuevo JL, et al. Dementia care during COVID-19. Lancet. 2020;395(10231):1190-1.
  2. Atkins JL, Masoli JAH, Delgado J, Pilling LC, Kuo CL, Kuchel GA, et al. Preexisting comorbidities predicting COVID-19 and mortality in the UK biobank community cohort. J Gerontol A Biol Sci Med Sci. 2020;75(11):2224-30.
  3. Kim H, Jhoo JH, Jang JW. The effect of telemedicine on cognitive decline in patients with dementia. J Telemed Telecare. 2017;23(1):149-54.
  4. Mao L, Jin H, Wang M, Hu Y, Chen S, He Q, et al. Neurologic manifestations of hospitalized patients with coronavirus disease 2019 in Wuhan, China. JAMA Neurol. 2020;77(6):683-90.
  5. Moriguchi T, Harii N, Goto J, Harada D, Sugawara H, Takamino J, et al. A first case of meningitis/encephalitis associated with SARS-Coronavirus-2. Int J Infect Dis. 2020;94:55-8.
  6. Aghagoli G, Gallo Marin B, Katchur NJ, Chaves-Sell F, Asaad WF, Murphy SA, et al. Neurological involvement in COVID-19 and potential mechanisms: A review. Neurocrit Care. 2020;[Epub ahead of print]. doi: 10.1007/s12028-020-01049-4. Nath A. Neurologic complications of coronavirus infections. Neurology. 2020;94(19):809-10.
  7. Abiodun OA, Ola MS. Role of brain renin angiotensin system in neurodegeneration: An update. Saudi J Biol Sci. 2020;27(3):905-12.
  8. Almeida-Santos AF, Kangussu LM, Campagnole-Santos MJ. The renin-angiotensin system and the neurodegenerative diseases: a brief review. Protein Pept Lett. 2017;24(9):841-53.
  9. Kuo C-L, Pilling LC, Atkins JL, Masoli JAH, Delgado J, Kuchel GA, et al. APOE e4 genotype predicts severe COVID-19 in the UK Biobank community cohort. J Gerontol A Biol Sci Med Sci. 2020;75(11):2231-2.
  10. Farrer LA, Cupples LA, Haines JL, Hyman B, Kukull WA, Mayeux R, et al. Effects of age, sex, and ethnicity on the association between apolipoprotein E genotype and Alzheimer disease. A meta-analysis. APOE and Alzheimer Disease Meta Analysis Consortium. JAMA. 1997;278(16):1349-56.
  11. Kotfis K, Williams Roberson S, Wilson JE, Dabrowski W, Pun BT, Ely EW. COVID-19: ICU delirium management during SARS-CoV-2 pandemic. Crit Care. 2020;24(1):176. Browne J, Edwards DA, Rhodes KM, Brimicombe DJ, Payne RA. Association of comorbidity and health service usage among patients with dementia in the UK: a population-based study. BMJ Open. 2017;7(3):e012546. Foley NC, Affoo RH, Martin RE. A systematic review and meta-analysis examining pneumonia-associated mortality in dementia. Dement Geriatr Cogn Disord. 2015;39(1-2):52-67. Fotuhi