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秘鲁 SARS-COV-2 大流行期间阿尔茨海默病患者的神经精神症状。

Neuropsychiatric Symptoms in Patients With Alzheimer's Disease During SARS-COV-2 Pandemic in Peru.

机构信息

Servicio de Neurología, Instituto Peruano de Neurociencias, Lima, Perú.

Unidad de diagnóstico de deterioro cognitivo y prevención de demencia, Instituto Peruano de Neurociencias, Lima, Perú.

出版信息

Am J Alzheimers Dis Other Demen. 2021 Jan-Dec;36:15333175211039089. doi: 10.1177/15333175211039089.

Abstract

To evaluate neuropsychiatric symptoms in patients with Alzheimer's disease (AD) and their association with cognition and functionality during lockdown of the COVID-19's first wave. We included 91 patients and caregivers of people with AD from a memory clinic. The RUDAS, M@T, and CDR were administered to patients and NPI/ADCS-ADL to caregivers. Baseline and lockdown measurements scales were analyzed to compare the frequencies at baseline versus lockdown and conditional Odds Ratio (ORc) was calculated for the neuropsychiatric symptoms. During the pandemic, significant increase in the number of cases was observed in depression (23%), agitation (36.8%), aberrant motor activity (12%), sleep disorders (26.3%), and appetite change (12.1%). In worsening of pre-existing symptoms, the most frequent were delusions (75%), followed by sleep disorders (71.7%). Lockdown induces a rapid increase of neuropsychiatric symptoms affecting cognitive symptoms and functionality of Peruvian patients with AD.

摘要

评估 COVID-19 第一波封锁期间阿尔茨海默病(AD)患者的神经精神症状及其与认知和功能的关系。我们纳入了来自记忆诊所的 91 名 AD 患者及其照顾者。对患者进行了 RUDAS、M@T 和 CDR 测试,对照顾者进行了 NPI/ADCS-ADL 测试。分析了基线和封锁期间的测量量表,以比较基线与封锁期间的频率,并计算了神经精神症状的条件优势比(ORc)。在大流行期间,观察到抑郁(23%)、激越(36.8%)、异常运动活动(12%)、睡眠障碍(26.3%)和食欲改变(12.1%)的病例数显著增加。在原有症状恶化方面,最常见的是妄想(75%),其次是睡眠障碍(71.7%)。封锁导致神经精神症状迅速增加,影响秘鲁 AD 患者的认知症状和功能。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d706/10581147/84da3ca798e3/10.1177_15333175211039089-fig1.jpg

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