Park Hye-Yoon, Song In-Ae, Oh Tak-Kyu
Department of Psychiatry, Seoul National University Hospital, Seoul 03080, Korea.
Department of Psychiatry, Seoul National University College of Medicine, Seoul 03080, Korea.
J Pers Med. 2021 Oct 9;11(10):1015. doi: 10.3390/jpm11101015.
We aimed to investigate whether coronavirus disease (COVID-19) survivors were at a higher risk of dementia diagnosis compared to controls at 6 months follow-up. Data pertaining to the period between 1 January and 4 June 2020, were extracted from the National Health Insurance Service (NHIS)-COVID-19 database in South Korea. Data on adults (≥20 years old) with no history of dementia, obtained from the NHIS-COVID-19 database, were included in the study. The endpoint of this study was the development of dementia, which was evaluated from 1 January to 1 December 2020. A total of 306,577 adults were included in the analysis, comprising 7133 COVID-19 survivors and 299,444 individuals in the control group. Among the subjects, new-onset dementia diagnosed in 2020 was recorded in 1.2% (3546 of 306,577). In the covariate-adjusted multivariable Cox regression model, the incidence of dementia among COVID-19 survivors was 1.39-fold higher (hazard ratio: 1.39, 95% confidence interval: 1.05-1.85; = 0.023) than that in the control group. At approximately 6 months of follow-up, COVID-19 survivors were at a higher risk of dementia compared to other populations in South Korea.
我们旨在调查与对照组相比,新型冠状病毒肺炎(COVID-19)幸存者在6个月随访时被诊断为痴呆症的风险是否更高。2020年1月1日至6月4日期间的数据,是从韩国国民健康保险服务(NHIS)-COVID-19数据库中提取的。从NHIS-COVID-19数据库中获取的、无痴呆症病史的成年人(≥20岁)的数据被纳入该研究。本研究的终点是痴呆症的发生,其评估时间为2020年1月1日至12月31日。共有306,577名成年人被纳入分析,其中包括7133名COVID-19幸存者和299,444名对照组个体。在这些受试者中,2020年新诊断出的痴呆症患者占1.2%(306,577人中的3546人)。在协变量调整的多变量Cox回归模型中,COVID-19幸存者中痴呆症的发病率比对照组高1.39倍(风险比:1.39,95%置信区间:1.05-1.85;P = 0.023)。在大约6个月的随访时,与韩国其他人群相比,COVID-19幸存者患痴呆症的风险更高。