Radomyslsky Zorian, Kivity Sara, Alon Yaniv, Saban Mor
Maccabi healthcare services, Tel Aviv-Jaffa, Israel.
Department of Health system management, Ariel University, Ariel, West Bank.
J Alzheimers Dis. 2025 Jan;103(1):159-166. doi: 10.1177/13872877241299123. Epub 2024 Nov 26.
Individuals with dementia are particularly vulnerable during emergency situations due to challenges with cognition, mobility, and daily functioning. However, little is known about how disruptive events may specifically impact the health of those with dementia.
To evaluate changes in health outcomes for individuals with and without dementia surrounding the Israel-Gaza war in October 2023. Specifically, we analyzed and compared changes in mental health status, medication adherence, healthcare service utilization, and associated costs between individuals with dementia (Study Group) and those without dementia (Control Group) during the period surrounding the Israel-Gaza war in October 2023.
A prospective cohort study compared outcomes between individuals with dementia (Study Group, n = 24,178) and without (Control Group, n = 250,652) before and after the crisis onset. The conflict precipitously threw national systems into disarray, recruited healthcare personnel to the war effort, and disrupted supply chains.
Compared to baseline, analysis revealed alterations in patterns of dementia diagnoses, healthcare service utilization, medication adherence, and associated costs during the crisis period for both groups. However, the Study Group experienced comparatively larger declines.
Findings provide insights into how humanitarian emergencies, through disruption of health systems and care networks, differentially impact continuity of dementia care. This underscores the need for tailored crisis response strategies to address the heightened vulnerabilities of patients with dementia.
由于认知、行动能力和日常功能方面的挑战，痴呆症患者在紧急情况下特别脆弱。然而，对于破坏性事件如何具体影响痴呆症患者的健康，我们知之甚少。
评估2023年10月以色列-加沙战争前后有痴呆症和无痴呆症个体的健康结果变化。具体而言，我们分析并比较了2023年10月以色列-加沙战争期间痴呆症患者（研究组）和无痴呆症患者（对照组）在心理健康状况、药物依从性、医疗服务利用及相关成本方面的变化。
一项前瞻性队列研究比较了危机发生前后痴呆症患者（研究组，n = 24178）和非痴呆症患者（对照组，n = 250652）的结果。冲突使国家系统突然陷入混乱，征募医疗人员投入战争，并扰乱了供应链。
与基线相比，分析显示两组在危机期间痴呆症诊断模式、医疗服务利用、药物依从性及相关成本均有变化。然而，研究组的下降幅度相对较大。
研究结果揭示了人道主义紧急情况如何通过扰乱卫生系统和护理网络，对痴呆症护理的连续性产生不同影响。这凸显了制定针对性危机应对策略以解决痴呆症患者更高脆弱性问题的必要性。
