{Reference Type}: Journal Article
{Title}: Association of dementia and patient outcomes among COVID-19 patients: A multi-center retrospective case-control study.
{Author}: Vekaria PH;Syed A;Anderson J;Cornett B;Bourbia A;Flynn MG;Kashyap R;Shah AR;
{Journal}: Front Med (Lausanne)
{Volume}: 9
{Issue}: 0
{Year}: 2022
{Factor}: 5.058
{DOI}: 10.3389/fmed.2022.1050747
{Abstract}: <B>UNASSIGNED: </B>We conducted a retrospective cohort study on COVID-19 patients with and without dementia by extracting data from the HCA Healthcare Enterprise Data Warehouse between January-September 2020.<BR><B>UNASSIGNED: </B>To describe the role of patients' baseline characteristics specifically dementia in determining overall health outcomes in COVID-19 patients.<BR><B>UNASSIGNED: </B>We grouped in-patients who had ICD-10 codes for dementia (DM) with age and gender-matched (1:2) patients without dementia (ND). Our primary outcome variables were in-hospital mortality, length of stay, Intensive Care Unit (ICU) admission, ICU-free days, mechanical ventilation (MV) use, MV-free days and 90-day re-admission.<BR><B>UNASSIGNED: </B>Matching provided similar age and sex in DM and ND groups. BMI (median, 25.8 vs. 27.6) and proportion of patients who had smoked (23.3 vs. 31.3%) were lower in DM than in ND patients. The median (IQR) Elixhauser Comorbidity Index was higher in dementia patients 7 (5-10) vs. 5 (3-7, p < 0.01). Higher mortality was observed in DM group (30.8%) vs. ND group (26.4%, p < 0.01) as an unadjusted univariate analysis. The 90-day readmission was not different (32.1 vs. 31.8%, p = 0.8). In logistic regression analysis, the odds of dying were not different between patients in DM and ND groups (OR = 1.0; 95% CI 0.86-1.17), but the odds of ICU admissions were significantly lower for dementia patients (OR = 0.58, 95% CI 0.51-0.66).<BR><B>UNASSIGNED: </B>Our data showed that COVID-19 patients with dementia did not fare substantially worse, but in fact, fared better when certain metrics were considered.