RT info:eu-repo/semantics/article
T1 Impact of discontinuing non-pharmacological interventions on cognitive impairment in dementia patients by COVID-19 lockdown. A pilot observational, longitudinal, retrospective study carried out in an adult day center in Spain during the COVID-19 pandemic
A1 Sánchez Valdeón, Leticia
A1 Bello Corral, Laura
A1 Mayo Iscar, Agustín
A1 Fernández Lázaro, Diego
A1 Seco Calvo, Jesús Ángel
A2 Enfermeria
K1 Enfermería
K1 Dementia
K1 COVID-19
K1 Mini-Mental State Examination (MMSE)
K1 Day center
K1 Non-pharmacological interventions
K1 Lockdown
K1 32 Ciencias Médicas
AB [EN] Background: The lockdown imposed during the COVID-19 pandemic led tosocial isolation and prevented patients with dementia from receiving a suite ofnon-pharmacological interventions (NPIs) that prevent cognitive decline. Thisdiscontinuation of NPIs could substantially affect the mental health status of peoplewith dementia in social care settings, such as adult day care centers (ADCs).Propose: The study aimed to evaluate the effects of the COVID-19 lockdown onmental health and cognitive impairment in patients with dementia who couldnot attend their usual ADCs and did not receive our NPIs, based on World HealthOrganization (WHO) Guidelines.Methods: Observational, longitudinal, retrospective study carried out in anadult day center in Spain and reported it in accordance with the StrengtheningReporting of Observational Studies in Epidemiology (STROBE) statement.Cognitive status was assessed using the Mini-Mental State Examination (MMSE) in80 patients attending the ADC of the “Leonese Association of Dementia Patients”(León, Spain), who had been evaluated with this instrument before the COVID-19lockdown.Results: We observed a 0.4-point decrease in MMSE score/month (IQR = 1.4)during lockdown versus a 0.1-point decrease/month (IQR = 0.3) before thisperiod (p = 0.038). Notably, this translated to >10-point decreases in MMSE score/year in 33.8% of participants during lockdown versus 5.5% earlier (p < 0.001). Nostatistically significant associations (p < 0.05) were found between the individualcharacteristics of the caregivers and the occurrence of the event.Conclusion: The reported declines in MMSE scores reveal a significant acceleration of cognitive decline during the period of inactivity. This could suggest that our NPIs, focused on slowing cognitive decline, are beneficial and, therefore, necessary in patients with dementia.
PB Frontiers Media
LK https://hdl.handle.net/10612/18059
UL https://hdl.handle.net/10612/18059
NO Sánchez-Valdeón, L., Bello-Corral, L., Mayo-Iscar, A., Fernández-Lázaro, D., & Seco-Calvo, J. (2023). Impact of discontinuing non-pharmacological interventions on cognitive impairment in dementia patients by COVID-19 lockdown. A pilot observational, longitudinal, retrospective study carried out in an adult day center in Spain during the COVID-19 pandemic. Frontiers in Medicine, 10. https://doi.org/10.3389/FMED.2023.1204151
DS BULERIA. Repositorio Institucional de la Universidad de León
RD 15-jun-2024