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논문 기본 정보

자료유형
학술저널
저자정보
Nayoung Ryoo (Seoul National University College of Medicine) Jung-Min Pyun (Seoul National University College of Medicine) 백민재 (서울대학교) Jeewon Suh (National Medical Center) Min Ju Kang (Veterans Health Service Medical Center) Min Jeong Wang (Roa Neurology Clinic) Young Chul Youn (Chung-Ang University) 양동원 (가톨릭대학교) Seong Yoon Kim (Asan Medical Center) 박영호 (서울대학교 의과대학 분당서울대병원 신경과) 김상윤 (서울대학교병원)
저널정보
대한의학회 Journal of Korean Medical Science Journal of Korean Medical Science Vol.35 No.42
발행연도
2020.1
수록면
1 - 21 (21page)

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Multiple neurological complications have been associated with the coronavirus disease-19 (COVID-19), which is caused by severe acute respiratory syndrome coronavirus 2. This is a narrative review to gather information on all aspects of COVID-19 in elderly patients with cognitive impairment. First, the following three mechanisms have been proposed to underlie the neurological complications associated with COVID-19: 1) direct invasion, 2) immune and inflammatory reaction, and 3) hypoxic brain damage by COVID-19. Next, because the elderly dementia patient population is particularly vulnerable to COVID-19, we discussed risk factors and difficulties associated with cognitive disorders in this vulnerable population. We also reviewed the effects of the patient living environment in COVID-19 cases that required intensive care unit (ICU) care. Furthermore, we analyzed the impact of stringent social restrictions and COVID-19 pandemic-mediated policies on dementia patients and care providers. Finally, we provided the following strategies for working with elderly dementia patients: general preventive methods; dementia care at home and nursing facilities according to the activities of daily living and dementia characteristics; ICU care after COVID-19 infection; and public health care system and government response. We propose that longitudinal follow-up studies are needed to fully examine COVID-19 associated neurological complications, such as dementia, and the efficacy of telemedicine/telehealth care programs.

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