New Coronary Pneumonia | The Faculty of Medicine of CUHK says the mortality rate over 60 years old is 6.27%, 105 times that of under 60 years old

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Written by: McKay

2020-08-27 15:00

The CUHK Medical School team stated that as of the 23rd of this month, the mortality rate of patients with new coronary pneumonia 60 years old or above reached 6.27%, which is 105 times the 0.06% mortality rate of patients under 60 years old. According to the study, out of more than 1,700 cases by the end of July, 8 people were elderly with dementia, 4 of whom had passed away, the rate reached 50%, which is higher than the 20% death rate of patients with new coronary pneumonia over 80 years old. I believe patients with dementia The mortality rate is related to immune system damage, genetic problems, etc., but related hypotheses still need to be further verified.

In order to maintain the health of patients with dementia, the team recommends that caregivers should maintain the patients' daily activities, such as wearing a mask and walking in places with less crowds, and using online consultation services to reduce delays in follow-up visits or withdrawal of medication .

Professor Mo Qingyao of the Faculty of Medicine of CUHK, and Mo Zhongtang, director of the Department of Neurology of the Department of Internal Medicine and Therapeutics of CUHK, led the team to form a disease research team with dementia experts from universities in 16 countries and regions. The hospital recommends 13 strategies respectively, and the related recommendations are in the Journal of Alzheimer's Disease and Dementia.

U.K. study cited the increase in mortality among patients with dementia

Studies have found that once the global elderly and patients with dementia are diagnosed with new coronary pneumonia, the risk of death is much higher than that of ordinary patients. Mo Zhongtang said that as of the 23rd of this month, the mortality rate of patients with new coronary pneumonia 60 years of age or older reached 6.27%, which is 105 times the 0.06% mortality rate of patients under 60. As of the 1,700 cases by the end of July, 8 people were elderly with dementia, 4 of whom had passed away, the rate reached 50%, which is higher than the 20% death rate of patients over 80 years old with new coronary pneumonia. The data in the United Kingdom has the same result. The death rate of dementia patients infected with new coronary pneumonia will increase by two times. Therefore, the group believes that it is particularly important to protect patients with dementia from the new coronavirus infection.

The team of Mo Zhongtang, director of the Department of Neurology and Neurology of the Department of Internal Medicine and Pharmacology of the Faculty of Medicine, CUHK, suggested 13 strategies for nursing homes and hospitals. (Photo by Lu Yiming)

Inflammation of the body may be exacerbated by the new coronavirus infection.

Groups believe that the higher mortality rate of the elderly with dementia may be related to the ApoE4 gene associated with Alzheimer’s disease, because cognitive impairment is known to be the brain The glial cells in the lower part of the body are inflamed. If the new coronavirus is infected, the inflammation will be further disordered and affect the brain, but the hypothesis still needs to be verified. Mo Zhongtang said frankly that foreign studies have pointed out that the new crown virus attacks the brain, but there is no relevant research in Hong Kong.

During the epidemic, many patients were not able to follow up as scheduled, resulting in drug withdrawal. Ou Yingzhi, a cranial neurologist, suggested that "telemedicine" can be adopted in Hong Kong. Medical care can provide patients with online consultations to ensure that they continue to provide appropriate care during the epidemic.

The School of Medicine of CUHK and dementia experts from universities in 16 countries and regions formed a disease research team. (Photo by Lu Yiming)

Inactive muscles and bones of the elderly will become rigid

At the same time, patients with dementia should keep exercising. Guo Zhirui, director of the Department of Geriatrics of the Department of Internal Medicine and Pharmacotherapy, pointed out that when the elderly are inactive, their muscles and bones will become stiff and easily fall. "Maybe you don’t have the disease (new coronary pneumonia), but Other diseases.” He suggested that caregivers can maintain the patient’s daily activities, such as wearing a mask and taking a walk in a less crowded area.

Ms. Wu needs to take care of a pair of cognitively impaired parents. During the epidemic, she continued to let her parents go out like going to the park. Because occupational therapy needs to be suspended, she changed to participate in activities with her parents on Facebook, such as learning to paint pastels, to maintain social interaction and therapy.

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