Abstract

Approximately 40% - 60% of people with dementia in residential care facilities experience behavioral and psychological symptoms (BPSD), such as agitation, psychosis, or apathy [1]. During the COVID-19, older adults with dementia were likely to develop behavioral changes [2]. Among multiple factors contributing to the behavioral disturbances in unprecedented times, delirium was not well recognized in dementia, especially among those without respiratory failure [3,4]. In the EClinicalMedicine, Tino Emanuele Poloni and colleagues report a retrospective study of delirium superimposed on dementia during the COVID-19 outbreak peak in a dementia facility in Italy [5].

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