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SARS-CoV-2 Infection, Vaccination Status, and Dementia Risk: A Nested Case-Control Study
Nika Zur1,2, Nili Stein3,4, Walid Saliba4,5,6
1School of Public Health, Faculty of Social Welfare and Health Sciences, University of Haifa, Haifa, Israel.
COVID-19 infection increases dementia risk, particularly in hospitalized patients. Vaccination offers protection, with risk comparable to other respiratory infections like pneumonia.
Area of Science:
- Neurology
- Infectious Diseases
- Public Health
Background:
- Cognitive impairment following SARS-CoV-2 infection is a growing concern.
- Existing research on the link between COVID-19 and dementia risk is inconsistent.
- Understanding this association is crucial for public health strategies.
Purpose of the Study:
- To investigate the association between SARS-CoV-2 infection and incident dementia risk.
- To explore the impact of COVID-19 vaccination on dementia risk.
- To compare dementia risk after SARS-CoV-2 infection with that of pneumonia.
Main Methods:
- A nationwide nested case-control study in Israel involving individuals aged 50+.
- Matched 27,280 dementia cases with 272,800 dementia-free controls using density sampling.
- Analyzed associations using multivariable conditional logistic regression models.
Main Results:
- SARS-CoV-2 infection was linked to a higher dementia risk (OR=1.18), especially in hospitalized patients.
- The risk was comparable to pneumonia (OR=1.89) and diminished after six months.
- COVID-19 vaccination correlated with reduced dementia risk (7-31% lower with 2-4 doses).
Conclusions:
- COVID-19 infection, particularly severe cases requiring hospitalization, is associated with increased dementia diagnoses.
- The dementia risk following COVID-19 is comparable to that of other respiratory infections.
- COVID-19 vaccination demonstrates a protective effect against dementia.
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