Introduction

Percentage Change

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    As a general view, this table shows the percentage change of dementia deaths from the averaged value from year 2015 to year 2019 to the real value of dementia deaths in 2020. This analysis only take in consideration the first 4 months of pandemic (March-June). First, the increase of 27% in mortality rate in Italy shows the pandemic effects on patients with dementia.
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    Second, one of the most important aspect this table shows is the percentage change of Lombardia equal to 95.8. Lombardia was the most affected region in term of Covid-19 case and deaths and this value reflects the bad situation of this region during pandemic.
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    During the first months of pandemic, the south part of Italy wasn’t really affected by pandemic and this results in a small value of percentage change (Sicilia, Calabria,Puglia,Campania).

Region Focus

Comparison Between North & South

Lombardia, the most populated and industrialized Italian region, was the epicentre of the first wave (March and April 2020) of COVID-19 in Italy and it results in a significant increase in dementia deaths during these months.

The number of Covid-19 cases in the South Italy was lower than in the North Italy during the first wave.Calabria, as well as others regions the southern Italy, shows a dementia mortality trend similar to the past years.

Demographic Analysis

Place of Death

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Residential or social assistance structure are unfortunately known to be environments at high risk of developing outbreaks of Covid, this due to a combination of factors.

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On the one hand, in fact, there is the vulnerability of residents who often suffer from heart disease, respiratory disease and diabetes.

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On the other hand, the environment itself should not be underestimated, characterized by shared common spaces, or closed places where contacts with staff and visitors are frequent.

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This results an increase of Covid-19 cases in these structure and, as a correlation, in a increase of dementia deaths.

Age Category

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The elderly population suffered the most during the pandemic. The percentage of deaths compared to the cases of positivity officially registered, saw Italy among the most affected countries in Europe.

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The main victims of Covid-19 are definitely the elderly.

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A large number of Covid-19 cases in these age groups have been recorded, resulting in increased deaths of dementia due to pandemic.

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In particular, the increase can be seen for people aged over 90.

Excess Dementia Mortality

Excess dementia mortality is the best indicator to evaluate the overall impact of the Coronavirus disease 2019 (Covid-19) pandemic in terms of lives lost. It quantifies not only the deaths directly related to Covid-19 but also those occurring as a consequence of the reduced capacity of the health system to provide care for other medical conditions.

March and April are the months of the first Covid-19 wave and the graph shows an excess of dementia mortality rate in Italy equal to 1155 for these two months.