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Abstract

Is the COVID-19 pandemic associated with changes in mortality among older adults with Alzheimer disease and related dementias (ADRD)? In this cross-sectional study of 53?640?888 Medicare enrollees 65 years of age or older, compared with 2019, mortality was 12% higher among beneficiaries without ADRD and 26% higher among beneficiaries with ADRD in 2020. Among nursing home residents without ADRD, mortality was 24% higher, and among nursing home residents with ADRD, mortality was 33% higher. These findings suggest that the COVID-19 pandemic was associated with increased mortality among older Medicare enrollees with ADRD, especially among beneficiaries living in nursing homes.

Citation

Gilstrap, Lauren, Weiping Zhou, Marcella Alsan, Anoop Nanda, and Jonathan S. Skinner. "Trends in Mortality Rates Among Medicare Enrollees With Alzheimer Disease and Related Dementias Before and During the Early Phase of the COVID-19 Pandemic." JAMA Neurology 79.4 (April 2022): 342-348.