SARS-CoV-2 susceptibility and COVID-19 illness course and outcome in people with pre-existing neurodegenerative disorders: systematic review with frequentist and Bayesian meta-analyses.

BACKGROUND: People with neurodegenerative disease and mild cognitive impairment (MCI) may have an elevated risk of acquiring severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and may be disproportionally affected by coronavirus disease 2019 (COVID-19) once infected. AIMS: To review all eligible studies and quantify the strength of associations between various pre-existing neurodegenerative disorders and both SARS-CoV-2 susceptibility and COVID-19 illness course and outcome. METHOD: Pre-registered systematic review with frequentist and Bayesian meta-analyses. Systematic searches were executed in PubMed, Web of Science and preprint servers. The final search date was 9 January 2023. Odds ratios (ORs) were used as measures of effect. RESULTS: In total, 136 primary studies (total sample size n = 97 643 494), reporting on 268 effect-size estimates, met the inclusion criteria. The odds for a positive SARS-CoV-2 test result were increased for people with pre-existing dementia (OR = 1.83, 95% CI 1.16-2.87), Alzheimer's disease (OR = 2.86, 95% CI 1.44-5.66) and Parkinson's disease (OR = 1.65, 95% CI 1.34-2.04). People with pre-existing dementia were more likely to experience a relatively severe COVID-19 course, once infected (OR = 1.43, 95% CI 1.00-2.03). People with pre-existing dementia or Alzheimer's disease were at increased risk for COVID-19-related hospital admission (pooled OR range: 1.60-3.72). Intensive care unit admission rates were relatively low for people with dementia (OR = 0.54, 95% CI 0.40-0.74). All neurodegenerative disorders, including MCI, were at higher risk for COVID-19-related mortality (pooled OR range: 1.56-2.27). CONCLUSIONS: Our findings confirm that, in general, people with neurodegenerative disease and MCI are at a disproportionally high risk of contracting COVID-19 and have a poor outcome once infected.

When time stands upright: STEARC effects along the vertical axis.

According to the spatial-temporal association of response codes (STEARC) effect, time can be spatially represented from left to right. However, exploration of a possible STEARC effect along the vertical axis has yielded mixed results. Here, in six experiments based on a novel paradigm, we systematically explored whether a STEARC effect could emerge when participants were asked to classify the actual temporal duration of a visual stimulus. Speeded manual responses were provided using a vertically oriented response box. Interestingly, although a top-to-bottom time representation emerged when only two temporal durations were employed, an inverted bottom-to-top time representation emerged when a denser set of temporal durations, arranged along a continuum, was used. Moreover, no STEARC effects emerged when participants classified the shapes of visual stimuli rather than their temporal duration. Finally, three additional experiments explored the STEARC effect along the horizontal axis, confirming that the paradigm we devised successfully replicated the standard left-to-right representation of time. These results provide supporting evidence for the notion that temporal durations can be mapped along the vertical axis, and that such mapping appears to be relatively flexible.