International register “Dynamics analysis of comorbidities in SARS-CoV-2 survivors” (AKTIV SARS-CoV-2): analysis of predictors of short-term adverse outcomes in COVID-19
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Published:2021-05-22
Issue:4
Volume:26
Page:4470
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ISSN:2618-7620
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Container-title:Russian Journal of Cardiology
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language:
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Short-container-title:Russ J Cardiol
Author:
Arutyunov G. P.ORCID, Tarlovskaya E. I.ORCID, Arutyunov A. G.ORCID, Belenkov Y. N.ORCID, Konradi A. O.ORCID, Lopatin Y. M.ORCID, Rebrov A. P.ORCID, Tereshchenko S. N.ORCID, Chesnikova A. I.ORCID, Hayrapetyan H. G.ORCID, Babin A. P., Bakulin I. G.ORCID, Bakulina N. V.ORCID, Balykova L. A.ORCID, Blagonravova A. S.ORCID, Boldina M. V.ORCID, Vaisberg A. R.ORCID, Galyavich A. S.ORCID, Gomonova V. V.ORCID, Grigorieva N. U.ORCID, Gubareva I. V.ORCID, Demko I. V.ORCID, Evzerikhina A. V., Zharkov A. V.ORCID, Kamilova U. K.ORCID, Kim Z. F.ORCID, Kuznetsova T. Yu.ORCID, Lareva N. V.ORCID, Makarova E. V.ORCID, Malchikova S. V.ORCID, Nedogoda S. V.ORCID, Petrova M. M.ORCID, Pochinka I. G.ORCID, Protasov K. V.ORCID, Protsenko D. N.ORCID, Ruzanov D. Yu.ORCID, Sayganov S. A.ORCID, Sarybaev A. Sh.ORCID, Selezneva N. M.ORCID, Sugraliev A. B.ORCID, Fomin I. V.ORCID, Khlynova O. V.ORCID, Chizhova O. Yu.ORCID, Shaposhnik I. I.ORCID, Schukarev D. A., Abdrahmanova A. K.ORCID, Avetisian S. A., Avoyan H. G.ORCID, Azarian K. K., Aimakhanova G. T., Ayipova D. A., Akunov A. Ch., Alieva M. K.ORCID, Aparkina A. V.ORCID, Aruslanova O. R.ORCID, Ashina E. Yu.ORCID, Badina O. Y.ORCID, Barisheva O. Yu.ORCID, Batchayeva A. S., Bikhteyev I. U.ORCID, Borodulina N. A.ORCID, Bragin M. V.ORCID, Budu A. M., Burygina L. A.ORCID, Bykova G. A.ORCID, Varlamova D. D.ORCID, Vezikova N. N.ORCID, Verbitskaya E. A.ORCID, Vilkova O. E.ORCID, Vinnikova E. A.ORCID, Vustina V. V., Gаlova E. A.ORCID, Genkel V. V.ORCID, Gorshenina E. I., Gostishev R. V.ORCID, Grigorieva E. V.ORCID, Gubareva E. Yu.ORCID, Dabylova G. M., Demchenko A. I., Dolgikh O. Yu., Duvanov I. A.ORCID, Duyshobayev M. Y., Evdokimov D. S.ORCID, Egorova K. E.ORCID, Ermilova A. N.ORCID, Zheldybayeva A. E., Zarechnova N. V., Ivanova S. Yu.ORCID, Ivanchenko E. Yu.ORCID, Ilina M. V.ORCID, Kazakovtseva M. V.ORCID, Kazymova E. V., Kalinina Yu. S.ORCID, Kamardina N. A., Karachenova A. M.ORCID, Karetnikov I. A.ORCID, Karoli N. A.ORCID, Karpov O. V.ORCID, Karsiev M. Kh.ORCID, Kaskaeva D. S.ORCID, Kasymova K. F.ORCID, Kerimbekova Zh. B., Kerimova A. Sh.ORCID, Kim E. S., Kiseleva N. V.ORCID, Klimenko D. A., Klimova A. V.ORCID, Kovalishena O. V.ORCID, Kolmakova E. V., Kolchinskaya T. P., Kolyadich M. I.ORCID, Kondriakova O. V.ORCID, Konoval M. P.ORCID, Konstantinov D. Yu.ORCID, Konstantinova E. A.ORCID, Kordukova V. A., Koroleva E. V., Kraposhina A. Yu.ORCID, Kriukova T. V., Kuznetsova A. S.ORCID, Kuzmina T. Y.ORCID, Kuzmichev K. V., Kulchoroeva Ch. K.ORCID, Kuprina T. V.ORCID, Kouranova I. V., Kurenkova L. V., Kurchugina N. Yu.ORCID, Kushubakova N. A.ORCID, Levankova V. I.ORCID, Levin M. E.ORCID, Lyubavina N. A.ORCID, Magdeyeva N. A.ORCID, Mazalov K. V., Majseenko V. I.ORCID, Makarova A. S.ORCID, Maripov A. M., Marusina A. A.ORCID, Melnikov E. S.ORCID, Moiseenko N. B.ORCID, Muradova F. N.ORCID, Muradyan R. G., Musaelian Sh. N., Nikitina N. M.ORCID, Ogurlieva B. B., Odegova A. A.ORCID, Omarova Yu. M.ORCID, Omurzakova N. A.ORCID, Ospanova Sh. O., Pahomova E. V.ORCID, Petrov L. D., Plastinina S. S.ORCID, Pogrebetskaya V. A., Polyakov D. S.ORCID, Ponomarenko E. V., Popova L. L.ORCID, Prokofeva N. A.ORCID, Pudova I. A., Rakov N. A., Rakhimov A. N., Rozanova N. A., Serikbolkyzy S., Simonov A. A.ORCID, Skachkova V. V.ORCID, Smirnova L. A.ORCID, Soloveva D. V.ORCID, Soloveva I. A.ORCID, Sokhova F. M.ORCID, Subbotin A. K., Sukhomlinova I. M., Sushilova A. G.ORCID, Tagayeva D. R., Titojkina Yu. V., Tikhonova E. P.ORCID, Tokmin D. S., Torgunakova M. S.ORCID, Trenogina K. V.ORCID, Trostianetckaia N. A., Trofimov D. A.ORCID, Tulichev A. A.ORCID, Tupitsin D. I., Tursunova A. T., Ulanova N. D.ORCID, Fatenkov O. V.ORCID, Fedorishina O. V.ORCID, Fil T. S., Fomina I. Yu., Fominova I. S., Frolova I. A., Tsvinger S. M.ORCID, Tsoma V. V.ORCID, Cholponbaeva M. B., Chudinovskikh T. I.ORCID, Shakhgildyan L. D.ORCID, Shevchenko O. A., Sheshina T. V., Shishkina E. A.ORCID, Shishkov K. Yu.ORCID, Sherbakov S. Y., Yausheva E. A.
Abstract
The international AKTIV register presents a detailed description of out- and inpatients with COVID-19 in the Eurasian region. It was found that hospitalized patients had more comorbidities. In addition, these patients were older and there were more men than among outpatients. Among the traditional risk factors, obesity and hypertension had a significant negative effect on prognosis, which was more significant for patients 60 years of age and older. Among comorbidities, CVDs had the maximum negative effect on prognosis, and this effect was more significant for patients 60 years of age and older. Among other comorbidities, type 2 and 1 diabetes, chronic kidney disease, chronic obstructive pulmonary disease, cancer and anemia had a negative impact on the prognosis. This effect was also more significant (with the exception of type 1 diabetes) for patients 60 years and older. The death risk in patients with COVID-19 depended on the severity and type of multimorbidity. Clusters of diseases typical for deceased patients were identified and their impact on prognosis was determined. The most unfavorable was a cluster of 4 diseases, including hypertension, coronary artery disease, heart failure, and diabetes mellitus. The data obtained should be taken into account when planning measures for prevention (vaccination priority groups), treatment and rehabilitation of COVID-19 survivors.
Publisher
Silicea - Poligraf, LLC
Subject
Cardiology and Cardiovascular Medicine
Reference43 articles.
1. World Health Organization (WHO). https://www.who.int. 2. ClinicalTrials.gov: NCT04492384. https://clinicaltrials.gov. 3. Arutyunov GP, Tarlovskaya EI, Arutyunov AG, et al. International register “Analysis of Chronic Non-infectious Diseases Dynamics After COVID-19 Infection in Adult Patients (ACTIV SARS-CoV-2)”. Kardiologiia. 2020;60(11):31-4. (In Russ.) 4. Arutyunov GP, Tarlovskaya EI, Arutyunov AG, et al. International register “Dynamics analysis of comorbidities in SARS-CoV-2 survivors” (AKTIV) and the register “Analysis of hospitalizations of comorbid patients infected during the second wave of SARS-CoV-2 outbreak” (AKTIV 2). Russian Journal of Cardiology. 2021;26(3):4358. (In Russ.) doi:10.15829/1560-4071-2021-4358. 5. Arutyunov GP, Tarlovskaya EI, Arutyunov AG, et al. International register “Dynamics analysis of comorbidities in SARS-CoV-2 survivors” (AKTIV SARS-CoV-2): analysis of 1,000 patients. Russian Journal of Cardiology. 2020;25(11):4165. (In Russ.) doi:10.15829/1560-4071-2020-4165.
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