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1. ACTIV SARS-CoV-2 registry (Analysis of Chronic Non-infectious Diseases Dynamics After COVID-19 Infection in Adult Patients). Assessment of impact of combined original comorbid diseases in patients with COVID-19 on the prognosis

Author

Gregory P. Arutyunov, Ekaterina I. Tarlovskaya, Alexander G. Arutyunov, Yuri N. Belenkov, Alexandra O. Konradi, Yury M. Lopatin, Andrey P. Rebrov, Sergey N. Tereshchenko, Anna I. Chesnikova, Hamlet G. Hayrapetyan, Aleksandr P. Babin, Igor G. Bakulin, Natalia V. Bakulina, Larisa A. Balykova, Anna S. Blagonravova, Marina V. Boldina, Alexandra R. Vaisberg, Albert S. Galyavich, Veronika V. Gomonova, Natalia Yu. Grigorieva, Irina V. Gubareva, Irina V. Demko, Angelika V. Evzerikhina, Aleksandr V. Zharkov, Umida K. Kamilova, Zulfia F. Kim, Tatiana Yu. Kuznetsova, Natalia V. Lareva, Ekaterina V. Makarova, Svetlana V. Malchikova, Sergey V. Nedogoda, Marina M. Petrova, Ilya G. Pochinka, Konstantin V. Protasov, Denis N. Protsenko, Dmitry Yu. Ruzanau, Sergey A. Sayganov, Akpay S. Sarybaev, Natalia M. Selezneva, Akhmetzhan B. Sugraliev, Igor V. Fomin, Olga V. Khlynova, Olga Yu. Chizhova, Igor I. Shaposhnik, Dmitry A. Sh'ukarev, Айгуль K. Abdrahmanova, Susanna A. Avetisian, Hovhannes G. Avoyan, Karine K. Azarian, Galiya T. Aimakhanova, Dinara A. Ayipova, Almazbek Ch. Akunov, Marianna K. Alieva, Aliona V. Aparkina, Olga R. Aruslanova, Ekaterina Yu. Ashina, Olga Yu. Badina, Olga Yu. Barisheva, Alina S. Batchayeva, Anna M. Bitieva, Ismail U. Bikhteyev, Nataliya A. Borodulina, Maksim V. Bragin, Angela M. Budu, Galina M. Bykova, Kristina R. Vagapova, Darina D. Varlamova, Natalia N. Vezikova, Elena A. Verbitskaya, Olga E. Vilkova, Elena A. Vinnikova, Vera V. Vustina, Elena A. Galova, Vadim V. Genkel, Elena I. Gorshenina, Roman V. Gostishev, Elena V. Grigorieva, Ekaterina Yu. Gubareva, Gaukhar M. Dabylova, Anastasiya I. Demchenko, Oleg Yu. Dolgikh, Melis Y. Duyshobayev, Dmitrii S. Evdokimov, Ksenia E. Egorova, Anastasiia N. Ermilova, Aliya E. Zheldybayeva, Nataliya V. Zarechnova, Yuliia D. Zimina, Svetlana Yu. Ivanova, Elena Yu. Ivanchenko, Mariya V. Ilina, Maria V. Kazakovtseva, Elena V. Kazymova, Yuliya S. Kalinina, Nadezhda A. Kamardina, Anastasiya M. Karachenova, Igor A. Karetnikov, Nina A. Karoli, Magomed Kh. Karsiev, Daria S. Кaskaeva, Karina F. Kasymova, Zhainagul B. Kerimbekova, Ailar Sh. Kerimova, Eugeni S. Kim, Nina V. Kiseleva, Darya A. Klimenko, Anastasiia V. Klimova, Olga V. Kovalishena, Elena V. Kolmakova, Tatyana P. Kolchinskaya, Maria I. Kolyadich, Olga V. Kondriakova, Marina P. Konoval, Dmitryi Yu. Konstantinov, Elena A. Konstantinova, Vera A. Kordukova, Ekaterina V. Koroleva, Angelina Yu. Kraposhina, Tamara V. Kriukova, Alla S. Kuznetsova, Tatyana Yu. Kuzmina, Kirill V. Kuzmichev, Cholpon K. Kulchoroevna, Tatiana V. Kuprina, Irina M. Kouranova, Liliya V. Kurenkova, Natalia Yu. Kurchugina, Nadira A. Kushubakova, Valeriia I. Levankova, Natalia A. Lyubavina, Nadezhda A. Magdeyeva, Konstantin V. Mazalov, Viktoryia I. Majseenko, Aleksandra S. Makarova, Abdirashit M. Maripov, Anastasiia A. Marusina, Evgenii S. Melnikov, Nikita B. Moiseenko, Fazliniso N. Muradova, Rimma G. Muradyan, Shahane N. Musaelian, Anton O. Myshak, Ekaterina S. Nekaeva, Nataliia M. Nikitina, Bela B. Ogurlieva, Alla A. Odegova, Yuliia V. Omarova, Nazgul A. Omurzakova, Shynar O. Ospanova, Ekaterina V. Pahomova, Liviu D. Petrov, Svetlana S. Plastinina, Vera A. Pogrebetskaya, Dmitry S. Polyakov, Ekaterina V. Ponomarenko, Larisa L. Popova, Natalya A. Prokofeva, Inna A. Pudova, Nikita A. Rakov, Abdurakhmon N. Rahimov, Nadezhda A. Rozanova, Saltanat Serikbolkyzy, Andrei A Simonov, Valeriya V. Skachkova, Daria V. Soloveva, Irina A. Soloveva, Alexander K. Subbotin, Irina M. Sukhomlinova, Anastasiia G. Sushilova, Dilnoza R. Tagayeva, Yuliia V. Titojkina, Elena P. Tikhonova, Danil S. Tokmin, Anastasiia A. Tolmacheva, Mariya S. Torgunakova, Ksenia V. Trenogina, Natalia A. Trostianetckaia, Dmitriy A. Trofimov, Alexander A. Tulichev, Assiya T. Tursunova, Nina D. Ulanova, Oleg V. Fatenkov, Olga V. Fedorishina, Tatiana S. Fil, Irina Yu. Fomina, Irina S. Fominova, Irina A. Frolova, Svetlana M. Tsvinger, Vera V. Tsoma, Meerim B. Cholponbaeva, Tatiana I. Chudinovskikh, Olga A. Shevchenko, Tatyana V. Sheshina, Ekaterina A. Shishkina, Konstantin Yu. Shishkov, Stanislav Yu. Sherbakov, and Ekaterina A. Yausheva

Subjects
covid-19, activ registry, cardiovascular diseases, diabetes mellitus, polymorbidity, disease combinations, Medicine
Abstract

Aim. Study the impact of various combinations of comorbid original diseases in patients infected with COVID-19 later on the disease progression and outcomes of the new coronavirus infection. Materials and methods. The ACTIV registry was created on the Eurasian Association of Therapists initiative. 5,808 patients have been included in the registry: men and women with COVID-19 treated at hospital or at home. ClinicalTrials.gov ID NCT04492384. Results. Most patients with COVID-19 have original comorbid diseases (oCDs). Polymorbidity assessed by way of simple counting of oCDs is an independent factor in negative outcomes of COVID-19. Search for most frequent combinations of 2, 3 and 4 oCDs has revealed absolute domination of cardiovascular diseases (all possible variants). The most unfavorable combination of 2 oCDs includes atrial hypertension (AH) and chronic heart failure (CHF). The most unfavorable combination of 3 oCDs includes AH, coronary heart disease (CHD) and CHF; the worst combination of 4 oCDs includes AH, CHD, CHF and diabetes mellitus. Such combinations increased the risk of lethal outcomes 3.963, 4.082 and 4.215 times respectively. Conclusion. Polymorbidity determined by way of simple counting of diseases may be estimated as a factor in the lethal outcome risk in the acute phase of COVID-19 in real practice. Most frequent combinations of 2, 3 and 4 diseases in patients with COVID-19 primarily include cardiovascular diseases (AH, CHD and CHF), diabetes mellitus and obesity. Combinations of such diseases increase the COVID-19 lethal outcome risk.

Published
2022
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2. [ACTIV SARS-CoV-2 registry (Analysis of Chronic Non-infectious Diseases Dynamics After COVID-19 Infection in Adult Patients). Assessment of impact of combined original comorbid diseases in patients with COVID-19 on the prognosis]

Author

Gregory P. Arutyunov, Ekaterina I. Tarlovskaya, Alexander G. Arutyunov, Yuri N. Belenkov, Alexandra O. Konradi, Yury M. Lopatin, Andrey P. Rebrov, Sergey N. Tereshchenko, Anna I. Chesnikova, Hamlet G. Hayrapetyan, Aleksandr P. Babin, Igor G. Bakulin, Natalia V. Bakulina, Larisa A. Balykova, Anna S. Blagonravova, Marina V. Boldina, Alexandra R. Vaisberg, Albert S. Galyavich, Veronika V. Gomonova, Natalia Yu. Grigorieva, Irina V. Gubareva, Irina V. Demko, Angelika V. Evzerikhina, Aleksandr V. Zharkov, Umida K. Kamilova, Zulfia F. Kim, Tatiana Yu. Kuznetsova, Natalia V. Lareva, Ekaterina V. Makarova, Svetlana V. Malchikova, Sergey V. Nedogoda, Marina M. Petrova, Ilya G. Pochinka, Konstantin V. Protasov, Denis N. Protsenko, Dmitry Yu. Ruzanau, Sergey A. Sayganov, Akpay S. Sarybaev, Natalia M. Selezneva, Akhmetzhan B. Sugraliev, Igor V. Fomin, Olga V. Khlynova, Olga Yu. Chizhova, Igor I. Shaposhnik, Dmitry A. Sh'ukarev, Айгуль K. Abdrahmanova, Susanna A. Avetisian, Hovhannes G. Avoyan, Karine K. Azarian, Galiya T. Aimakhanova, Dinara A. Ayipova, Almazbek Ch. Akunov, Marianna K. Alieva, Aliona V. Aparkina, Olga R. Aruslanova, Ekaterina Yu. Ashina, Olga Yu. Badina, Olga Yu. Barisheva, Alina S. Batchayeva, Anna M. Bitieva, Ismail U. Bikhteyev, Nataliya A. Borodulina, Maksim V. Bragin, Angela M. Budu, Galina M. Bykova, Kristina R. Vagapova, Darina D. Varlamova, Natalia N. Vezikova, Elena A. Verbitskaya, Olga E. Vilkova, Elena A. Vinnikova, Vera V. Vustina, Elena A. Galova, Vadim V. Genkel, Elena I. Gorshenina, Roman V. Gostishev, Elena V. Grigorieva, Ekaterina Yu. Gubareva, Gaukhar M. Dabylova, Anastasiya I. Demchenko, Oleg Yu. Dolgikh, Melis Y. Duyshobayev, Dmitrii S. Evdokimov, Ksenia E. Egorova, Anastasiia N. Ermilova, Aliya E. Zheldybayeva, Nataliya V. Zarechnova, Yuliia D. Zimina, Svetlana Yu. Ivanova, Elena Yu. Ivanchenko, Mariya V. Ilina, Maria V. Kazakovtseva, Elena V. Kazymova, Yuliya S. Kalinina, Nadezhda A. Kamardina, Anastasiya M. Karachenova, Igor A. Karetnikov, Nina A. Karoli, Magomed Kh. Karsiev, Daria S. Кaskaeva, Karina F. Kasymova, Zhainagul B. Kerimbekova, Ailar Sh. Kerimova, Eugeni S. Kim, Nina V. Kiseleva, Darya A. Klimenko, Anastasiia V. Klimova, Olga V. Kovalishena, Elena V. Kolmakova, Tatyana P. Kolchinskaya, Maria I. Kolyadich, Olga V. Kondriakova, Marina P. Konoval, Dmitryi Yu. Konstantinov, Elena A. Konstantinova, Vera A. Kordukova, Ekaterina V. Koroleva, Angelina Yu. Kraposhina, Tamara V. Kriukova, Alla S. Kuznetsova, Tatyana Yu. Kuzmina, Kirill V. Kuzmichev, Cholpon K. Kulchoroevna, Tatiana V. Kuprina, Irina M. Kouranova, Liliya V. Kurenkova, Natalia Yu. Kurchugina, Nadira A. Kushubakova, Valeriia I. Levankova, Natalia A. Lyubavina, Nadezhda A. Magdeyeva, Konstantin V. Mazalov, Viktoryia I. Majseenko, Aleksandra S. Makarova, Abdirashit M. Maripov, Anastasiia A. Marusina, Evgenii S. Melnikov, Nikita B. Moiseenko, Fazliniso N. Muradova, Rimma G. Muradyan, Shahane N. Musaelian, Anton O. Myshak, Ekaterina S. Nekaeva, Nataliia M. Nikitina, Bela B. Ogurlieva, Alla A. Odegova, Yuliia V. Omarova, Nazgul A. Omurzakova, Shynar O. Ospanova, Ekaterina V. Pahomova, Liviu D. Petrov, Svetlana S. Plastinina, Vera A. Pogrebetskaya, Dmitry S. Polyakov, Ekaterina V. Ponomarenko, Larisa L. Popova, Natalya A. Prokofeva, Inna A. Pudova, Nikita A. Rakov, Abdurakhmon N. Rahimov, Nadezhda A. Rozanova, Saltanat Serikbolkyzy, Andrei A Simonov, Valeriya V. Skachkova, Daria V. Soloveva, Irina A. Soloveva, Alexander K. Subbotin, Irina M. Sukhomlinova, Anastasiia G. Sushilova, Dilnoza R. Tagayeva, Yuliia V. Titojkina, Elena P. Tikhonova, Danil S. Tokmin, Anastasiia A. Tolmacheva, Mariya S. Torgunakova, Ksenia V. Trenogina, Natalia A. Trostianetckaia, Dmitriy A. Trofimov, Alexander A. Tulichev, Assiya T. Tursunova, Nina D. Ulanova, Oleg V. Fatenkov, Olga V. Fedorishina, Tatiana S. Fil, Irina Yu. Fomina, Irina S. Fominova, Irina A. Frolova, Svetlana M. Tsvinger, Vera V. Tsoma, Meerim B. Cholponbaeva, Tatiana I. Chudinovskikh, Olga A. Shevchenko, Tatyana V. Sheshina, Ekaterina A. Shishkina, Konstantin Yu. Shishkov, Stanislav Yu. Sherbakov, and Ekaterina A. Yausheva

Subjects
Adult, Male, Heart Failure, History, SARS-CoV-2, Endocrinology, Diabetes and Metabolism, COVID-19, Coronary Disease, General Medicine, Prognosis, Cardiovascular Diseases, Chronic Disease, Hypertension, Diabetes Mellitus, Humans, Female, Registries, Family Practice, Noncommunicable Diseases
Abstract

Study the impact of various combinations of comorbid original diseases in patients infected with COVID-19 later on the disease progression and outcomes of the new coronavirus infection.The ACTIV registry was created on the Eurasian Association of Therapists initiative. 5,808 patients have been included in the registry: men and women with COVID-19 treated at hospital or at home.gov ID NCT04492384.Most patients with COVID-19 have original comorbid diseases (oCDs). Polymorbidity assessed by way of simple counting of oCDs is an independent factor in negative outcomes of COVID-19. Search for most frequent combinations of 2, 3 and 4 oCDs has revealed absolute domination of cardiovascular diseases (all possible variants). The most unfavorable combination of 2 oCDs includes atrial hypertension (AH) and chronic heart failure (CHF). The most unfavorable combination of 3 oCDs includes AH, coronary heart disease (CHD) and CHF; the worst combination of 4 oCDs includes AH, CHD, CHF and diabetes mellitus. Such combinations increased the risk of lethal outcomes 3.963, 4.082 and 4.215 times respectively.Polymorbidity determined by way of simple counting of diseases may be estimated as a factor in the lethal outcome risk in the acute phase of COVID-19 in real practice. Most frequent combinations of 2, 3 and 4 diseases in patients with COVID-19 primarily include cardiovascular diseases (AH, CHD and CHF), diabetes mellitus and obesity. Combinations of such diseases increase the COVID-19 lethal outcome risk.Цель. Изучить влияние различных комбинаций сопутствующих заболеваний, существовавших у пациентов исходно, до инфицирования вирусом SARS-CoV-2, на тяжесть течения и исходы новой коронавирусной инфекции. Материалы и методы. Регистр АКТИВ создан по инициативе Евразийской ассоциации терапевтов. В регистр включены 5808 пациентов: мужчины и женщины с диагнозом COVID-19, находящиеся на лечении в стационаре или получающие лечение на дому. Регистрация регистра: идентификатор ClinicalTrials.gov: NCT04492384. Результаты. Подавляющее большинство пациентов с COVID-19 имеют исходные сопутствующие заболевания (иСЗ). Полиморбидность, оцененная методом простого подсчета иСЗ, является самостоятельным фактором негативного прогноза больных COVID-19. Поиск наиболее часто встречающихся комбинаций из 2, 3, 4 и более СЗ выявил абсолютное доминирование сердечно-сосудистых заболеваний во всех возможных вариантах. Наиболее неблагоприятной при сочетании 2 иСЗ была комбинация, включающая артериальную гипертензию (АГ) и хроническую сердечную недостаточность (ХСН), при сочетании 3 иСЗ комбинация, включающая АГ, ишемическую болезнь сердца (ИБС), ХСН, и при сочетании 4 иСЗ комбинация, включающая АГ, ИБС, ХСН и сахарный диабет. Наличие таких комбинаций приводило к росту риска летального исхода в 3,963, 4,082, 4,215 раза соответственно. Заключение. Полиморбидность, определенная методом простого подсчета заболеваний, может использоваться в реальной практике как фактор риска летальности в остром периоде COVID-19. В состав наиболее часто встречающихся комбинаций из 2, 3, 4 заболеваний у пациентов с COVID-19 входят преимущественно сердечно-сосудистые заболевания (АГ, ИБС, ХСН), сахарный диабет и ожирение. Комбинации этих заболеваний повышают риск летального исхода при COVID-19.

Published
2021

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