Features of the course of COVID-19 in patients with comorbid pathology

Comorbidity is an important problem of modern medicine, the study of which is a priority for public health. According to  the literature, the prevalence of comorbidity reaches a third of the population in some countries, while there is a tendency for an increase in the number of such patients in all...

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Main Authors: M. M. Sharipova, M. V. Ivkina, A. N. Arkhangelskaia, K. G. Gurevich, I. V. Maev
Format: Article
Language:Russian
Published: Remedium Group LLC 2022-04-01
Series:Медицинский совет
Subjects:
Online Access:https://www.med-sovet.pro/jour/article/view/6810
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author M. M. Sharipova
M. V. Ivkina
A. N. Arkhangelskaia
K. G. Gurevich
I. V. Maev
author_facet M. M. Sharipova
M. V. Ivkina
A. N. Arkhangelskaia
K. G. Gurevich
I. V. Maev
author_sort M. M. Sharipova
collection DOAJ
description Comorbidity is an important problem of modern medicine, the study of which is a priority for public health. According to  the literature, the prevalence of comorbidity reaches a third of the population in some countries, while there is a tendency for an increase in the number of such patients in all age groups. In the context of the COVID-19 pandemic, the presence of   comorbidity in patients is a significant risk factor affecting the course and prognosis of a new coronavirus infection; at the same time, it is comorbid patients who belong to the most vulnerable group. The review presents data indicating a significant impact of comorbid pathologies on an increase in the number of complications and mortality; the most common combinations of diseases in patients with a new coronavirus infection were analyzed. There is an increase in the prevalence of comorbidity in all age groups, which dictates the need to develop an integrated interdisciplinary approach for such patients. The vast majority of clinical guidelines for the  treatment of comorbidities in COVID-19 are mainly focused on individual diseases, which limits the use of these algorithms in comorbid patients. Due to the high risk of contracting a viral infection, as  well as the frequent development of   complications and mortality in comorbid patients, preventive measures should be  focused simultaneously on two tasks: measures aimed at preventing infection with COVID-19 and compensating for  comorbid pathology. In the case of SARS-CoV-2 infection, careful monitoring of such patients, most often in a hospital setting, is necessary in order to prevent complications and adverse outcomes.
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spelling doaj.art-74b2aa45fb014d85830ead00735983762023-04-23T06:56:45ZrusRemedium Group LLCМедицинский совет2079-701X2658-57902022-04-0106444910.21518/2079-701X-2022-16-6-44-496116Features of the course of COVID-19 in patients with comorbid pathologyM. M. Sharipova0M. V. Ivkina1A. N. Arkhangelskaia2K. G. Gurevich3I. V. Maev4Yevdokimov Moscow State University of Medicine and DentistryYevdokimov Moscow State University of Medicine and DentistryYevdokimov Moscow State University of Medicine and DentistryYevdokimov Moscow State University of Medicine and DentistryYevdokimov Moscow State University of Medicine and DentistryComorbidity is an important problem of modern medicine, the study of which is a priority for public health. According to  the literature, the prevalence of comorbidity reaches a third of the population in some countries, while there is a tendency for an increase in the number of such patients in all age groups. In the context of the COVID-19 pandemic, the presence of   comorbidity in patients is a significant risk factor affecting the course and prognosis of a new coronavirus infection; at the same time, it is comorbid patients who belong to the most vulnerable group. The review presents data indicating a significant impact of comorbid pathologies on an increase in the number of complications and mortality; the most common combinations of diseases in patients with a new coronavirus infection were analyzed. There is an increase in the prevalence of comorbidity in all age groups, which dictates the need to develop an integrated interdisciplinary approach for such patients. The vast majority of clinical guidelines for the  treatment of comorbidities in COVID-19 are mainly focused on individual diseases, which limits the use of these algorithms in comorbid patients. Due to the high risk of contracting a viral infection, as  well as the frequent development of   complications and mortality in comorbid patients, preventive measures should be  focused simultaneously on two tasks: measures aimed at preventing infection with COVID-19 and compensating for  comorbid pathology. In the case of SARS-CoV-2 infection, careful monitoring of such patients, most often in a hospital setting, is necessary in order to prevent complications and adverse outcomes.https://www.med-sovet.pro/jour/article/view/6810covid-19comorbidityrisk factorcomplicationsmortality
spellingShingle M. M. Sharipova
M. V. Ivkina
A. N. Arkhangelskaia
K. G. Gurevich
I. V. Maev
Features of the course of COVID-19 in patients with comorbid pathology
Медицинский совет
covid-19
comorbidity
risk factor
complications
mortality
title Features of the course of COVID-19 in patients with comorbid pathology
title_full Features of the course of COVID-19 in patients with comorbid pathology
title_fullStr Features of the course of COVID-19 in patients with comorbid pathology
title_full_unstemmed Features of the course of COVID-19 in patients with comorbid pathology
title_short Features of the course of COVID-19 in patients with comorbid pathology
title_sort features of the course of covid 19 in patients with comorbid pathology
topic covid-19
comorbidity
risk factor
complications
mortality
url https://www.med-sovet.pro/jour/article/view/6810
work_keys_str_mv AT mmsharipova featuresofthecourseofcovid19inpatientswithcomorbidpathology
AT mvivkina featuresofthecourseofcovid19inpatientswithcomorbidpathology
AT anarkhangelskaia featuresofthecourseofcovid19inpatientswithcomorbidpathology
AT kggurevich featuresofthecourseofcovid19inpatientswithcomorbidpathology
AT ivmaev featuresofthecourseofcovid19inpatientswithcomorbidpathology