Comorbid status of patients with hypertension

Aim. To establish age and gender characteristics, nosological structure of comorbidity among persons 2099 years with hypertension. Materials and methods. The study is based on data from 21 514 electronic health records of the population (2099 years old) with hypertension, mean age 63.0 years, 68....

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Main Authors: Esedulla M. Osmanov, Vladimir A. Reshetnikov, Rustam R. Manyakov, Amina S. Garaeva, Lauriia Kh. Korkmazova, Valeriya V. Demenkova
Format: Article
Language:Russian
Published: "Consilium Medicum" Publishing house 2023-02-01
Series:Терапевтический архив
Subjects:
Online Access:https://ter-arkhiv.ru/0040-3660/article/viewFile/97261/pdf
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author Esedulla M. Osmanov
Vladimir A. Reshetnikov
Rustam R. Manyakov
Amina S. Garaeva
Lauriia Kh. Korkmazova
Valeriya V. Demenkova
author_facet Esedulla M. Osmanov
Vladimir A. Reshetnikov
Rustam R. Manyakov
Amina S. Garaeva
Lauriia Kh. Korkmazova
Valeriya V. Demenkova
author_sort Esedulla M. Osmanov
collection DOAJ
description Aim. To establish age and gender characteristics, nosological structure of comorbidity among persons 2099 years with hypertension. Materials and methods. The study is based on data from 21 514 electronic health records of the population (2099 years old) with hypertension, mean age 63.0 years, 68.2% women. Diseases associated with hypertension with a frequency above 10% were analyzed. Results. In the sample of people with hypertension, concomitant diseases were detected in 82.7% of cases, 1 disease accompanies 21.0% of the sample with hypertension, 2 diseases 17.9%, 3 diseases 14.0%, 4+ diseases 29.8%. The frequency of association of hypertension with 1 concomitant disease at the 2029 years is 60.8% of cases, at 3039 years 65.1%, at 4049 years 73.9%, at 5059 years 81.1%, 6069 years 85.8%, 7079 years 87.3%, 80+ years 86.2% of cases. Among women with hypertension, the average number of concomitant diseases is higher compared to men (3.47 vs 2.4 cases; p0.001). Among young and middle-aged people, hypertension in most cases is associated with osteochondrosis, osteoarthritis, chronic pancreatitis, gastritis and duodenitis, retinal diseases, thyroid diseases, the female with hypertension accompanied by benign breast disease and menopausal disorders. Hypertension in the elderly is most often associated with cerebrovascular disease, coronary heart disease, diabetes mellitus, senile cataract, but osteochondrosis and osteoarthritis also do not lose their relevance. Conclusion. The existing system of organization of medical care cannot meet the needs of patients with comorbidity, which indicates the need to reorient medical care towards patient-centered care.
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spelling doaj.art-f58c1744c0a749abb41e9bcf2e8bf6872023-04-14T13:32:02Zrus"Consilium Medicum" Publishing houseТерапевтический архив0040-36602309-53422023-02-01951111610.26442/00403660.2023.01.20203978239Comorbid status of patients with hypertensionEsedulla M. Osmanov0https://orcid.org/0000-0001-7493-2351Vladimir A. Reshetnikov1https://orcid.org/0000-0002-7853-7356Rustam R. Manyakov2https://orcid.org/0000-0002-9935-8373Amina S. Garaeva3https://orcid.org/0000-0003-3551-7205Lauriia Kh. Korkmazova4https://orcid.org/0000-0003-2301-4213Valeriya V. Demenkova5https://orcid.org/0000-0002-2241-7048Sechenov First Moscow State Medical University (Sechenov University)Sechenov First Moscow State Medical University (Sechenov University)Medical Unit of the Ministry of Internal Affairs of Russia in the Tambov RegionSechenov First Moscow State Medical University (Sechenov University)Sechenov First Moscow State Medical University (Sechenov University)Voronezh State Clinical Polyclinic №1Aim. To establish age and gender characteristics, nosological structure of comorbidity among persons 2099 years with hypertension. Materials and methods. The study is based on data from 21 514 electronic health records of the population (2099 years old) with hypertension, mean age 63.0 years, 68.2% women. Diseases associated with hypertension with a frequency above 10% were analyzed. Results. In the sample of people with hypertension, concomitant diseases were detected in 82.7% of cases, 1 disease accompanies 21.0% of the sample with hypertension, 2 diseases 17.9%, 3 diseases 14.0%, 4+ diseases 29.8%. The frequency of association of hypertension with 1 concomitant disease at the 2029 years is 60.8% of cases, at 3039 years 65.1%, at 4049 years 73.9%, at 5059 years 81.1%, 6069 years 85.8%, 7079 years 87.3%, 80+ years 86.2% of cases. Among women with hypertension, the average number of concomitant diseases is higher compared to men (3.47 vs 2.4 cases; p0.001). Among young and middle-aged people, hypertension in most cases is associated with osteochondrosis, osteoarthritis, chronic pancreatitis, gastritis and duodenitis, retinal diseases, thyroid diseases, the female with hypertension accompanied by benign breast disease and menopausal disorders. Hypertension in the elderly is most often associated with cerebrovascular disease, coronary heart disease, diabetes mellitus, senile cataract, but osteochondrosis and osteoarthritis also do not lose their relevance. Conclusion. The existing system of organization of medical care cannot meet the needs of patients with comorbidity, which indicates the need to reorient medical care towards patient-centered care.https://ter-arkhiv.ru/0040-3660/article/viewFile/97261/pdfhypertensioncomorbidityelectronic medical recordscomorbiditiesgender characteristicsage characteristics
spellingShingle Esedulla M. Osmanov
Vladimir A. Reshetnikov
Rustam R. Manyakov
Amina S. Garaeva
Lauriia Kh. Korkmazova
Valeriya V. Demenkova
Comorbid status of patients with hypertension
Терапевтический архив
hypertension
comorbidity
electronic medical records
comorbidities
gender characteristics
age characteristics
title Comorbid status of patients with hypertension
title_full Comorbid status of patients with hypertension
title_fullStr Comorbid status of patients with hypertension
title_full_unstemmed Comorbid status of patients with hypertension
title_short Comorbid status of patients with hypertension
title_sort comorbid status of patients with hypertension
topic hypertension
comorbidity
electronic medical records
comorbidities
gender characteristics
age characteristics
url https://ter-arkhiv.ru/0040-3660/article/viewFile/97261/pdf
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AT rustamrmanyakov comorbidstatusofpatientswithhypertension
AT aminasgaraeva comorbidstatusofpatientswithhypertension
AT lauriiakhkorkmazova comorbidstatusofpatientswithhypertension
AT valeriyavdemenkova comorbidstatusofpatientswithhypertension