N.I. BEYLINA, A.O. POZDNYAK

KSMA – Branch Campus of the FSBEI FPE RMACPE MOH Russia, 36 Butlerov Str., Kazan, Russian Federation, 420012

Beylina N.I. — PhD (medicine), Associate Professor of the Department of Therapy, Geriatrics and Family Medicine, e-mail: [email protected], ORCID ID 0000-0001-9755-8681

Pozdnyak A.O. — D. Sc. (medicine), Head of the Department of Therapy, Geriatrics and Family Medicine, e-mail: [email protected], ORCID ID 0000-0002-9950-3630

To study the index, structure of comorbid pathology of patients of therapeutic hospital, peculiarities of drug treatment; relation to sex and age of the studied parameters.

Materials and methods. 100 patients with comorbid pathology, including 56 women, were under observation. Charlson’s comorbidity index was calculated, compliance was evaluated according to the Moriska-Green scale. Statistical processing was carried out using the χ2 test, Fisher exact test, Student’s t-test.

Results. Among the comorbid patients of the hospital there were 37% of the elderly, 42% of senile age. The average comorbidity index was 5.01±0.19 points, in women it was significantly more than among men (5.34±0.25 and 4.59±0.27 points, respectively). In the structure of comorbidity the leading are: hypertensive disease (HD) – 84%, chronic heart failure (CHF) – 67%, previous myocardial infarction – 20%, chronic cerebral ischemia (CCI) – 12%, tolerated acute cerebrovascular disease (ACD) – 10% and T2DM – 38%. Patients with HD were diagnosed with ischemic heart disease (IHD) – 67.3% of the number of patients with HD, heart failure – 57.7%, cardiac rhythm disorder – 40.4%, cerebrovascular disease – 26.9%, type 2 diabetes – 26.9%. Patients are assigned an average of 6.33±0.27. Women with comorbid pathology took more medications than men (6.93±0.37 medications and 5.57±0.36 (p<0.05), respectively. 13.64% of men, 25% of women were confined to outpatient treatment.

Summary. Among persons with comorbid pathology, patients of elderly and senile age prevailed. In the structure of comorbidity, cardiovascular diseases and T2DM were leading. Often there were «crosses» of cardiovascular diseases and diabetes. Patients were assigned a large number of medicines. Low treatment adherence among all patients was revealed. All the above features should be taken into account when managing patients in a therapeutic hospital.

Key words: comorbidity, compliance, medical hospital.

 (For citation: Beylina N.I., Pozdnyak A.O. Comorbidity of patients in a therapeutic hospital. Practical Medicine. 2018)

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