RegiStry Of the multiFaceted medIcal cenTer (SOFIT): the main tasks, development, and the first results

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OBJECTIVE

To describe the methodology for the development of the registry of the multifaceted medical center (SOFIT) and report the first results on the assessment of demographic characteristics, the proportion of subjects with cardiovascular and chronic non-cardiac diseases, the frequency of a history of new coronavirus infection in hospitalized patients.

MATERIALS AND METHODS

In total, 21.783 patients (age 57.8±16.2 years; 46.5% males) admitted to the Tula Regional Clinical Hospital from 01.01.2021 to 31.12.2021 were included in the registry of the multifaceted medical center (SOFIT). The information on electronic medical records using the Medical Information System resource was assessed. The data obtained were compared in the cardiac, therapeutic, and other departments.

RESULTS

Cardiovascular diseases (CVD) had 65.7% of patients included in the registry, two or more CVDs had 38.2%, and 11.7% had 3-4 CVDs. The proportion of patients with CVD and/or chronic non-cardiac conditions was 84.4%, and 12.9% with COVID-19. Hypertension (74.8%, 61.5%, and 56.9%) and ischemic heart disease (84.0%, 14.7%, and 16.8%) were the most frequently reported CVDs. In comparison, digestive diseases (32.3%, 50.1%, and 30.2%), obesity (38.4%, 22.7%, and 18.0%), and diabetes mellitus (23.6%, 16.1%, and 17.5%) were the most frequently reported chronic non-cardiac conditions. Patients with CVD were more likely to have COVID-19 (14.8 and 9.3%; p<0.0001).

CONCLUSION

Among hospitalized patients, both overall and in the analyzed departments, the majority had cardiovascular and chronic non-cardiac diseases; 12.9% had a history of COVID-19. In patients with cardiovascular diseases, chronic non-cardiac conditions and a history of COVID-19 were more common. Patients with a combination of cardiovascular diseases and chronic non-cardiac conditions, including those with a history of COVID-19, are the target group for interdisciplinary interaction in the provision of medical care in a multidisciplinary hospital, especially in departments other than cardiologic and therapeutic.

Keywords:

hospital registry

multifaceted medical center

cardiovascular diseases

chronic non-communicable diseases

multimorbidity

novel coronavirus infection

COVID-19

Authors:

M.M. Loukianov

National Medical Research Center for Therapy and Preventive Medicine

ORCID: 0000-0002-5784-4525

T.A. Gomova

Regional Clinical Hospital

ORCID: 0000-0002-5588-9316

A.A. Savishceva

Regional Clinical Hospital

ORCID: 0000-0001-5427-7708

E.Yu. Andreenko

National Medical Research Center for Therapy and Preventive Medicine

ORCID: 0000-0001-7167-3067

S.M. Androsov

Regional Clinical Hospital

ORCID: 0000-0001-8161-428X

A.A. Smirnov

National Medical Research Center for Therapy and Preventive Medicine

ORCID: 0000-0002-6061-2565

R.N. Shepel

National Medical Research Center for Therapy and Preventive Medicine, Ministry of Health of the Russia

SPIN RSCI: 3115-0515
Scopus AuthorID: 56165734700
ORCID: 0000-0002-8984-9056

O.M. Drapkina

National Medical Research Center for Therapy and Preventive Medicine;
A.I. Yevdokimov Moscow State University of Medicine and Dentistry

SPIN RSCI: 4456-1297
Scopus AuthorID: 57208852308
ResearcherID: G-8443-2016
ORCID: 0000-0002-4453-8430

Received:

15.12.2022

Accepted:

12.04.2023

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