OBJECTIVE
To carry out the analysis of the clinical characteristics of patients hospitalized in one of the Federal Medical Research Centers.
MATERIALS AND METHODS
The study included patients who were hospitalized in 2016 at the National Medical Research Center for Therapy and Preventive Medicine of the Russian Ministry of Health were included in the study. Archival data from medical records were used as a source of information about the clinical characteristics of the hospitalized patients. The following indicators were included in the prepared database: personal data, employment/education status, behavioral/biological risk factors for diseases, main diagnosis, complications, and concomitant diseases.
RESULTS
During the study period, 3726 patients were hospitalized, with the almost equal numbers of men and women: 1859 men and 1867 women, accounting for 49.9% and 50.1% of the total number of patients, respectively. The average age of the patients was 64 years, with a 6-year difference in the average age of hospitalized women compared to men, at 67 years and 61 years, respectively (p<0.001). Most patients, regardless of gender, were married, with 12.3% more men than women (p<0.001). Analysis of educational status showed that about 70% of men and women had a higher education level. The proportion of smokers and those who abused alcohol was higher among the hospitalized men.
Hypertension, cardiac arrhythmias and ischemic heart diseases (IHDs) were in the top three leading causes of hospitalized patients. At the same time, hypertension and cardiac arrhythmias were significantly more common in women, while IHDs was more common in men. Among the complications, almost one in three hospitalized patients, regardless of gender, had chronic heart failure (CHF), which was significantly more common in men than in women (p=0.042). Among the concomitant diseases, cerebrovascular disease and atherosclerosis of the brachiocephalic arteries were the most common, affecting 53.3% and 44.1% of hospitalized patients, respectively. In women, both pathologies were significantly more common than in men, respectively, 60.5% and 47.8% versus 46.2% and 40.5% (p<0.001).
CONCLUSION
An example of one National Medical Research Center showed that the main reasons for hospitalizing patients are diseases of circulatory system, while the other non-communicable diseases are among the complications and concomitant diseases. Prospective monitoring of hospitalized patients and analysis of their clinical characteristics in this institution over a certain period of time will allow to assess changes in the structure of diseases during hospitalization of patients, as well as the possibilities and quality of diagnostic and treatment methods.
