FEATURES OF COMORBIDITY IN COMBATANTS WITH ARTERIAL HYPERTENSION

Abstract

Objective: Comprehensive assessment of comorbidity in patients with arterial hypertension of participants in modern armed conflicts in order to implement timely preventive measures with the aim of prolonging their health status for military service. Design and method: By design, the research was a passive retrospective one-time (cross-sectional) type. The medical charts of inpatient patients of 213 male combatants, aged 27-59 years, average age 45.0 ± 6.8 years, who underwent treatment during 2018-2021, were analyzed by the method of random sampling. The examined were stratified according to the stage of hypertension: 126 patients with stage I hypertension and 87 patients with stage II hypertension. Results: The value of the indicator of the complex assessment of comorbidity depending on the stage of hypertension (the overall assessment of comorbidity according to the CIRS cumulative scale of diseases was 7.1 ± 2.1 and 8.8 ± 2.9 points in patients with hypertension of the I and II stages, respectively, p < 0.05 . The value of the indicators of the comprehensive assessment of comorbidity (the overall assessment of comorbidity according to the CIRS cumulative disease scale) in stage II hypertension is due to an increase in the number of causal diseases, which were 3.1 ± 0.8 in stage II hypertension and 2.2 ± 0.9 in stage I hypertension, p < 0.05. No statistically significant differences were found in the number of diagnoses of competitive diseases: 4.1 ± 2.1 in stage II hypertension and 3.7 ± 1.7 in stage I hypertension, p > 0.05. Conclusions: With the progression of high blood pressure in military personnel who are participants in modern armed conflicts, suffering from high blood pressure, the number of concomitant diseases and the indicator of the comprehensive assessment of comorbidity (the overall assessment of comorbidity according to the CIRS cumulative disease scale) increase, which are caused by an increase in the number of causal diseases. In order to extend the state of health for military personnel, patients with hypertension, participants of modern armed conflicts, measures for the secondary prevention of causal diseases are appropriate.