International register “Dynamics analysis of comorbidities in SARS-CoV-2 survivors” (AKTIV SARS-CoV-2): analysis of predictors of short-term adverse outcomes in COVID-19
https://doi.org/10.15829/1560-4071-2021-4470
Abstract
The international AKTIV register presents a detailed description of out- and inpatients with COVID-19 in the Eurasian region. It was found that hospitalized patients had more comorbidities. In addition, these patients were older and there were more men than among outpatients. Among the traditional risk factors, obesity and hypertension had a significant negative effect on prognosis, which was more significant for patients 60 years of age and older. Among comorbidities, CVDs had the maximum negative effect on prognosis, and this effect was more significant for patients 60 years of age and older. Among other comorbidities, type 2 and 1 diabetes, chronic kidney disease, chronic obstructive pulmonary disease, cancer and anemia had a negative impact on the prognosis. This effect was also more significant (with the exception of type 1 diabetes) for patients 60 years and older. The death risk in patients with COVID-19 depended on the severity and type of multimorbidity. Clusters of diseases typical for deceased patients were identified and their impact on prognosis was determined. The most unfavorable was a cluster of 4 diseases, including hypertension, coronary artery disease, heart failure, and diabetes mellitus. The data obtained should be taken into account when planning measures for prevention (vaccination priority groups), treatment and rehabilitation of COVID-19 survivors.
About the Authors
G. P. ArutyunovRussian Federation
E. I. Tarlovskaya
Russian Federation
A. G. Arutyunov
Russian Federation
Y. N. Belenkov
Russian Federation
A. O. Konradi
Russian Federation
Y. M. Lopatin
Russian Federation
A. P. Rebrov
Russian Federation
S. N. Tereshchenko
Russian Federation
A. I. Chesnikova
Russian Federation
H. G. Hayrapetyan
Armenia
A. P. Babin
Moldova, Republic of
I. G. Bakulin
Russian Federation
N. V. Bakulina
Russian Federation
L. A. Balykova
Russian Federation
A. S. Blagonravova
Russian Federation
M. V. Boldina
Russian Federation
A. R. Vaisberg
Russian Federation
A. S. Galyavich
Russian Federation
V. V. Gomonova
Russian Federation
N. U. Grigorieva
Russian Federation
I. V. Gubareva
Russian Federation
I. V. Demko
Russian Federation
A. V. Evzerikhina
Russian Federation
A. V. Zharkov
Russian Federation
U. K. Kamilova
Uzbekistan
Z. F. Kim
Russian Federation
T. Yu. Kuznetsova
Russian Federation
N. V. Lareva
Russian Federation
E. V. Makarova
Russian Federation
S. V. Malchikova
Russian Federation
S. V. Nedogoda
Russian Federation
M. M. Petrova
Russian Federation
I. G. Pochinka
Russian Federation
K. V. Protasov
Russian Federation
D. N. Protsenko
Russian Federation
D. Yu. Ruzanov
Belarus
S. A. Sayganov
Russian Federation
A. Sh. Sarybaev
Kyrgyzstan
N. M. Selezneva
Russian Federation
A. B. Sugraliev
Kazakhstan
I. V. Fomin
Russian Federation
O. V. Khlynova
Russian Federation
O. Yu. Chizhova
Russian Federation
I. I. Shaposhnik
Russian Federation
D. A. Schukarev
Russian Federation
A. K. Abdrahmanova
Kazakhstan
S. A. Avetisian
Armenia
H. G. Avoyan
Armenia
K. K. Azarian
Armenia
G. T. Aimakhanova
Kazakhstan
D. A. Ayipova
Kyrgyzstan
A. Ch. Akunov
Kyrgyzstan
M. K. Alieva
Russian Federation
A. V. Aparkina
Russian Federation
O. R. Aruslanova
Russian Federation
E. Yu. Ashina
Russian Federation
O. Y. Badina
Russian Federation
O. Yu. Barisheva
Russian Federation
A. S. Batchayeva
Russian Federation
I. U. Bikhteyev
Russian Federation
N. A. Borodulina
Russian Federation
M. V. Bragin
Russian Federation
A. M. Budu
Moldova, Republic of
L. A. Burygina
Russian Federation
G. A. Bykova
Russian Federation
D. D. Varlamova
Russian Federation
N. N. Vezikova
Russian Federation
E. A. Verbitskaya
Russian Federation
O. E. Vilkova
Russian Federation
E. A. Vinnikova
Russian Federation
V. V. Vustina
Russian Federation
E. A. Gаlova
Russian Federation
V. V. Genkel
Russian Federation
E. I. Gorshenina
Russian Federation
R. V. Gostishev
Russian Federation
E. V. Grigorieva
Russian Federation
E. Yu. Gubareva
Russian Federation
G. M. Dabylova
Kazakhstan
A. I. Demchenko
Russian Federation
O. Yu. Dolgikh
Russian Federation
I. A. Duvanov
Russian Federation
M. Y. Duyshobayev
Kyrgyzstan
D. S. Evdokimov
Russian Federation
K. E. Egorova
Russian Federation
A. N. Ermilova
Russian Federation
A. E. Zheldybayeva
Kazakhstan
N. V. Zarechnova
Russian Federation
S. Yu. Ivanova
Russian Federation
E. Yu. Ivanchenko
Russian Federation
M. V. Ilina
Russian Federation
M. V. Kazakovtseva
Russian Federation
E. V. Kazymova
Russian Federation
Yu. S. Kalinina
Russian Federation
N. A. Kamardina
Russian Federation
A. M. Karachenova
Russian Federation
I. A. Karetnikov
Russian Federation
N. A. Karoli
Russian Federation
O. V. Karpov
Russian Federation
M. Kh. Karsiev
Russian Federation
D. S. Kaskaeva
Russian Federation
K. F. Kasymova
Russian Federation
Zh. B. Kerimbekova
Kyrgyzstan
A. Sh. Kerimova
Russian Federation
E. S. Kim
Russian Federation
N. V. Kiseleva
Russian Federation
D. A. Klimenko
Russian Federation
A. V. Klimova
Russian Federation
O. V. Kovalishena
Russian Federation
E. V. Kolmakova
Russian Federation
T. P. Kolchinskaya
Russian Federation
M. I. Kolyadich
Russian Federation
O. V. Kondriakova
Russian Federation
M. P. Konoval
Russian Federation
D. Yu. Konstantinov
Russian Federation
E. A. Konstantinova
Russian Federation
V. A. Kordukova
Russian Federation
E. V. Koroleva
Russian Federation
A. Yu. Kraposhina
Russian Federation
T. V. Kriukova
Russian Federation
A. S. Kuznetsova
Russian Federation
T. Y. Kuzmina
Russian Federation
K. V. Kuzmichev
Russian Federation
Ch. K. Kulchoroeva
Kyrgyzstan
T. V. Kuprina
Russian Federation
I. V. Kouranova
Russian Federation
L. V. Kurenkova
Russian Federation
N. Yu. Kurchugina
Russian Federation
N. A. Kushubakova
Kyrgyzstan
V. I. Levankova
Russian Federation
M. E. Levin
Russian Federation
N. A. Lyubavina
Russian Federation
N. A. Magdeyeva
Russian Federation
K. V. Mazalov
Russian Federation
V. I. Majseenko
Belarus
A. S. Makarova
Russian Federation
A. M. Maripov
Kyrgyzstan
A. A. Marusina
Russian Federation
E. S. Melnikov
Russian Federation
N. B. Moiseenko
Russian Federation
F. N. Muradova
Russian Federation
R. G. Muradyan
Russian Federation
Sh. N. Musaelian
Armenia
N. M. Nikitina
Russian Federation
B. B. Ogurlieva
Russian Federation
A. A. Odegova
Russian Federation
Yu. M. Omarova
Russian Federation
N. A. Omurzakova
Kyrgyzstan
Sh. O. Ospanova
Kazakhstan
E. V. Pahomova
Russian Federation
L. D. Petrov
Moldova, Republic of
S. S. Plastinina
Russian Federation
V. A. Pogrebetskaya
Russian Federation
D. S. Polyakov
Russian Federation
E. V. Ponomarenko
Russian Federation
L. L. Popova
Russian Federation
N. A. Prokofeva
Russian Federation
I. A. Pudova
Russian Federation
N. A. Rakov
Russian Federation
A. N. Rakhimov
Uzbekistan
N. A. Rozanova
Russian Federation
S. Serikbolkyzy
Kazakhstan
A. A. Simonov
Russian Federation
V. V. Skachkova
Russian Federation
L. A. Smirnova
Russian Federation
D. V. Soloveva
Russian Federation
I. A. Soloveva
Russian Federation
F. M. Sokhova
Russian Federation
A. K. Subbotin
Russian Federation
I. M. Sukhomlinova
Russian Federation
A. G. Sushilova
Russian Federation
D. R. Tagayeva
Uzbekistan
Yu. V. Titojkina
Russian Federation
E. P. Tikhonova
Russian Federation
D. S. Tokmin
Russian Federation
M. S. Torgunakova
Russian Federation
K. V. Trenogina
Russian Federation
N. A. Trostianetckaia
Russian Federation
D. A. Trofimov
Russian Federation
A. A. Tulichev
Russian Federation
D. I. Tupitsin
Russian Federation
A. T. Tursunova
Kazakhstan
N. D. Ulanova
Russian Federation
O. V. Fatenkov
Russian Federation
O. V. Fedorishina
Russian Federation
T. S. Fil
Russian Federation
I. Yu. Fomina
Russian Federation
I. S. Fominova
Russian Federation
I. A. Frolova
Russian Federation
S. M. Tsvinger
Russian Federation
V. V. Tsoma
Russian Federation
M. B. Cholponbaeva
Kyrgyzstan
T. I. Chudinovskikh
Russian Federation
L. D. Shakhgildyan
Russian Federation
O. A. Shevchenko
Russian Federation
T. V. Sheshina
Russian Federation
E. A. Shishkina
Russian Federation
K. Yu. Shishkov
Russian Federation
S. Y. Sherbakov
Russian Federation
E. A. Yausheva
Russian Federation
References
1. World Health Organization (WHO). https://www.who.int.
2. ClinicalTrials.gov: NCT04492384. https://clinicaltrials.gov.
3. Arutyunov GP, Tarlovskaya EI, Arutyunov AG, et al. International register “Analysis of Chronic Non-infectious Diseases Dynamics After COVID-19 Infection in Adult Patients (ACTIV SARS-CoV-2)”. Kardiologiia. 2020;60(11):31-4. (In Russ.)
4. Arutyunov GP, Tarlovskaya EI, Arutyunov AG, et al. International register “Dynamics analysis of comorbidities in SARS-CoV-2 survivors” (AKTIV) and the register “Analysis of hospitalizations of comorbid patients infected during the second wave of SARS-CoV-2 outbreak” (AKTIV 2). Russian Journal of Cardiology. 2021;26(3):4358. (In Russ.) doi:10.15829/1560-4071-2021-4358.
5. Arutyunov GP, Tarlovskaya EI, Arutyunov AG, et al. International register “Dynamics analysis of comorbidities in SARS-CoV-2 survivors” (AKTIV SARS-CoV-2): analysis of 1,000 patients. Russian Journal of Cardiology. 2020;25(11):4165. (In Russ.) doi:10.15829/1560-4071-2020-4165.
6. Shi S, Qin M, Shen B, et al. Association of Cardiac Injury With Mortality in Hospitalized Patients With COVID-19 in Wuhan, China. JAMA Cardiol. 2020;5(7):802-10. doi:10.1001/jamacardio.2020.0950.
7. Richardson S, Hirsch JS, Narasimhan M, et al. Presenting Characteristics, Comorbidities, and Outcomes Among 5700 Patients Hospitalized With COVID-19 in the New York City Area [published correction appears in doi:10.1001/jama.2020.7681]. JAMA. 2020; 323(20):2052-9. doi:10.1001/jama.2020.6775.
8. Grasselli G, Zangrillo A, Zanella A, et al. Baseline Characteristics and Outcomes of 1591 Patients Infected With SARS-CoV-2 Admitted to ICUs of the Lombardy Region, Italy. JAMA. 2020;323(16):1574-81. doi:10.1001/jama.2020.5394.
9. Casas-Rojo JM, Anton-Santos JM, Millan-Nunez-Cortes J, et al. Clinical characteristics of patients hospitalized with COVID-19 in Spain: results from the SEMI-COVID-19 Registry [Caracteristicas cHnicas de los pacientes hospitalizados con COVID-19 en Espana: resultados del Registro SEMI-COVID-19] [published online ahead of print, 2020 Sep 9]. Rev Clin Esp (Barc). 2020;22(8):480-94. doi:10.1016/j.rceng.2020.07.003.
10. Docherty AB, Harrison EM, Green CA, et al. Features of 20 133 UK patients in hospital with covid-19 using the ISARIC WHO Clinical Characterisation Protocol: prospective observational cohort study. BMJ. 2020;369:m1985. doi:10.1136/bmj.m1985.
11. Wu Z, McGoogan JM. Characteristics of and Important Lessons From the Coronavirus Disease 2019 (COVID-19) Outbreak in China: Summary of a Report of 72 314 Cases From the Chinese Center for Disease Control and Prevention. JAMA. 2020;323(13):1239-42. doi:10.1001/jama.2020.2648.
12. Hu Y, Sun J, Dai Z, et al. Prevalence and severity of corona virus disease 2019 (COVID-19): A systematic review and meta-analysis. J Clin Virol. 2020;127:104371. doi:10.1016/j.jcv.2020.104371.
13. Sun P, Qie S, Liu Z, et al. Clinical characteristics of hospitalized patients with SARS-CoV-2 infection: A single arm meta-analysis. J Med Virol. 2020;92(6):612-7. doi:10.1002/jmv.25735.
14. Onder G, Rezza G, Brusaferro S. Case-Fatality Rate and Characteristics of Patients Dying in Relation to COVID-19 in Italy. JAMA. 2020;323(18):1775-6. doi:10.1001/jama.2020.4683.
15. Abate SM, Checkol YA, Mantefardo B. Global prevalence and determinants of mortality among patients with COVID-19: A systematic review and meta-analysis. Ann Med Surg (Lond). 2021;64:102204. doi:10.1016/j.amsu.2021.102204.
16. Moore JB, June CH. Cytokine release syndrome in severe COVID-19. Science. 2020;368:473-4. doi:10.1126/science.abb8925.
17. Zhou F, Yu T, Du R, et al. Clinical course and risk factors for mortality of adult inpatients with COVID-19 in Wuhan, China: a retrospective cohort study. Lancet. 2020;395:1054-62. doi:10.1016/S0140-6736(20)30566-3.
18. Hansrivijit P, Qian C, Boonpheng B, et al. Incidence of acute kidney injury and its association with mortality in patients with COVID-19: a meta-analysis. J Investig Med. 2020;68(7):1261-70. doi:10.1136/jim-2020-001407.
19. Bilaloglu S, Aphinyanaphongs Y, Jones S, et al. Thrombosis in Hospitalized Patients With COVID-19 in a New York City Health System. JAMA. 2020;324(8):799-801. doi:10.1001/jama.2020.13372.
20. Mestre-Gomez B, Lorente-Ramos RM, Rogado J, et al. Incidence of pulmonary embolism in non-critically ill COVID-19 patients. Predicting factors for a challenging diagnosis. J Thromb Thrombolysis. 2021;51:40-6. doi:10.1007/s11239-020-02190-9.
21. Zhang L, Feng X, Zhang D, et al. Deep Vein Thrombosis in Hospitalized Patients With COVID-19 in Wuhan, China: Prevalence, Risk Factors, and Outcome. Circulation. 2020;142:114-28.
22. Wang D, Hu B, u C, et al. Clinical characteristics of 138 hospitalized patients with 2019 novel coronavirus-infected pneumonia in Wuhan, China. JAMA. 2020;323(11):1061-9. doi:10.1001/jama.2020.1585.
23. Kawakami R, Sakamoto A, Kawai K, et al. Pathological Evidence for SARS-CoV-2 as a Cause of Myocarditis: JACC Review Topic of the Week. J Am Coll Cardiol. 2021;77(3):314-25. doi:10.1016/j.jacc.2020.11.031.
24. Halushka MK, Vander Heide RS. Myocarditis is rare in COVID-19 autopsies: cardiovascular findings across 277 postmortem examinations. Cardiovascular Pathology. 2021;50:107300. doi:10.1016/j.carpath.2020.107300.
25. Naeini MB, Sahebi M, Nikbakht F, et al. A meta-meta-analysis: Evaluation of metaanalyses published in the effectiveness of cardiovascular comorbidities on the severity of COVID-19. Obes Med. 2021;22:100323. doi:10.1016/j.obmed.2021.100323.
26. Clift AK, Coupland CAC, Keogh RH, et al. Living risk prediction algorithm (QCOVID) for risk of hospital admission and mortality from coronavirus 19 in adults: national derivation and validation cohort study. BMJ. 2020;371:m3731. doi:10.1136/bmj.m3731.
27. Karagiannidis C, Mostert C, Hentschker C, et al. Case characteristics, resource use, and outcomes of 10 021 patients with COVID-19 admitted to 920 German hospitals: an observational study. Lancet Respir Med. 2020;8(9):853-62. doi:10.1016/S2213-2600(20)30316-7.
28. Ioannou GN, Locke E, Green P, et al. Risk Factors for Hospitalization, Mechanical Ventilation, or Death Among 10 131 US Veterans With SARS-CoV-2 Infection. JAMA Netw Open. 2020;3(9):e2022310. doi:10.1001/jamanetworkopen.2020.22310.
29. Noor FM, Islam MM. Prevalence and Associated Risk Factors of Mortality Among COVID-19 Patients: A Meta-Analysis. J Community Health. 2020;45:1270-82. doi:10.1007/s10900-020-00920-x.
30. Parohan M, Yaghoubi S, Seraji A, et al. Risk factors for mortality in patients with Coronavirus disease 2019 (COVID-19) infection: a systematic review and meta-analysis of observational studies. Aging Male. 2020;23(5):1416-24. doi:10.1080/13685538.2020.1774748.
31. Tomasoni D, Inciardi RM, Lombardi CM, et al. Impact of heart failure on the clinical course and outcomes of patients hospitalized for COVID-19. Results of the Cardio-COVID-Italy multicentre study. Eur J Heart Fail. 2020;22(12):2238-2247. doi:10.1002/ejhf.2052.
32. Rey JR, Caro-Codon J, Rosillo SO, et al. Heart failure in COVID-19 patients: prevalence, incidence and prognostic implications. Eur J Heart Fail. 2020;22(12):2205-15. doi:10.1002/ejhf.1990.
33. Trejo-Gabriel-Galan JM. Stroke as a complication and prognostic factor of COVID-19. Neurologia. 2020;35(5):318-22. English, Spanish. doi:10.1016/j.nrl.2020.04.015.
34. Sattar N, McInnes IB, McMurray JJV. Obesity Is a Risk Factor for Severe COVID-19 Infection: Multiple Potential Mechanisms. Circulation. 2020;142:4-6. doi:10.1161/CIRCULATIONAHA.120.047659.
35. Phung DT, Wang Z, Rutherford S, et al. Body mass index and risk of pneumonia: a systematic review and meta-analysis. Obes Rev. 2013;14(10):839-57. doi:10.1111/obr.12055.
36. Zheng KI, Gao F, Wang XB, et al. Obesity as a risk factor for greater severity of COVID-19 in patients with metabolic associated fatty liver disease. Metabolism. 2020:108:154244. doi:10.1016/j.metabol.2020.154244.
37. Lighter J, Phillips M, Hochman S, et al. Obesity in patients younger than 60 years is a risk factor for Covid-19 hospital admission. Clin Infect Dis. 2020;71(15):896-7. doi:10.1093/cid/ciaa415.
38. Inciardi RM, Adamo M, Lupi L, et al. Characteristics and outcomes of patients hospitalized for COVID-19 and cardiac disease in Northern Italy [published correction appears in Eur Heart J. 2020 Dec 21;41(48):4591]. Eur Heart J. 2020;41(19):1821-9. doi:10.1093/eurheartj/ehaa388.
39. Lippi G, Henry BM. Chronic obstructive pulmonary disease is associated with severe coronavirus disease 2019 (COVID-19). Respir Med. 2020;167:105941. doi:10.1016/j.rmed.2020.105941.
40. Cho SI, Yoon S, Lee HJ. Impact of comorbidity burden on mortality in patients with COVID-19 using the Korean health insurance database. Sci Rep. 2021;11(1):6375. doi:10.1038/s41598-021-85813-2.
41. Taneri PE, Gomez-Ochoa SA, Llanaj E, et al. Anemia and iron metabolism in COVID-19: a systematic review and meta-analysis. Eur J Epidemiol. 2020;35(8):763-73. doi:10.1007/s10654-020-00678-5.
42. Bavishi C, Bonow RO, Trivedi V, et al. Acute myocardial injury in patients hospitalized with COVID-19 infection: A review [published online ahead of print, 2020 Jun 5]. Prog Cardiovasc Dis. 2020;S0033-0620(20)30123-7. doi:10.1016/j.pcad.2020.05.013.
43. Qin JJ, Cheng X, Zhou F, et al. Redefining cardiac biomarkers in predicting mortality of inpatients with COVID-19 [published online ahead of print, 2020 Jul 14]. Hypertension. 2020;76:1104-12. doi:10.1161/HYPERTENSIONAHA.120.15528
Supplementary files
Review
For citations:
Arutyunov G.P., Tarlovskaya E.I., Arutyunov A.G., Belenkov Y.N., Konradi A.O., Lopatin Y.M., Rebrov A.P., Tereshchenko S.N., Chesnikova A.I., Hayrapetyan H.G., Babin A.P., Bakulin I.G., Bakulina N.V., Balykova L.A., Blagonravova A.S., Boldina M.V., Vaisberg A.R., Galyavich A.S., Gomonova V.V., Grigorieva N.U., Gubareva I.V., Demko I.V., Evzerikhina A.V., Zharkov A.V., Kamilova U.K., Kim Z.F., Kuznetsova T.Yu., Lareva N.V., Makarova E.V., Malchikova S.V., Nedogoda S.V., Petrova M.M., Pochinka I.G., Protasov K.V., Protsenko D.N., Ruzanov D.Yu., Sayganov S.A., Sarybaev A.Sh., Selezneva N.M., Sugraliev A.B., Fomin I.V., Khlynova O.V., Chizhova O.Yu., Shaposhnik I.I., Schukarev D.A., Abdrahmanova A.K., Avetisian S.A., Avoyan H.G., Azarian K.K., Aimakhanova G.T., Ayipova D.A., Akunov A.Ch., Alieva M.K., Aparkina A.V., Aruslanova O.R., Ashina E.Yu., Badina O.Y., Barisheva O.Yu., Batchayeva A.S., Bikhteyev I.U., Borodulina N.A., Bragin M.V., Budu A.M., Burygina L.A., Bykova G.A., Varlamova D.D., Vezikova N.N., Verbitskaya E.A., Vilkova O.E., Vinnikova E.A., Vustina V.V., Gаlova E.A., Genkel V.V., Gorshenina E.I., Gostishev R.V., Grigorieva E.V., Gubareva E.Yu., Dabylova G.M., Demchenko A.I., Dolgikh O.Yu., Duvanov I.A., Duyshobayev M.Y., Evdokimov D.S., Egorova K.E., Ermilova A.N., Zheldybayeva A.E., Zarechnova N.V., Ivanova S.Yu., Ivanchenko E.Yu., Ilina M.V., Kazakovtseva M.V., Kazymova E.V., Kalinina Yu.S., Kamardina N.A., Karachenova A.M., Karetnikov I.A., Karoli N.A., Karpov O.V., Karsiev M.Kh., Kaskaeva D.S., Kasymova K.F., Kerimbekova Zh.B., Kerimova A.Sh., Kim E.S., Kiseleva N.V., Klimenko D.A., Klimova A.V., Kovalishena O.V., Kolmakova E.V., Kolchinskaya T.P., Kolyadich M.I., Kondriakova O.V., Konoval M.P., Konstantinov D.Yu., Konstantinova E.A., Kordukova V.A., Koroleva E.V., Kraposhina A.Yu., Kriukova T.V., Kuznetsova A.S., Kuzmina T.Y., Kuzmichev K.V., Kulchoroeva Ch.K., Kuprina T.V., Kouranova I.V., Kurenkova L.V., Kurchugina N.Yu., Kushubakova N.A., Levankova V.I., Levin M.E., Lyubavina N.A., Magdeyeva N.A., Mazalov K.V., Majseenko V.I., Makarova A.S., Maripov A.M., Marusina A.A., Melnikov E.S., Moiseenko N.B., Muradova F.N., Muradyan R.G., Musaelian Sh.N., Nikitina N.M., Ogurlieva B.B., Odegova A.A., Omarova Yu.M., Omurzakova N.A., Ospanova Sh.O., Pahomova E.V., Petrov L.D., Plastinina S.S., Pogrebetskaya V.A., Polyakov D.S., Ponomarenko E.V., Popova L.L., Prokofeva N.A., Pudova I.A., Rakov N.A., Rakhimov A.N., Rozanova N.A., Serikbolkyzy S., Simonov A.A., Skachkova V.V., Smirnova L.A., Soloveva D.V., Soloveva I.A., Sokhova F.M., Subbotin A.K., Sukhomlinova I.M., Sushilova A.G., Tagayeva D.R., Titojkina Yu.V., Tikhonova E.P., Tokmin D.S., Torgunakova M.S., Trenogina K.V., Trostianetckaia N.A., Trofimov D.A., Tulichev A.A., Tupitsin D.I., Tursunova A.T., Ulanova N.D., Fatenkov O.V., Fedorishina O.V., Fil T.S., Fomina I.Yu., Fominova I.S., Frolova I.A., Tsvinger S.M., Tsoma V.V., Cholponbaeva M.B., Chudinovskikh T.I., Shakhgildyan L.D., Shevchenko O.A., Sheshina T.V., Shishkina E.A., Shishkov K.Yu., Sherbakov S.Y., Yausheva E.A. International register “Dynamics analysis of comorbidities in SARS-CoV-2 survivors” (AKTIV SARS-CoV-2): analysis of predictors of short-term adverse outcomes in COVID-19. Russian Journal of Cardiology. 2021;26(4):4470. https://doi.org/10.15829/1560-4071-2021-4470