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Impact of vaccination status on the clinical course and outcomes of acute COVID-19 period: data from the international registry "Dynamics Analysis of Comorbidities in SARS-CoV-2 Survivors" (AKTIV-4)

  G. P. Arutyunov,   E. I. Tarlovskaya,   A. G. Arutyunov,   D. S. Polyakov,   Yu. M. Lopatin,   A. I. Chesnikova,   L. A. Balykova,   A. R. Vaisberg,   A. S. Galyavich,   N. Yu. Grigorieva,   V. B. Grinevich,   I. V. Gubareva,   I. V. Demko,   A. V. Zharkov,   D. N. Zaitsev,   Z. F. Kim,   V. L. Korobka,   N. V. Lareva,   E. V. Makarova,   S. V. Malchikova,   S. V. Nedogoda,   A. G. Obrezan, A. G. Hovakimyan, S. V. Pereverzev,   M. M. Petrova,   I. G. Pochinka,   K. V. Protasov,   D. N. Protsenko,   A. P. Rebrov,   O. A. Rubanenko,   D. Yu. Ruzanov,   A. V. Svarovskaya,   N. M. Selezneva,   E. A. Smirnova,   A. B. Sygraliev,   O. V. Khlynova,   I. I. Shaposhnik, D. A. Sh'ukarev,   A. K. Abdrakhmanova,   T. P. Abdualimov,   A. V. Agafonov, V. G. Hakobjanyan, L. N. Allahkuliyeva,   A. V. Aparkina,   O. Yu. Barysheva,   T. I. Batluk, A. S. Batchayeva,   R. A. Bashkinov,   Ya. A. Belenikina,   I. V. Bikushova,   A. Zh. Botabekova,   S. N. Botova, V. O. Bochkareva,   G. A. Bykova, K. R. Vagapova,   V. V. Vasilev,   N. N. Vezikova,   K. S. Viktorov,   V. V. Genkel,   A. I. Girivenko, O. P. Girich,   E. S. Godunko,   N. V. Gordeeva,   E. D. Gordeychuk, E. I. Gorshenina,   E. V. Grigorieva,   E. Yu. Gubareva,   I. L. Davydkin, A. K. Duisenova,   D. S. Evdokimov,   L. S. Evdokimova,   A. E. Zheldybayeva,   Yu. D. Zimina,   I. A. Zolotovskaya,   E. Yu. Ivanchenko,   A. K. Izhanova,   M. V. Kazakovtseva, S. F. Ghazaryan,   M. K. Kaidarbek,   I. A. Karetnikov,   N. A. Karoli,   D. S. Kaskaeva, E. S. Kim, E. V. Kozlov,   V. Yo. Koliev,   M. I. Koliadich,   D. Yu. Konstantinov,   E. A. Konstantinova,   A. K. Konussova,   A. V. Korobka,   A. A. Korolev,   N. B. Kosacheva,   Yu. A. Kravchuk,   A. Yu. Kraposhina, T. V. Kryukova,   A. S. Kuznetsova, K. V. Kuzmichev,   O. Yu. Kuchiyash,   Yu. I. Lebedeva,   T. M. Levina,   K. V. Levchenko,   Artem Vyacheslavovich Levshin,   A. A. Ledyaeva,   T. V. Lisun,   N. A. Lyubavina, M. V. Lyubimov,   N. A. Magdeyeva, O. A. Mazhara,   V. I. Maiseenko,   A. S. Makarova,   V. D. Ma-Van-de,   A. A. Matuzkova,   O. V. Mashkunova,   E. S. Melnikov,   N. B. Moiseenko,   N. V. Mukha ,   N. M. Nikitina,   D. V. Oblavatckii, I. A. Obukhova,   O. V. Obukhova,   Sh. O. Ospanova,   S. S. Plastinina,   V. A. Pogrebetskaya,   D. V. Polyakov, E. V. Ponomarenko,   L. L. Popova,   M. V. Popov,   A. O. Rubanenko,   O. A. Rusinova,   F. E. Rustamova,   A. M. Sadykova,   P. V. Seliverstov,   S. Serikbolkyzy,   D. A. Sinkevich,   I. A. Solovieva,   E. A. Stepina,   E. I. Suchkova, D. S. Tokmin,   A. A. Tolmacheva,   D. A. Trofimov,   M. A. Trubnikova,   A. A. Tulichev,   I. A. Tuchin,   S. T. Ualieva,   N. D. Ulanova,   O. V. Fedorishina,   A. I. Khaltskaya,   S. H. Hamidov,   L. N. Khokhlova,   L. N. Khusainova,   V. V. Tsoma,   T. I. Chudinovskikh,   А. O. Shabelsky,   A. O. Shvidko,   E. A. Shishkina,   S. S. Shostak-Krickii, S. Yu. Sherbakov,   M. I. Yarigina

https://doi.org/10.15829/1560-4071-2025-6010

EDN: MSNBEJ

Abstract

Aim. To assess the effectiveness of vaccination against Omicron and Delta variants according to the international registry "Dynamics Analysis of Comorbidities in SARS-CoV-2 Survivors" (AKTIV-4).
Material and methods. The AKTIV-4 registry included men and women over 18 years of age with a diagnosis of coronavirus disease 2019 (COVID-19) (oropharyngeal and nasopharyngeal swabs, SARS-CoV-2 antibody titers, typical computed tomography performance), undergoing hospital treatment. A total of 3543 patients from 25 medical centers in 7 countries (the Russian Federation, the Republic of Armenia, the Republic of Belarus, the Republic of Kazakhstan, the Kyrgyz Republic, the Republic of Moldova, and the Republic of Uzbekistan) were included in the AKTIV-4 registry.
Results. The clinical status of patients from the AKTIV-4 registry was more severe than in the AKTIV-1 and AKTIV-2 registries. Patients in the AKTIV-4 registry were older than patients in the AKTIV-1 registry. The inhospital mortality rate in patients in the AKTIV-4 registry was higher (8,41%, p<0,001) than in the population of patients in the AKTIV-1 (7,60%) and AKTIV-2 (4,80%) registries. Of the 3543 patients included in AKTIV-4, 36% were vaccinated. Among the vaccines, Sputnik V (GamCOVID-Vac) was the leader in primary and repeated vaccination, used in 77,8% and 61,0%, respectively. In the population of unvaccinated patients, there were more patients with a high risk of an unfavorable prognosis than in the vaccinated as follows: older age, coronary artery disease, class 3-4 heart failure, atrial fibrillation, chronic kidney disease, and anemia. Unvaccinated patients had a higher volume of lung damage compared to vaccinated patients, and bacterial pneumonia and acute respiratory distress syndrome developed more often. Among those who died in hospital, unvaccinated patients predominated (89,14%). Inhospital mortality for unvaccinated patients was 9,9%, while for vaccinated ones — 3,3% (odds ratio (OR) 0,31 [0,20;0,45], p<0,001). In patients within 3, 4-6, and ≥7 months after vaccination, the mortality rate was 3,12% (OR 0,30 [0,16;0,51], p<0,001), 4,00% (OR 0,39 [0,20;0,67], p<0,001), and 2,96% (OR 0,29 [0,09;0,70], p<0,001). Inhospital mortality of vaccinated patients did not differ significantly depending on the type of vaccine.
Conclusion. Vaccination, primarily with Sputnik V, is an independent predictor of survival in hospitalized COVID-19 patients and reduces the risk of death by 62% according to multivariate analysis.

About the Authors

G. P. Arutyunov
Association «Eurasian Association of Therapists»; Pirogov Russian National Research Medical University
Russian Federation

MD, PhD, Professor, Corresponding member of the Russian Academy of Sciences, President of the Eurasian Association of Therapists, Head of the Department of Propaedeutics of Internal Diseases (Pediatric School), Pirogov Russian National Research Medical University, Honored Doctor of the Russian Federation

Moscow


Competing Interests:

нет



E. I. Tarlovskaya
Association «Eurasian Association of Therapists»; Privolzhsky Research Medical University
Russian Federation

MD, PhD, Professor, Chairperson of the Eurasian Association of Therapists branch in Nizhny Novgorod, Head of the Department of Therapy and Cardiology

Moscow

Nizhny Novgorod


Competing Interests:

нет



A. G. Arutyunov
Association «Eurasian Association of Therapists»; National Institute of Health named after S. Avdalbekyan
Armenia

MD, PhD, Board member of the Eurasian Association of Therapists, FEFIM, FESC, Professor at National Institute of Health named after S. Avdalbekyan, Honorary Professor Asfendiyarov Kazakh National Medical University

Moscow

Yerevan



D. S. Polyakov
Privolzhsky Research Medical University; National Research Lobachevsky State University of Nizhni Novgorod
Russian Federation

MD, PhD, Assistant Professor at the Department of Therapy and Cardiology, Professor Departament of Experimetal and Nuclear Medicine Lobachevsky University, UNN

Nizhny Novgorod


Competing Interests:

нет



Yu. M. Lopatin
Volgograd State Medical University, Ministry of Health of Russia
Russian Federation

MD, PhD, Professor, Head of the Departrment of Cardiology and Functional Diagnostics, Faculty of Advanced Training for Doctors

Volgograd


Competing Interests:

нет



A. I. Chesnikova
Rostov State Medical University
Russian Federation

MD, PhD, Professor, Professor in the Department of Internal Medicine 

Rostov-on-Don


Competing Interests:

нет



L. A. Balykova
National Research Ogarev Mordovia State University
Russian Federation

MD, PhD, Professor, Director of the Medicine Institute, corresponding member of the Russian Academy of Sciences

Saransk


Competing Interests:

нет



A. R. Vaisberg
Privolzhsky Research Medical University
Russian Federation

PhD, Associate Professor, Department of Therapy and Cardiology

Nizhny Novgorod


Competing Interests:

нет



A. S. Galyavich
FSBEI of HE «Kazan State Medical University»; The Republican Center for Cardiovascular Diseases of State Autonomous Institution of Health «Interregional Clinical Diagnostic Center»
Russian Federation

MD, PhD, Professor, Head of the Department of Therapy at the Faculty of Advanced Training and Professional Continuing at Kazan State Medical University, Chief Freelance Cardiologist of the Volga Federal District, Academician of the Academy of Sciences of the Republic of Tatarstan

Kazan



N. Yu. Grigorieva
National Research Lobachevsky State University of Nizhni Novgorod
Russian Federation

MD, PhD, Associate Professor, Head of the Department of Clinical Medicine

Nizhny Novgorod


Competing Interests:

нет



V. B. Grinevich
FSB MEI of HE S. M. Kirov Military Medical Academy of the Ministry of Defense of the Russian Federation
Russian Federation

MD, PhD, Professor, Head of the 2 Department of Advanced Therapy   

Saint Petersburg


Competing Interests:

нет



I. V. Gubareva
Samara State Medical University, Internal Diseases Department
Russian Federation

MD, PhD, Associated Professor, Head of Internal Diseases Department

Samara


Competing Interests:

нет



I. V. Demko
Krasnoyarsk state medical University named after Professor V. F. Voino-Yasenetsky; Regional state budgetary healthcare institution «Regional Clinical Hospital»
Russian Federation

MD, PhD, Professor, Head of the Department of Hospital Therapy and Immunology with Postgraduate Education, Head of the Department of Pulmonary Allergology Center, Pulmonologist, Allergist-Immunologist

Krasnoyarsk


Competing Interests:

нет



A. V. Zharkov
Kirov clinical interdistrict hospital
Russian Federation

PhD, Chief Physician

Leningrad region, Kirovsk


Competing Interests:

нет



D. N. Zaitsev
Chita State Medical Academy
Russian Federation

MD, PhD, Professor, Head of the Department

Chita


Competing Interests:

нет



Z. F. Kim
FSBEI of HE «Kazan State Medical University»; GAUZ «City Clinical Hospital №7»
Russian Federation

PhD, Deputy Head Physician on Medical Affairs; Chief Freelance Cardiologist of the Ministry of Health of Republic of Tatarstan Associate Professor, Deputy Chief Physician

Kazan


Competing Interests:

нет



V. L. Korobka
Rostov State Medical University; Rostov Regional Clinical Hospital
Russian Federation

MD, PhD, Professor of the Department of Surgical Diseases №4

Rostov-on-Don


Competing Interests:

нет



N. V. Lareva
Chita State Medical Academy
Russian Federation

MD, PhD, Professor, head of the department of Therapy at the Faculty of Advanced Training and Professional Continuing Education 

Chita


Competing Interests:

нет



E. V. Makarova
Privolzhsky Research Medical University; FBIS «Nizhny Novgorod Research Institute of Hygiene and Occupational Pathology» of Rospotrebnadzor
Russian Federation

Head of the Department of Propaedeutics of Internal Diseases and Geriatrics named after K. G. Nikulin; Senior Researcher of the Clinical Department

Nizhny Novgorod


Competing Interests:

нет



S. V. Malchikova
Kirov State Medical University
Russian Federation

MD, PhD, Associate Professor, Professor of the Department of Clinical Therapy

Kirov


Competing Interests:

нет



S. V. Nedogoda
Volgograd State Medical University, Ministry of Health of Russia
Russian Federation

MD, PhD, Vice-Rector for Medical Care, Head of the Department of Therapy and Endocrinology 

Volgograd


Competing Interests:

нет



A. G. Obrezan
Saint Petersburg State Medical University; My Medical Center Group
Russian Federation

MD, PhD, Professor, Head of the Department of Hospital Therapy, deputy general manager, Chief Physician 

Saint Petersburg


Competing Interests:

нет



A. G. Hovakimyan
Medical Center after Saint Gregory The Illuminator
Armenia

Director

Yerevan


Competing Interests:

нет



S. V. Pereverzev
Cardiology Research Institute, Tomsk National Research Medical Centre, Russian Academy of Sciences
Russian Federation

Graduate Student

Tomsk



M. M. Petrova
Krasnoyarsk state medical University named after Professor V. F. Voino-Yasenetsky
Russian Federation

MD, PhD, Professor, Head of the Department of Polyclinic Therapy and Family Medicine with a Course of Postgraduate Education

Krasnoyarsk


Competing Interests:

нет



I. G. Pochinka
Privolzhsky Research Medical University; State Budgetary Healthcare Institution of the Nizhny Novgorod Region City Clinical Hospital №13
Russian Federation

MD, PhD, Associate Professor at the Department of Enocrinology and Internal Medicine, head of the Department of Cardiology №1

Nizhny Novgorod


Competing Interests:

нет



K. V. Protasov
Irkutsk State Medical Academy of Postgraduate Education
Russian Federation

MD, PhD, Professor, Deputy Director of Research

Irkutsk


Competing Interests:

нет



D. N. Protsenko
Pirogov Russian National Research Medical University; Moscow Multidisciplinary Clinical Center «Kommunarka» of the Department of Healthcare of the City of Moscow
Russian Federation

PhD, Associate Professor, Chief Physician, Head of the Anesthesiology and Resuscitation Department, Chief Freelance Specialist in Anesthesiology-Animatology of the Moscow City Health Department

Moscow


Competing Interests:

нет



A. P. Rebrov
Saratov State Medical University named after V.I. Razumovsky
Russian Federation

MD, PhD, Professor at the Department of the Internal Medicine, Saratov State Medical University named after V.I. Razumovsky

Saratov


Competing Interests:

нет



O. A. Rubanenko
Samara State Medical University, Internal Diseases Department
Russian Federation

MD, PhD, Associate Professor of the Hospital Therapy Department

Samara


Competing Interests:

нет



D. Yu. Ruzanov
Educational Institution «Gomel State Medical University»
Belarus

PhD, Associate Professor, Vice-Rector for Clinical Work, Professor at the Department of  Phthisiology and Pulmonology

Gomel


Competing Interests:

нет



A. V. Svarovskaya
Cardiology Research Institute, Tomsk National Research Medical Centre, Russian Academy of Sciences
Russian Federation

Doctor of Medical Sciences, Senior Researcher, Department of Myocardial Pathology

Tomsk


Competing Interests:

нет



N. M. Selezneva
National Research Ogarev Mordovia State University
Russian Federation

PhD, Associate Professor at the Department of Hospital Therapy

Saransk


Competing Interests:

нет



E. A. Smirnova
Ryazan State Medical University
Russian Federation

MD,  PhD, Associate Professor, Head of the Department of Internal Diseases 

Ryazan


Competing Interests:

нет



A. B. Sygraliev
Asfendiyarov Kazakh National Medical University
Kazakhstan

PhD, Associate Professor, head of the Department of Internal Diseases with a Course of Propaedeutics

Almaty


Competing Interests:

нет



O. V. Khlynova
Perm State Medical University named after E.A. Vagner,
Russian Federation

MD, PhD, Professor, Corresponding Member of the Russian Academy of Sciences, Head of the Department of Hospital Therapy

Perm


Competing Interests:

нет



I. I. Shaposhnik
South-Ural State Medical University
Russian Federation

MD, PhD, Professor, Head of the Department of the Propaedeutics of Internal Diseases

Chelyabinsk


Competing Interests:

нет



D. A. Sh'ukarev
Kirov clinical interdistrict hospital, Leningrad region
Russian Federation

Head of Department of Infectious Deseases

Kirovsk


Competing Interests:

нет



A. K. Abdrakhmanova
Asfendiyarov Kazakh National Medical University; Clinical Infectious Diseases Hospital named after I. Zhekenovа
Kazakhstan

PhD, Head of the Department of Infectious Diseases, Chief Physician

Almaty


Competing Interests:

нет



T. P. Abdualimov
«International Medical Center «SOGAZ»
Russian Federation

Cardiologist

Saint Petersburg


Competing Interests:

нет



A. V. Agafonov
Perm State Medical University named after E.A. Vagner,
Russian Federation

Professor of the Department of Hospital Therapy and Cardiology

Perm


Competing Interests:

нет



V. G. Hakobjanyan
Medical Center after Saint Gregory The Illuminator
Armenia

Head of the Department of Emergency Cardiology

Yerevan


Competing Interests:

нет



L. N. Allahkuliyeva
Privolzhsky Research Medical University
Russian Federation

Postgraduate Student

Nizhny Novgorod


Competing Interests:

нет



A. V. Aparkina
Saratov State Medical University named after V.I. Razumovsky
Russian Federation

PhD, Assistant at the Department of Hospital Therapy, Medical Faculty

Saratov


Competing Interests:

нет



O. Yu. Barysheva
Petrozavodsk State University
Russian Federation

MD, PhD, Professor of Department of Hospital Therapy

Petrozavodsk


Competing Interests:

нет



T. I. Batluk
Association «Eurasian Association of Internal Medicine»
Russian Federation

PhD, Senior Medical Advisor

Moscow


Competing Interests:

нет



A. S. Batchayeva
Pirogov Russian National Research Medical University
Russian Federation

Clinical Laboratory Diagnostician

Moscow


Competing Interests:

нет



R. A. Bashkinov
Association «Eurasian Association of Therapists»; North-Western State Medical University named after I.I. Mechnikov; «Clinical Rheumatology Hospital №25»
Russian Federation

Medical Adviser, Postgraduate Student of the Department of Therapy, Rheumatology, Examination of Temporary Disability and Quality of Medical Care named after E. E. Eichwald 2019-2022, Rheumatologist

Moscow

Saint-Petersburg


Competing Interests:

нет



Ya. A. Belenikina
Ryazan State Medical University
Russian Federation

PhD, Associate Professor of the Department of Internal Medicine

Ryazan


Competing Interests:

нет



I. V. Bikushova
Ryazan State Medical University
Russian Federation

Assistant of the Department of Internal Medicine

Ryazan


Competing Interests:

нет



A. Zh. Botabekova
Asfendiyarov Kazakh National Medical University
Kazakhstan

Assistant of Internal Diseases Department

Almaty


Competing Interests:

нет



S. N. Botova
State Budgetary Healthcare Institution of the Nizhny Novgorod Region City Clinical Hospital №13
Russian Federation

Deputy Chief Physician

Nizhny Novgorod


Competing Interests:

нет



V. O. Bochkareva
N. S. Karpovich Krasnoyarsk Interdistrict Clinical Emergency Hospital
Russian Federation

Pulmonologist

Krasnoyarsk


Competing Interests:

нет



G. A. Bykova
Perm State Medical University named after E.A. Vagner
Russian Federation

PhD, Associate Professor at the Department of Hospital Care, Pulmonologist

Perm


Competing Interests:

нет



K. R. Vagapova
FSBI «Polyclinic №1» of the Administrative Directorate of the President of the Russian Federation
Russian Federation

Endocrinologist

Moscow


Competing Interests:

нет



V. V. Vasilev
Sankt-Petersburg State Budgetary Healthcare Institution «City Polyclinic №38»,
Russian Federation

Deputy Chief Medical Officer

Saint Petersburg


Competing Interests:

нет



N. N. Vezikova
Petrozavodsk State University
Russian Federation

Professor, MD, PhD, Head of Department of Hospital Therapy

Petrozavodsk


Competing Interests:

нет



K. S. Viktorov
Privolzhsky Research Medical University; SBHCI of Novosibirsk Regional Clinical Hospital for War Veterans №3»
Russian Federation

Employee of the Department of Endocrinology and Internal Medicine, Doctor of the Admission Department, Endocrinologist

Nizhny Novgorod


Competing Interests:

нет



V. V. Genkel
South-Ural State Medical University
Russian Federation

PhD, Associated Professor at the Department of Propedeutics of Internal Medicine

Chelyabinsk


Competing Interests:

нет



A. I. Girivenko
Ryazan State Medical University
Russian Federation

Assistant of the Department of Internal Medicine

Ryazan


Competing Interests:

нет



O. P. Girich
Children's policlinic №49
Russian Federation

Chief Physician

Saint Petersburg


Competing Interests:

нет



E. S. Godunko
Rostov State Medical University; Rostov Regional Clinical Hospital
Russian Federation

PhD, Assistant of the Department, Cardiologist

Rostov-on-Don


Competing Interests:

нет



N. V. Gordeeva
Krasnoyarsk state medical University named after Professor V. F. Voino-Yasenetsky
Russian Federation

Associate Professor

Krasnoyarsk


Competing Interests:

нет



E. D. Gordeychuk
Association «Eurasian Association of Therapists»; Pirogov Russian National Research Medical University
Russian Federation

Medical Advisor, Attending Physician

Moscow


Competing Interests:

нет



E. I. Gorshenina
National Research Ogarev Mordovia State University
Russian Federation

PhD, Associate Professor at the Department of Hospital Care

Saransk


Competing Interests:

нет



E. V. Grigorieva
Saratov State Medical University named after V.I. Razumovsky,
Russian Federation

PhD, Associate Professor at the Department of Hospital Therapy, Medical Faculty

Saratov


Competing Interests:

нет



E. Yu. Gubareva
Samara State Medical University, Internal Diseases Department
Russian Federation

PhD, Associate Professor at the Department of Faculty Therapy, Physician at Functional Diagnostics 

Samara


Competing Interests:

нет



I. L. Davydkin
Samara State Medical University, Internal Diseases Department
Russian Federation

MD PhD, Professor, Head of the Department of Hospital Therapy with courses of Polyclinic Therapy and Transfusiology

Samara


Competing Interests:

нет



A. K. Duisenova
Asfendiyarov Kazakh National Medical University
Kazakhstan

Head of Department of Infectious and Tropical Diseases

Almaty


Competing Interests:

нет



D. S. Evdokimov
North-Western State Medical University named after I.I. Mechnikov
Russian Federation

Assistant of the Department of Faculty Therapy

Saint-Petersburg


Competing Interests:

нет



L. S. Evdokimova
North-Western State Medical University named after I.I. Mechnikov
Russian Federation

Radiologist

Saint-Petersburg


Competing Interests:

нет



A. E. Zheldybayeva
Asfendiyarov Kazakh National Medical University,
Kazakhstan

Assistant of the Department of Internal Diseases with the course of propaedeutics

Almaty


Competing Interests:

нет



Yu. D. Zimina
Russian Scientific Medical Society of Therapists; Novosibirsk State Medical University; SBHCI of Novosibirsk region «Clinical Polyclinic №3»
Russian Federation

Scientific Secretary, Therapist, Cardiologist, Senior Laboratory Assistant

Moscow

Novosibirsk


Competing Interests:

нет



I. A. Zolotovskaya
Samara State Medical University, Internal Diseases Department
Russian Federation

MD, PhD, Professor

Samara


Competing Interests:

нет



E. Yu. Ivanchenko
Privolzhsky Research Medical University; National Research Lobachevsky State University of Nizhni Novgorod
Russian Federation

PhD, Associate Professor

Nizhny Novgorod


Competing Interests:

нет



A. K. Izhanova
Asfendiyarov Kazakh National Medical University
Russian Federation

Associate Professor of Internal Diseases Department

Almaty


Competing Interests:

нет



M. V. Kazakovtseva
Kirov State Medical University
Russian Federation

PhD, Associate Professor of the Department of Hospital Therapy

Kirov


Competing Interests:

нет



S. F. Ghazaryan
Medical Center after Saint Gregory The Illuminator
Armenia

Head of the Covid-19 Clinic

Yerevan


Competing Interests:

нет



M. K. Kaidarbek
Asfendiyarov Kazakh National Medical University
Kazakhstan

Assistent of of Department of Infectious and Tropical Diseases

Almaty


Competing Interests:

нет



I. A. Karetnikov
Irkutsk regional clinical hospital of Conferred Order of Merit
Russian Federation

Deputy Chief Phisician

Irkutsk


Competing Interests:

нет



N. A. Karoli
Saratov State Medical University named after V.I. Razumovsky
Russian Federation

MD, PhD, Professor at the Department of Hospital Therapy, Medical Faculty

Saratov


Competing Interests:

нет



D. S. Kaskaeva
Krasnoyarsk state medical University named after Professor V. F. Voino-Yasenetsky
Russian Federation

PhD, Associate Professor at the Department of Outpatient Care and Family Medicine

Krasnoyarsk


Competing Interests:

нет



E. S. Kim
GAUZ «City Clinical Hospital №7»
Russian Federation

Administrator

Kazan


Competing Interests:

нет



E. V. Kozlov
Regional State Budgetary Healthcare Institution «Krasnoyarsk Interdistrict Clinical Emergency Hospital named after N.S. Karpovich
Russian Federation

Pulmonologist, Department Head

Krasnoyarsk


Competing Interests:

нет



V. Yo. Koliev
South-Ural State Medical University, City Clinical Hospital №1
Russian Federation

Assistant of the Department, Head of the Medical Rehabilitation Department of the Polyclinic

Chelyabinsk


Competing Interests:

нет



M. I. Koliadich
South-Ural State Medical University, City Clinical Hospital №1
Russian Federation

PhD, Associate Professor of the Department of Propedeutics of Internal Medicine, First Deputy Chief Physician 

Chelyabinsk


Competing Interests:

нет



D. Yu. Konstantinov
Samara State Medical University, Internal Diseases Department
Russian Federation

MD, PhD, Associate Professor, Head of the Department of Infectious Diseases

Samara


Competing Interests:

нет



E. A. Konstantinova
Samara State Medical University, Internal Diseases Department
Russian Federation

PhD, Associate Professor at the Department of Infectious Diseases

Samara


Competing Interests:

нет



A. K. Konussova
Asfendiyarov Kazakh National Medical University
Kazakhstan

Assistent of of Department of Infectious and Tropical Diseases

 Almaty


Competing Interests:

нет



A. V. Korobka
Rostov Regional Clinical Hospital
Russian Federation

Surgeon

Rostov-on-Don


Competing Interests:

нет



A. A. Korolev
Privolzhsky Research Medical University
Russian Federation

Student

Nizhny Novgorod


Competing Interests:

нет



N. B. Kosacheva
Perm State Medical University named after E.A. Vagner
Russian Federation

PhD, Associate Professor at the Department of Hospital Therapy and Cardiology

Perm


Competing Interests:

нет



Yu. A. Kravchuk
FSB MEI of HE S. M. Kirov Military Medical Academy of the Ministry of Defense of the Russian Federation
Russian Federation

MD, PhD of the 2 Department of Advanced Therapy

Saint Petersburg


Competing Interests:

нет



A. Yu. Kraposhina
Krasnoyarsk state medical University named after Professor V. F. Voino-Yasenetsky; Regional state budgetary healthcare institution «Regional Clinical Hospital»
Russian Federation

PhD, Associate Professor at the Department of Hospital Therapy and Immunology with Postgraduate Education, Pulmonologist

Krasnoyarsk


Competing Interests:

нет



T. V. Kryukova
Association «Eurasian Association of Therapists»
Russian Federation

Project Manager

Moscow


Competing Interests:

нет



A. S. Kuznetsova
South-Ural State Medical University
Russian Federation

PhD, Associate Professor of the Department of Clinical Therapy

Chelyabinsk


Competing Interests:

нет



K. V. Kuzmichev
Privolzhsky Research Medical University
Russian Federation

Assistant of the Department at Endocrinology and Internal Medicine 

Nizhny Novgorod


Competing Interests:

нет



O. Yu. Kuchiyash
Kirov clinical interdistrict hospital, Leningrad region
Russian Federation

Nurse

Kirovsk


Competing Interests:

нет



Yu. I. Lebedeva
Perm State Medical University named after E.A. Vagner
Russian Federation

PhD, Associate Professor, Department of Hospital Therapy and Cardiology

Perm


Competing Interests:

нет



T. M. Levina
National Research Ogarev Mordovia State University
Russian Federation

PhD, Associate Professor of Hospital Therapy 

Saransk


Competing Interests:

нет



K. V. Levchenko
Educational Institution «Gomel State Medical University»
Belarus

Assistant of the Department at the Department of Phthisiopulmonology with the course of the Faculty of Professional Development and Retraining

Gomel


Competing Interests:

нет



Artem Vyacheslavovich Levshin
Regional State Budgetary Healthcare Institution «Asinovskaya District Hospital»
Russian Federation

PhD, Chief Physician

Tomsk region


Competing Interests:

нет



A. A. Ledyaeva
Volgograd State Medical University, Ministry of Health of Russia
Russian Federation

Associate Professor of the Department

Volgograd


Competing Interests:

нет



T. V. Lisun
City Clinical Hospital №40 of the Moscow Department of Healthcare
Russian Federation

Doctor-Metodist

Moscow


Competing Interests:

нет



N. A. Lyubavina
Privolzhsky Research Medical University
Russian Federation

PhD, Associate Professor

Nizhny Novgorod


Competing Interests:

нет



M. V. Lyubimov
Forensic Medical Examination Bureau of the Leningrad Region,
Russian Federation

Forensic Medical Expert/Pathologist

St. Petersburg


Competing Interests:

нет



N. A. Magdeyeva
Saratov State Medical University named after V.I. Razumovsky
Russian Federation

PhD, Associate Professor at the Department of Hospital Therapy, Medical Faculty

Saratov


Competing Interests:

нет



O. A. Mazhara
State Budgetary Health Care Institution Nizhny Novgorod Infectious Disease Hospital №2
Russian Federation

Chief Physician

Nizhny Novgorod


Competing Interests:

нет



V. I. Maiseenko
Educational Institution «Gomel State Medical University»
Belarus

Assistant of the Department at the Department of Phthisiopulmonology with the course of the Faculty of Professional Development and Retraining

Gomel


Competing Interests:

нет



A. S. Makarova
Irkutsk State Medical Academy of Postgraduate Education
Russian Federation

Postgraduate Student of the Department of Cardiology and Functional Diagnostics

Irkutsk


Competing Interests:

нет



V. D. Ma-Van-de
Chita State Medical Academy
Russian Federation

Assistant of the Department

Chita


Competing Interests:

нет



A. A. Matuzkova
Privolzhsky Research Medical University
Russian Federation

Student 

Nizhny Novgorod


Competing Interests:

нет



O. V. Mashkunova
Asfendiyarov Kazakh National Medical University
Kazakhstan

PhD, Professor of Internal Diseases Department

Almaty


Competing Interests:

нет



E. S. Melnikov
Association «Eurasian Association of Therapists»; North-Western State Medical University named after I.I. Mechnikov; Clinical Rheumatology Hospital №25, Saint-Petersburg
Russian Federation

Medical Advisor, Postgraduate Student of the Department of Therapy, Rheumatology, Examination of Temporary Disability and Quality of Medical Care named after E. E. Eichwald 2020-2023,  Rheumatologist

Moscow

Saint Petersburg



N. B. Moiseenko
National Research Lobachevsky State University of Nizhni Novgorod
Russian Federation

Student

Nizhny Novgorod


Competing Interests:

нет



N. V. Mukha 
Chita State Medical Academy
Russian Federation

Associate Professor

Chita


Competing Interests:

нет



N. M. Nikitina
Saratov State Medical University named after V.I. Razumovsky
Russian Federation

MD, PhD, professor at the Department of Hospital Therapy, Medical Faculty

Saratov


Competing Interests:

нет



D. V. Oblavatckii
North-Western State Medical University named after I.I. Mechnikov
Russian Federation

PhD, Assistant of the Department of Faculty Therapy, Cardiologist at the Cardiology Clinic for the Treatment of Patients with Myocardial Infarction

Saint-Petersburg


Competing Interests:

нет



I. A. Obukhova
Regional State Budgetary Healthcare Institution «Krasnoyarsk Interdistrict Clinical Emergency Hospital named after N.S. Karpovich
Russian Federation

Pulmonologist

Krasnoyarsk


Competing Interests:

нет



O. V. Obukhova
Perm State Medical University named after E.A. Vagner
Russian Federation

Associate Professor of the Department of Hospital Therapy and Cardiology, Pulmonologist

Perm


Competing Interests:

нет



Sh. O. Ospanova
Asfendiyarov Kazakh National Medical University
Kazakhstan

Assistant of the Department at Internal Diseases with the Course of Propaedeutics, PhD Student of the Dep of Internal Diseases 

Almaty


Competing Interests:

нет



S. S. Plastinina
Privolzhsky Research Medical University
Russian Federation

PhD, Associate Professor at the Internal Medicine Department

Nizhny Novgorod


Competing Interests:

нет



V. A. Pogrebetskaya
City Clinical Hospital №38
Russian Federation

Head Physician 

Nizhny Novgorod


Competing Interests:

нет



D. V. Polyakov
Pirogov Russian National Research Medical University
Russian Federation

PhD, Associate Professor of the Department of Internal Medicine

Moscow


Competing Interests:

нет



E. V. Ponomarenko
LLC «Formula of Health»
Russian Federation

Cardiologist

Krasnodar


Competing Interests:

нет



L. L. Popova
Samara State Medical University, Internal Diseases Department
Russian Federation

MD, PhD, Professor at the Department of Infectious Diseases

Samara


Competing Interests:

нет



M. V. Popov
Kirov clinical interdistrict hospital, Leningrad region
Russian Federation

Deputy Chief Physician

Kirovsk


Competing Interests:

нет



A. O. Rubanenko
Samara State Medical University, Internal Diseases Department
Russian Federation

PhD, Associate Professor of the Department of Propaedeutic Therapy with a Course in Cardiology

Samara


Competing Interests:

нет



O. A. Rusinova
FSB MEI of HE S. M. Kirov Military Medical Academy of the Ministry of Defense of the Russian Federation
Russian Federation

Therapist, clinical resident of the 2 Department of Advanced Therapy

Saint Petersburg


Competing Interests:

нет



F. E. Rustamova
Asfendiyarov Kazakh National Medical University
Kazakhstan

Associate Professor of Internal Diseases Department

Almaty


Competing Interests:

нет



A. M. Sadykova
Asfendiyarov Kazakh National Medical University
Kazakhstan

Associate Professor of Department of Infectious and Tropical Diseases

Almaty


Competing Interests:

нет



P. V. Seliverstov
FSB MEI of HE S. M. Kirov Military Medical Academy of the Ministry of Defense of the Russian Federation
Russian Federation

MD, Associate Professor of the 2 Department of Advanced Therapy 

Saint Petersburg


Competing Interests:

нет



S. Serikbolkyzy
Asfendiyarov Kazakh National Medical University
Kazakhstan

Assistant of the Department at Internal Diseases with the Course of Propaedeutics, PhD Student 

Almaty


Competing Interests:

нет



D. A. Sinkevich
LLC Clinic «Expert»
Russian Federation

PhD, Cardiologist

Irkutsk


Competing Interests:

нет



I. A. Solovieva
Krasnoyarsk state medical University named after Professor V. F. Voino-Yasenetsky; Regional state budgetary healthcare institution «Regional Clinical Hospital»
Russian Federation

MD, PhD, Associate Professor, Pulmonologist, Allergologist-Immunologist

Krasnoyarsk


Competing Interests:

нет



E. A. Stepina
Perm State Medical University named after E.A. Vagner
Russian Federation

PhD, Associate Professor of the Department at Hospital Therapy and Cardiology

Perm


Competing Interests:

нет



E. I. Suchkova
Ryazan State Medical University
Russian Federation

PhD, Assistant of the Department of Internal Diseases 

Ryazan


Competing Interests:

нет



D. S. Tokmin
Alphastat analytic agency
Russian Federation

Founder and Director

Moscow


Competing Interests:

нет



A. A. Tolmacheva
Novosibirsk State Medical University; SBHCI of Novosibirsk Regional Clinical Hospital for War Veterans №3»
Russian Federation

PhD, Assistant of the Department at  Faculty Therapy n.a. Zalesskiy G.D., Head of the Department, Therapist, Cardiologist, Doctor of Physical and Rehabilitation Medicine

Novosibirsk


Competing Interests:

нет



D. A. Trofimov
FSBEI of HE «Kazan State Medical University»; GAUZ «City Clinical Hospital №7»
Russian Federation

Student, nurse (Department of Cardiology №4)

Kazan


Competing Interests:

нет



M. A. Trubnikova
Association «Eurasian Association of Therapists»; LLC «Dr. Fomin's clinic»
Russian Federation

Medical Advisor, Nephrologist

Moscow

 


Competing Interests:

нет



A. A. Tulichev
Privolzhsky Research Medical University; SBHI of Nizhniy Novgorod region City Clinical Hospital №3
Russian Federation

PhD, Assistant of the Department at  Internal Medicine Propedeutics, head of the Emergency Room

Nizhny Novgorod


Competing Interests:

нет



I. A. Tuchin
«St. George City Hospital»
Russian Federation

Therapist

Saint Petersburg


Competing Interests:

нет



S. T. Ualieva
Clinical Infectious Diseases Hospital named after I. Zhekenovа
Kazakhstan

Dr of Almaty City Infectious Diseases Hospital

Almaty


Competing Interests:

нет



N. D. Ulanova
Privolzhsky Research Medical University
Russian Federation

Postgraduate student of the Department of Endocrinology and Internal Medicine

Nizhny Novgorod


Competing Interests:

нет



O. V. Fedorishina
Irkutsk State Medical Academy of Postgraduate Education
Russian Federation

PhD, Associate Professor at the Department of Cardiology and Functional Diagnostics

Irkutsk


Competing Interests:

нет



A. I. Khaltskaya
National Research Lobachevsky State University of Nizhni Novgorod
Russian Federation

PhD, Associate Professor, Department of Internal Medicine, Institute of Clinical Medicine

Nizhny Novgorod


Competing Interests:

нет



S. H. Hamidov
Alexander hospital
Russian Federation

Cardiologist

Saint Petersburg


Competing Interests:

нет



L. N. Khokhlova
National Research Ogarev Mordovia State University
Russian Federation

Assistant Professor of Medical Institute

Saransk


Competing Interests:

нет



L. N. Khusainova
«International Medical Center «SOGAZ» PROFMEDICINA»
Russian Federation

Deputy Chief Physician

Svobodny


Competing Interests:

нет



V. V. Tsoma
Volgograd State Medical University, Ministry of Health of Russia
Russian Federation

PhD, Associate Professor, Department of Internal Medicine, Institute of Continuing Medical Education, head of Additional Professional Education Department, Chief Freelance Pulmonologist of the Health Committee of the Volgograd Region

Volgograd


Competing Interests:

нет



T. I. Chudinovskikh
Kirov State Medical University
Russian Federation

PhD, Associate Professor, Department of Hospital Therapy 

Kirov


Competing Interests:

нет



А. O. Shabelsky
Regional State Budgetary Healthcare Institution «Asinovskaya District Hospital»
Russian Federation

Deputy Chief Physician, Therapist

Tomsk region


Competing Interests:

нет



A. O. Shvidko
Rostov Regional Clinical Hospital
Russian Federation

Gastroenterologist

Rostov-on-Don


Competing Interests:

нет



E. A. Shishkina
Perm State Medical University named after E.A. Vagner
Russian Federation

MD, PhD, Professor at the Hopspital Therapy and Cardiology Department

Perm


Competing Interests:

нет



S. S. Shostak-Krickii
Kirov clinical interdistrict hospital, Leningrad region
Russian Federation

Deputy Chief Physician, Infection Disease Doctor 

Kirovsk


Competing Interests:

нет



S. Yu. Sherbakov
FSBEI of HE «Kazan State Medical University»; GAUZ «City Clinical Hospital №7»
Russian Federation

Assistant of the Department at Anesthesiology and Reanimatology, Anesthesiologist-Reanimatologist

Kazan


Competing Interests:

нет



M. I. Yarigina
National Research Lobachevsky State University of Nizhni Novgorod
Russian Federation

Student

Nizhny Novgorod


Competing Interests:

нет



References

1. Miteva D, Kitanova M, Batselova H, et al. The End or a New Era of Development of SARS-CoV-2 Virus: Genetic Variants Responsible for Severe COVID-19 and Clinical Efficacy of the Most Commonly Used Vaccines in Clinical Practice. Vaccines (Basel). 2023;11(7):1181. doi: 10.3390/vaccines11071181.

2. Watson OJ, Barnsley G, Toor J, et al. Global impact of the first year of COVID-19 vaccination: a mathematical modelling study. Lancet Infect Dis. 2022;22:1293-302. Published Online June 23, 2022. doi: 10.1016/S1473-3099(22)00320-6.

3. Hoffmann M, Krüger N, Schulz S, et al. The omicron variant is highly resistant against antibody-mediated neutralization: implications for control of the COVID-19 pandemic. Cell. 2022;185(3):447-56.e11. doi: 10.1016/j.cell.2021.12.032.

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11.


Supplementary files

  • The acute period of COVID-19 in vaccinated patients is milder than in unvaccinated patients with a smaller volume of lung parenchyma damage, and complications such as bacterial pneumonia and acute respiratory distress syndrome develop less frequently.
  • The positive effect of vaccination on the prognosis and patients persists 7 months after vaccination.
  • In the population of unvaccinated patients, more often than among vaccinated patients, there are pa­tients with a high risk of an unfavorable progno­sis: older age, coronary artery disease, class 3-4 heart failure, atrial fibrillation, chronic kidney disease and anemia.

Review

For citations:


Arutyunov G.P., Tarlovskaya E.I., Arutyunov A.G., Polyakov D.S., Lopatin Yu.M., Chesnikova A.I., Balykova L.A., Vaisberg A.R., Galyavich A.S., Grigorieva N.Yu., Grinevich V.B., Gubareva I.V., Demko I.V., Zharkov A.V., Zaitsev D.N., Kim Z.F., Korobka V.L., Lareva N.V., Makarova E.V., Malchikova S.V., Nedogoda S.V., Obrezan A.G., Hovakimyan A.G., Pereverzev S.V., Petrova M.M., Pochinka I.G., Protasov K.V., Protsenko D.N., Rebrov A.P., Rubanenko O.A., Ruzanov D.Yu., Svarovskaya A.V., Selezneva N.M., Smirnova E.A., Sygraliev A.B., Khlynova O.V., Shaposhnik I.I., Sh'ukarev D.A., Abdrakhmanova A.K., Abdualimov T.P., Agafonov A.V., Hakobjanyan V.G., Allahkuliyeva L.N., Aparkina A.V., Barysheva O.Yu., Batluk T.I., Batchayeva A.S., Bashkinov R.A., Belenikina Ya.A., Bikushova I.V., Botabekova A.Zh., Botova S.N., Bochkareva V.O., Bykova G.A., Vagapova K.R., Vasilev V.V., Vezikova N.N., Viktorov K.S., Genkel V.V., Girivenko A.I., Girich O.P., Godunko E.S., Gordeeva N.V., Gordeychuk E.D., Gorshenina E.I., Grigorieva E.V., Gubareva E.Yu., Davydkin I.L., Duisenova A.K., Evdokimov D.S., Evdokimova L.S., Zheldybayeva A.E., Zimina Yu.D., Zolotovskaya I.A., Ivanchenko E.Yu., Izhanova A.K., Kazakovtseva M.V., Ghazaryan S.F., Kaidarbek M.K., Karetnikov I.A., Karoli N.A., Kaskaeva D.S., Kim E.S., Kozlov E.V., Koliev V.Y., Koliadich M.I., Konstantinov D.Yu., Konstantinova E.A., Konussova A.K., Korobka A.V., Korolev A.A., Kosacheva N.B., Kravchuk Yu.A., Kraposhina A.Yu., Kryukova T.V., Kuznetsova A.S., Kuzmichev K.V., Kuchiyash O.Yu., Lebedeva Yu.I., Levina T.M., Levchenko K.V., Levshin A.V., Ledyaeva A.A., Lisun T.V., Lyubavina N.A., Lyubimov M.V., Magdeyeva N.A., Mazhara O.A., Maiseenko V.I., Makarova A.S., Ma-Van-de V.D., Matuzkova A.A., Mashkunova O.V., Melnikov E.S., Moiseenko N.B., Mukha  N.V., Nikitina N.M., Oblavatckii D.V., Obukhova I.A., Obukhova O.V., Ospanova Sh.O., Plastinina S.S., Pogrebetskaya V.A., Polyakov D.V., Ponomarenko E.V., Popova L.L., Popov M.V., Rubanenko A.O., Rusinova O.A., Rustamova F.E., Sadykova A.M., Seliverstov P.V., Serikbolkyzy S., Sinkevich D.A., Solovieva I.A., Stepina E.A., Suchkova E.I., Tokmin D.S., Tolmacheva A.A., Trofimov D.A., Trubnikova M.A., Tulichev A.A., Tuchin I.A., Ualieva S.T., Ulanova N.D., Fedorishina O.V., Khaltskaya A.I., Hamidov S.H., Khokhlova L.N., Khusainova L.N., Tsoma V.V., Chudinovskikh T.I., Shabelsky А.O., Shvidko A.O., Shishkina E.A., Shostak-Krickii S.S., Sherbakov S.Yu., Yarigina M.I. Impact of vaccination status on the clinical course and outcomes of acute COVID-19 period: data from the international registry "Dynamics Analysis of Comorbidities in SARS-CoV-2 Survivors" (AKTIV-4). Russian Journal of Cardiology. 2025;30(3):6010. (In Russ.) https://doi.org/10.15829/1560-4071-2025-6010. EDN: MSNBEJ

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ISSN 1560-4071 (Print)
ISSN 2618-7620 (Online)