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)
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. ArutyunovRussian 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
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
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
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
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
Russian Federation
MD, PhD, Professor, Professor in the Department of Internal Medicine
Rostov-on-Don
Competing Interests:
нет
L. A. Balykova
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
Russian Federation
PhD, Associate Professor, Department of Therapy and Cardiology
Nizhny Novgorod
Competing Interests:
нет
A. S. Galyavich
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
Russian Federation
MD, PhD, Associate Professor, Head of the Department of Clinical Medicine
Nizhny Novgorod
Competing Interests:
нет
V. B. Grinevich
Russian Federation
MD, PhD, Professor, Head of the 2 Department of Advanced Therapy
Saint Petersburg
Competing Interests:
нет
I. V. Gubareva
Russian Federation
MD, PhD, Associated Professor, Head of Internal Diseases Department
Samara
Competing Interests:
нет
I. V. Demko
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
Russian Federation
PhD, Chief Physician
Leningrad region, Kirovsk
Competing Interests:
нет
D. N. Zaitsev
Russian Federation
MD, PhD, Professor, Head of the Department
Chita
Competing Interests:
нет
Z. F. Kim
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
Russian Federation
MD, PhD, Professor of the Department of Surgical Diseases №4
Rostov-on-Don
Competing Interests:
нет
N. V. Lareva
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
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
Russian Federation
MD, PhD, Associate Professor, Professor of the Department of Clinical Therapy
Kirov
Competing Interests:
нет
S. V. Nedogoda
Russian Federation
MD, PhD, Vice-Rector for Medical Care, Head of the Department of Therapy and Endocrinology
Volgograd
Competing Interests:
нет
A. G. Obrezan
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
Armenia
Director
Yerevan
Competing Interests:
нет
S. V. Pereverzev
Russian Federation
Graduate Student
Tomsk
M. M. Petrova
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
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
Russian Federation
MD, PhD, Professor, Deputy Director of Research
Irkutsk
Competing Interests:
нет
D. N. Protsenko
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
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
Russian Federation
MD, PhD, Associate Professor of the Hospital Therapy Department
Samara
Competing Interests:
нет
D. Yu. Ruzanov
Belarus
PhD, Associate Professor, Vice-Rector for Clinical Work, Professor at the Department of Phthisiology and Pulmonology
Gomel
Competing Interests:
нет
A. V. Svarovskaya
Russian Federation
Doctor of Medical Sciences, Senior Researcher, Department of Myocardial Pathology
Tomsk
Competing Interests:
нет
N. M. Selezneva
Russian Federation
PhD, Associate Professor at the Department of Hospital Therapy
Saransk
Competing Interests:
нет
E. A. Smirnova
Russian Federation
MD, PhD, Associate Professor, Head of the Department of Internal Diseases
Ryazan
Competing Interests:
нет
A. B. Sygraliev
Kazakhstan
PhD, Associate Professor, head of the Department of Internal Diseases with a Course of Propaedeutics
Almaty
Competing Interests:
нет
O. V. Khlynova
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
Russian Federation
MD, PhD, Professor, Head of the Department of the Propaedeutics of Internal Diseases
Chelyabinsk
Competing Interests:
нет
D. A. Sh'ukarev
Russian Federation
Head of Department of Infectious Deseases
Kirovsk
Competing Interests:
нет
A. K. Abdrakhmanova
Kazakhstan
PhD, Head of the Department of Infectious Diseases, Chief Physician
Almaty
Competing Interests:
нет
T. P. Abdualimov
Russian Federation
Cardiologist
Saint Petersburg
Competing Interests:
нет
A. V. Agafonov
Russian Federation
Professor of the Department of Hospital Therapy and Cardiology
Perm
Competing Interests:
нет
V. G. Hakobjanyan
Armenia
Head of the Department of Emergency Cardiology
Yerevan
Competing Interests:
нет
L. N. Allahkuliyeva
Russian Federation
Postgraduate Student
Nizhny Novgorod
Competing Interests:
нет
A. V. Aparkina
Russian Federation
PhD, Assistant at the Department of Hospital Therapy, Medical Faculty
Saratov
Competing Interests:
нет
O. Yu. Barysheva
Russian Federation
MD, PhD, Professor of Department of Hospital Therapy
Petrozavodsk
Competing Interests:
нет
T. I. Batluk
Russian Federation
PhD, Senior Medical Advisor
Moscow
Competing Interests:
нет
A. S. Batchayeva
Russian Federation
Clinical Laboratory Diagnostician
Moscow
Competing Interests:
нет
R. A. Bashkinov
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
Russian Federation
PhD, Associate Professor of the Department of Internal Medicine
Ryazan
Competing Interests:
нет
I. V. Bikushova
Russian Federation
Assistant of the Department of Internal Medicine
Ryazan
Competing Interests:
нет
A. Zh. Botabekova
Kazakhstan
Assistant of Internal Diseases Department
Almaty
Competing Interests:
нет
S. N. Botova
Russian Federation
Deputy Chief Physician
Nizhny Novgorod
Competing Interests:
нет
V. O. Bochkareva
Russian Federation
Pulmonologist
Krasnoyarsk
Competing Interests:
нет
G. A. Bykova
Russian Federation
PhD, Associate Professor at the Department of Hospital Care, Pulmonologist
Perm
Competing Interests:
нет
K. R. Vagapova
Russian Federation
Endocrinologist
Moscow
Competing Interests:
нет
V. V. Vasilev
Russian Federation
Deputy Chief Medical Officer
Saint Petersburg
Competing Interests:
нет
N. N. Vezikova
Russian Federation
Professor, MD, PhD, Head of Department of Hospital Therapy
Petrozavodsk
Competing Interests:
нет
K. S. Viktorov
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
Russian Federation
PhD, Associated Professor at the Department of Propedeutics of Internal Medicine
Chelyabinsk
Competing Interests:
нет
A. I. Girivenko
Russian Federation
Assistant of the Department of Internal Medicine
Ryazan
Competing Interests:
нет
O. P. Girich
Russian Federation
Chief Physician
Saint Petersburg
Competing Interests:
нет
E. S. Godunko
Russian Federation
PhD, Assistant of the Department, Cardiologist
Rostov-on-Don
Competing Interests:
нет
N. V. Gordeeva
Russian Federation
Associate Professor
Krasnoyarsk
Competing Interests:
нет
E. D. Gordeychuk
Russian Federation
Medical Advisor, Attending Physician
Moscow
Competing Interests:
нет
E. I. Gorshenina
Russian Federation
PhD, Associate Professor at the Department of Hospital Care
Saransk
Competing Interests:
нет
E. V. Grigorieva
Russian Federation
PhD, Associate Professor at the Department of Hospital Therapy, Medical Faculty
Saratov
Competing Interests:
нет
E. Yu. Gubareva
Russian Federation
PhD, Associate Professor at the Department of Faculty Therapy, Physician at Functional Diagnostics
Samara
Competing Interests:
нет
I. L. Davydkin
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
Kazakhstan
Head of Department of Infectious and Tropical Diseases
Almaty
Competing Interests:
нет
D. S. Evdokimov
Russian Federation
Assistant of the Department of Faculty Therapy
Saint-Petersburg
Competing Interests:
нет
L. S. Evdokimova
Russian Federation
Radiologist
Saint-Petersburg
Competing Interests:
нет
A. E. Zheldybayeva
Kazakhstan
Assistant of the Department of Internal Diseases with the course of propaedeutics
Almaty
Competing Interests:
нет
Yu. D. Zimina
Russian Federation
Scientific Secretary, Therapist, Cardiologist, Senior Laboratory Assistant
Moscow
Novosibirsk
Competing Interests:
нет
I. A. Zolotovskaya
Russian Federation
MD, PhD, Professor
Samara
Competing Interests:
нет
E. Yu. Ivanchenko
Russian Federation
PhD, Associate Professor
Nizhny Novgorod
Competing Interests:
нет
A. K. Izhanova
Russian Federation
Associate Professor of Internal Diseases Department
Almaty
Competing Interests:
нет
M. V. Kazakovtseva
Russian Federation
PhD, Associate Professor of the Department of Hospital Therapy
Kirov
Competing Interests:
нет
S. F. Ghazaryan
Armenia
Head of the Covid-19 Clinic
Yerevan
Competing Interests:
нет
M. K. Kaidarbek
Kazakhstan
Assistent of of Department of Infectious and Tropical Diseases
Almaty
Competing Interests:
нет
I. A. Karetnikov
Russian Federation
Deputy Chief Phisician
Irkutsk
Competing Interests:
нет
N. A. Karoli
Russian Federation
MD, PhD, Professor at the Department of Hospital Therapy, Medical Faculty
Saratov
Competing Interests:
нет
D. S. Kaskaeva
Russian Federation
PhD, Associate Professor at the Department of Outpatient Care and Family Medicine
Krasnoyarsk
Competing Interests:
нет
E. S. Kim
Russian Federation
Administrator
Kazan
Competing Interests:
нет
E. V. Kozlov
Russian Federation
Pulmonologist, Department Head
Krasnoyarsk
Competing Interests:
нет
V. Yo. Koliev
Russian Federation
Assistant of the Department, Head of the Medical Rehabilitation Department of the Polyclinic
Chelyabinsk
Competing Interests:
нет
M. I. Koliadich
Russian Federation
PhD, Associate Professor of the Department of Propedeutics of Internal Medicine, First Deputy Chief Physician
Chelyabinsk
Competing Interests:
нет
D. Yu. Konstantinov
Russian Federation
MD, PhD, Associate Professor, Head of the Department of Infectious Diseases
Samara
Competing Interests:
нет
E. A. Konstantinova
Russian Federation
PhD, Associate Professor at the Department of Infectious Diseases
Samara
Competing Interests:
нет
A. K. Konussova
Kazakhstan
Assistent of of Department of Infectious and Tropical Diseases
Almaty
Competing Interests:
нет
A. V. Korobka
Russian Federation
Surgeon
Rostov-on-Don
Competing Interests:
нет
A. A. Korolev
Russian Federation
Student
Nizhny Novgorod
Competing Interests:
нет
N. B. Kosacheva
Russian Federation
PhD, Associate Professor at the Department of Hospital Therapy and Cardiology
Perm
Competing Interests:
нет
Yu. A. Kravchuk
Russian Federation
MD, PhD of the 2 Department of Advanced Therapy
Saint Petersburg
Competing Interests:
нет
A. Yu. Kraposhina
Russian Federation
PhD, Associate Professor at the Department of Hospital Therapy and Immunology with Postgraduate Education, Pulmonologist
Krasnoyarsk
Competing Interests:
нет
T. V. Kryukova
Russian Federation
Project Manager
Moscow
Competing Interests:
нет
A. S. Kuznetsova
Russian Federation
PhD, Associate Professor of the Department of Clinical Therapy
Chelyabinsk
Competing Interests:
нет
K. V. Kuzmichev
Russian Federation
Assistant of the Department at Endocrinology and Internal Medicine
Nizhny Novgorod
Competing Interests:
нет
O. Yu. Kuchiyash
Russian Federation
Nurse
Kirovsk
Competing Interests:
нет
Yu. I. Lebedeva
Russian Federation
PhD, Associate Professor, Department of Hospital Therapy and Cardiology
Perm
Competing Interests:
нет
T. M. Levina
Russian Federation
PhD, Associate Professor of Hospital Therapy
Saransk
Competing Interests:
нет
K. V. Levchenko
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
Russian Federation
PhD, Chief Physician
Tomsk region
Competing Interests:
нет
A. A. Ledyaeva
Russian Federation
Associate Professor of the Department
Volgograd
Competing Interests:
нет
T. V. Lisun
Russian Federation
Doctor-Metodist
Moscow
Competing Interests:
нет
N. A. Lyubavina
Russian Federation
PhD, Associate Professor
Nizhny Novgorod
Competing Interests:
нет
M. V. Lyubimov
Russian Federation
Forensic Medical Expert/Pathologist
St. Petersburg
Competing Interests:
нет
N. A. Magdeyeva
Russian Federation
PhD, Associate Professor at the Department of Hospital Therapy, Medical Faculty
Saratov
Competing Interests:
нет
O. A. Mazhara
Russian Federation
Chief Physician
Nizhny Novgorod
Competing Interests:
нет
V. I. Maiseenko
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
Russian Federation
Postgraduate Student of the Department of Cardiology and Functional Diagnostics
Irkutsk
Competing Interests:
нет
V. D. Ma-Van-de
Russian Federation
Assistant of the Department
Chita
Competing Interests:
нет
A. A. Matuzkova
Russian Federation
Student
Nizhny Novgorod
Competing Interests:
нет
O. V. Mashkunova
Kazakhstan
PhD, Professor of Internal Diseases Department
Almaty
Competing Interests:
нет
E. S. Melnikov
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
Russian Federation
Student
Nizhny Novgorod
Competing Interests:
нет
N. V. Mukha
Russian Federation
Associate Professor
Chita
Competing Interests:
нет
N. M. Nikitina
Russian Federation
MD, PhD, professor at the Department of Hospital Therapy, Medical Faculty
Saratov
Competing Interests:
нет
D. V. Oblavatckii
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
Russian Federation
Pulmonologist
Krasnoyarsk
Competing Interests:
нет
O. V. Obukhova
Russian Federation
Associate Professor of the Department of Hospital Therapy and Cardiology, Pulmonologist
Perm
Competing Interests:
нет
Sh. O. Ospanova
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
Russian Federation
PhD, Associate Professor at the Internal Medicine Department
Nizhny Novgorod
Competing Interests:
нет
V. A. Pogrebetskaya
Russian Federation
Head Physician
Nizhny Novgorod
Competing Interests:
нет
D. V. Polyakov
Russian Federation
PhD, Associate Professor of the Department of Internal Medicine
Moscow
Competing Interests:
нет
E. V. Ponomarenko
Russian Federation
Cardiologist
Krasnodar
Competing Interests:
нет
L. L. Popova
Russian Federation
MD, PhD, Professor at the Department of Infectious Diseases
Samara
Competing Interests:
нет
M. V. Popov
Russian Federation
Deputy Chief Physician
Kirovsk
Competing Interests:
нет
A. O. Rubanenko
Russian Federation
PhD, Associate Professor of the Department of Propaedeutic Therapy with a Course in Cardiology
Samara
Competing Interests:
нет
O. A. Rusinova
Russian Federation
Therapist, clinical resident of the 2 Department of Advanced Therapy
Saint Petersburg
Competing Interests:
нет
F. E. Rustamova
Kazakhstan
Associate Professor of Internal Diseases Department
Almaty
Competing Interests:
нет
A. M. Sadykova
Kazakhstan
Associate Professor of Department of Infectious and Tropical Diseases
Almaty
Competing Interests:
нет
P. V. Seliverstov
Russian Federation
MD, Associate Professor of the 2 Department of Advanced Therapy
Saint Petersburg
Competing Interests:
нет
S. Serikbolkyzy
Kazakhstan
Assistant of the Department at Internal Diseases with the Course of Propaedeutics, PhD Student
Almaty
Competing Interests:
нет
D. A. Sinkevich
Russian Federation
PhD, Cardiologist
Irkutsk
Competing Interests:
нет
I. A. Solovieva
Russian Federation
MD, PhD, Associate Professor, Pulmonologist, Allergologist-Immunologist
Krasnoyarsk
Competing Interests:
нет
E. A. Stepina
Russian Federation
PhD, Associate Professor of the Department at Hospital Therapy and Cardiology
Perm
Competing Interests:
нет
E. I. Suchkova
Russian Federation
PhD, Assistant of the Department of Internal Diseases
Ryazan
Competing Interests:
нет
D. S. Tokmin
Russian Federation
Founder and Director
Moscow
Competing Interests:
нет
A. A. Tolmacheva
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
Russian Federation
Student, nurse (Department of Cardiology №4)
Kazan
Competing Interests:
нет
M. A. Trubnikova
Russian Federation
Medical Advisor, Nephrologist
Moscow
Competing Interests:
нет
A. A. Tulichev
Russian Federation
PhD, Assistant of the Department at Internal Medicine Propedeutics, head of the Emergency Room
Nizhny Novgorod
Competing Interests:
нет
I. A. Tuchin
Russian Federation
Therapist
Saint Petersburg
Competing Interests:
нет
S. T. Ualieva
Kazakhstan
Dr of Almaty City Infectious Diseases Hospital
Almaty
Competing Interests:
нет
N. D. Ulanova
Russian Federation
Postgraduate student of the Department of Endocrinology and Internal Medicine
Nizhny Novgorod
Competing Interests:
нет
O. V. Fedorishina
Russian Federation
PhD, Associate Professor at the Department of Cardiology and Functional Diagnostics
Irkutsk
Competing Interests:
нет
A. I. Khaltskaya
Russian Federation
PhD, Associate Professor, Department of Internal Medicine, Institute of Clinical Medicine
Nizhny Novgorod
Competing Interests:
нет
S. H. Hamidov
Russian Federation
Cardiologist
Saint Petersburg
Competing Interests:
нет
L. N. Khokhlova
Russian Federation
Assistant Professor of Medical Institute
Saransk
Competing Interests:
нет
L. N. Khusainova
Russian Federation
Deputy Chief Physician
Svobodny
Competing Interests:
нет
V. V. Tsoma
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
Russian Federation
PhD, Associate Professor, Department of Hospital Therapy
Kirov
Competing Interests:
нет
А. O. Shabelsky
Russian Federation
Deputy Chief Physician, Therapist
Tomsk region
Competing Interests:
нет
A. O. Shvidko
Russian Federation
Gastroenterologist
Rostov-on-Don
Competing Interests:
нет
E. A. Shishkina
Russian Federation
MD, PhD, Professor at the Hopspital Therapy and Cardiology Department
Perm
Competing Interests:
нет
S. S. Shostak-Krickii
Russian Federation
Deputy Chief Physician, Infection Disease Doctor
Kirovsk
Competing Interests:
нет
S. Yu. Sherbakov
Russian Federation
Assistant of the Department at Anesthesiology and Reanimatology, Anesthesiologist-Reanimatologist
Kazan
Competing Interests:
нет
M. I. Yarigina
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.
4. 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 predictors of short-term adverse outcomes in COVID-19. Russian Journal of Cardiology. 2021;26(4):4470. (In Russ.) doi: 10.15829/1560-4071-2021-4470.
5. Shkoda AS, Gushchin VA, Ogarkova DA, et al. Sputnik V Effectiveness against Hospitalization with COVID-19 during Omicron Dominance. Vaccines (Basel). 2022;10(6):938. doi: 10.3390/vaccines10060938.
6. Lysenko MA, Poteshkina NG, Ibragimova AM, et al. The course of COVID-19-associated pneumonia in patients vaccinated against COVID-19. Therapy. 2022;62(10):14-20. (In Russ.) doi: 10.18565/therapy.2022.10.14-20.
7. Barchuk A, Bulina A, Cherkashin M, et al. COVID-19 vaccines effectiveness against symptomatic SARS-CoV-2 during Delta variant surge: A preliminary assessment from a case-control study in St. Petersburg, Russia. BMC Public Health. 2022;22:1803. doi: 10.1186/s12889-022-14202-9.
8. Vokó Z, Kiss Z, Surján G, et al. Nationwide effectiveness of five SARS-CoV-2 vaccines in Hungary-the HUN-VE study. Clin. Microbiol. Infect. 2022;28:398-404. doi: 10.1016/j.cmi.2021.11.011.
9. Graña C, Ghosn L, Evrenoglou T, et al. Efficacy and safety of COVID-19 vaccines. Cochrane Database Syst Rev. 2022;12(12):CD015477. doi: 10.1002/14651858.CD015477.
10. Barchuk A, Bulina A, Cherkashin M, et al. Gam-COVID-Vac, EpiVacCorona, and CoviVac effectiveness against lung injury during Delta and Omicron variant surges in St. Petersburg, Russia: a test-negative case-control study. Respir Res. 2022;23(1):276. doi: 10.1186/s12931-022-02206-3.
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