Preview

Journal Infectology

Advanced search

Possible causes of morbidity and adverse outcomes of COVID-19 in vaccinated elderly patients

https://doi.org/10.22625/2072-6732-2024-16-1-15-21

Abstract

A prospective randomized observational study was conducted in cohorts of vaccinated and unvaccinated patients hospitalized in one of the Moscow hospitals and diagnozed with COVID-19 in the period from 06.23.2021 to 01.05.2022.

The purpose of the study was to identify the epidemiological features of COVID-19 in vaccinated people and to present scientifically based data on the need for vaccination and its importance in stopping the epidemic process.

Materials and Methods. The samples were studied in comparison for a number of indicators: age, clinical condition at admission, the presence and number of concomitant systemic chronic diseases as well as disease outcomes.

Results. It was proven that the risk of COVID-19 morbidity in vaccinated people decreased by 1.5 times, mortality by 1.5 times, and hospitalization due to the severity of the condition by 3.1 times. The mortality risk among vaccinated patients shifted to older age (76.9 years), while among unvaccinated patients, the mortality risk was higher for older people (73.7 years), which indicates an increase in life expectancy of vaccinated people.

About the Authors

M. P. Kostinov
First Moscow State Medical University named after I.M. Sechenov; Research Institute of Vaccines and Sera named after I.I. Mechnikov
Россия

Moscow



C. Zhang
First Moscow State Medical University named after I.M. Sechenov
Россия

Moscow



I. A. Khrapunova
First Moscow State Medical University named after I.M. Sechenov; Central Research Institute of Epidemiology
Россия

Moscow



S. R. Raicic
First Moscow State Medical University named after I.M. Sechenov
Россия

Moscow



A. S. Pechenik
City Clinical Hospital No. 29 named after N.E. Bauman
Россия

Moscow



V. A. Utkin
Center for biomedical technologies of the North-Caucasian Federal Research and Clinical Center
Россия

Essentuki



M. N. Loktionova
First Moscow State Medical University named after I.M. Sechenov
Россия

Moscow



A. V. Linok
First Moscow State Medical University named after I.M. Sechenov
Россия

Moscow



E. G. Simonova
First Moscow State Medical University named after I.M. Sechenov
Россия

Moscow



V. A. Brazhnik
City Clinical Hospital No. 29 named after N.E. Bauman
Россия

Moscow



References

1. Rothan H.A., Byrareddy S.N. (2020) The epidemiology and pathogenesis of coronavirus disease (COVID-19) outbreak. J Autoimmun. 109: 102433. ttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7127067/pdf/main.pdf (accessed on June 16, 2022).

2. Baud D., Qi X., Nielsen-Saines K., Musso D., Pomar L., Favre G. (2020) Real estimates.

3. https://gogov.ru/covid-19/world (accessed on Jan 09, 2024) (in Russian)

4. Kostinov M.P., Polishchuk V.B., Svitich O.A., et al. COVID-19 vaccination in patients with comorbid diseases. A guide for physicians. 2nd edition, updated. Moscow: MDV, 2022. 256 p. ISBN 978-5-906748-09-6. (in Russian)

5. Kostinov M.P., Svitich O.A., Markelova E.V. Potential COVID-19 immunization in high-risk groups. Provisional guide for physicians. Moscow: MDV, 2020. 60 p. ISBN 978-5-906748- 18-8. (in Russian)

6. Kostinov M.P., Chuchalin A.G., et al. Priority vaccination of respiratory infections during the SARS-COV-2 pandemic and after its completion. A guide for doctors. Moscow: MDV, 2020. 32 p. ISBN 978-5-906748-16-4. (in Russian)

7. Tkacheva O.N., et al. Vaccination of elderly and senile people. Methodological recommendations. Version 1. Moscow, 2020. 48 p. (in Russian)

8. Kostinov M.P., et al. Basics of immunorehabilitation for new coronavirus infection (COVID-19). Manual for doctors. Moscow: MDV, 2020. 112 p. ISBN 978-5-906748-06-5. (in Russian)

9. Sherbak S.G., Kamilova T.A., Golota A.S., Vologzhanin D.A. Risk factors of the severe course and fatal outcome in COVID-19. Physical and rehabilitation medicine, medical rehabilitation. 2022;4(1):14-36. DOI: https://doi.org/10.36425/rehab104997 (in Russian)

10. Goroshko N.V., Emelyanova E.K., Patsala S.V. The problem of covid-anti-vaccination: Russia on a global background. Social’nye aspekty zdorov’a naselenia / Social aspects of population health [serial online] 2021; 67(4):3 (In Russian)

11. Ullah I., Khan K. S., Tahir M.J., Ahmed A., Harapan H. Myths and conspiracy theories on vaccines and COVID-19: Potential effect on global vaccine refusals. Vacunas 2021; 2(22):93- 97 doi: 10.1016/j.vacune.2021.01.009

12. COVID-19 and mandatory vaccination: Ethical considerations and caveats. World health organization. [Online]. URL: https://www.who.int/publications/i/item/WHO-2019-nCoVPolicy-brief-Mandatory-vaccination-2021.1

13. Zykov S.V., Neznanov A.A., Maksimenkova O.V. Tests for normality as mathematical support for educational measurement software. Program Systems: Theory and Applications. 2018; 9:4(39): 199-218. (In Russian)

14. Lemeshko B.Yu. Kriterii proverki otkloneniya raspredeleniya ot normal’nogo zakona. – Novosibirsk: NGTU. 2014; 192 p. (In Russian)

15. Utkin V.A. Metodicheskie aspekty matematiko-statisticheskogo analiza meditsinskikh dannykh Chast’ 1. Analiticheskie konstrukty mediko-statisticheskikh izyskaniy [Medical News of North Caucasus]. 2008; 4(12): 67–73. (In Russian)

16. Utkin V.A. Metodicheskie aspekty matematiko-statisticheskogo analiza meditsinskikh dannykh Chast’ 2. Atributivnaya statistika v meditsinskikh issledovaniyakh [Medical News of North Caucasus]. 2009; 3(15): 70–75. (In Russian)

17. Utkin V.A. Statisticheskie tekhnologii v meditsinskikh issledovaniyakh: Monografiya, 2-e izd., ispr., dop. – Pyatigorsk: GNIIK FMBA. 2012; 212 p. (In Russian)

18. Utkin V.A. Formuly i metody matematicheskoy statistiki. Spravochnik. – Pyatigorsk: RIA KMV. 2020; 152 p. (In Russian)

19. Tkacheva O.N., Kotovskaya Yu.V., Namazova-Baranova L.S., Gankovskaya L.V., et al. Vaktsinatsiya lits pozhilogo vozrasta. Metodicheskoe rukovodstvo. 2 versiya.- Moskva: Pediatr””, 2022. 80 P. ISBN: 978-5-6045954-8-0 (In Russian)


Review

For citations:


Kostinov M.P., Zhang C., Khrapunova I.A., Raicic S.R., Pechenik A.S., Utkin V.A., Loktionova M.N., Linok A.V., Simonova E.G., Brazhnik V.A. Possible causes of morbidity and adverse outcomes of COVID-19 in vaccinated elderly patients. Journal Infectology. 2024;16(1):15-21. (In Russ.) https://doi.org/10.22625/2072-6732-2024-16-1-15-21

Views: 849

JATS XML


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 2072-6732 (Print)