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Научно-практическая ревматология

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Течение и исходы COVID-19 у пациентов с иммуновоспалительными ревматическими заболеваниями: предварительные данные регистра НИИР/АРР-COVID-19 и обзор литературы

https://doi.org/10.47360/1995-4484-2021-666-675

Аннотация

Представлены материалы Российской базы данных НИИР/АРР-С0УГО-19, включавшей взрослых (старше 18 лет) пациентов с иммуновоспалительными ревматическими заболеваниями (ИВРЗ), перенесших COVID-19 (coronavirus disease 2019), и обзор литературы, касающийся течения и исходов COVID-19 у пациентов с этими заболеваниями. С 17 июля 2020 г. по 23 апреля 2021 г. было получено и проанализировано 156 сообщений. Исследуемая группа была представлена преимущественно женщинами (75%). Средний возраст пациентов составил 52,0±14,8 года, из них 53 (33,9%) пациента — в возрасте 60 лет и старше. Наиболее частыми клиническими проявлениями COVID-19 были лихорадка (62,2%), кашель (40,4%), аносмия (37,8%), одышка (33,3%). В период течения COVID-19 компьютерная томография органов грудной клетки была выполнена у 143 пациентов. При оценке по «эмпирической» визуальной шкале 0-я стадия поражения легких отмечалась у 49 (34,3%) пациентов, 1-я - у 40 (28%), 2-я - у 35 (24,5%), 3-я - у 19 (13,2%), 4-я - у 0. В исследуемой группе благоприятный исход был отмечен у 137 (97,9%) пациентов. Летальный исход зарегистрирован у 3 пациентов. У 131 пациента было оценено влияние перенесенной COVID-19 на течение ИВРЗ: у 52 (39,7%) пациентов течение ИВРЗ ухудшилось, у 1 (0,8%) - улучшилось, у 78 (59,5%) влияния не отмечено. Данные литературы, касающиеся риска инфицирования вирусом SARS-CoV-2, течения и исходов COVID-19 при ревматических и мышечно-скелетных заболеваниях, противоречивы, что диктует необходимость продолжения сбора данных, касающихся ревматологических проблем COVID-19, в российской популяции пациентов с учетом международного опыта.

Об авторах

Е. Л. Насонов
Научно-исследовательский институт ревматологии им. В.А. Насоновой; Первый Московский государственный медицинский университет имени И.М. Сеченова Минздрава России (Сеченовский Университет)
Россия

Насонов Евгений Львович.

115522, Москва, Каширское шоссе, 34а; 119991, Москва, ул. Трубецкая, 8, стр. 2.


Конфликт интересов:

Нет



Б. С. Белов
Научно-исследовательский институт ревматологии им. В.А. Насоновой
Россия

115522, Москва, Каширское шоссе, 34а.


Конфликт интересов:

Нет



А. М. Лила
Научно-исследовательский институт ревматологии им. В.А. Насоновой; Российская медицинская академия непрерывного профессионального образования Минздрава России
Россия

115522, Москва, Каширское шоссе, 34а; 125993, Москва, ул. Баррикадная, 2/1, стр. 1.


Конфликт интересов:

Нет



Е. С. Аронова
Научно-исследовательский институт ревматологии им. В.А. Насоновой
Россия

115522, Москва, Каширское шоссе, 34а.


Конфликт интересов:

Нет



Г. И. Гриднева
Научно-исследовательский институт ревматологии им. В.А. Насоновой
Россия

115522, Москва, Каширское шоссе, 34а.


Конфликт интересов:

Нет



А. В. Кудрявцева
Научно-исследовательский институт ревматологии им. В.А. Насоновой
Россия

115522, Москва, Каширское шоссе, 34а.


Конфликт интересов:

Нет



Е. В. Сокол
Научно-исследовательский институт ревматологии им. В.А. Насоновой
Россия

115522, Москва, Каширское шоссе, 34а.


Конфликт интересов:

Нет



А. В. Торгашина
Научно-исследовательский институт ревматологии им. В.А. Насоновой
Россия

115522, Москва, Каширское шоссе, 34а.


Конфликт интересов:

Нет



И. Б. Виноградова
Ульяновская областная клиническая больница
Россия

432017, Ульяновск, ул. Третьего Интернационала, 7.


Конфликт интересов:

Нет



Д. И. Абдулганиева
Казанский государственный медицинский университет Минздрава России
Россия

420012, Казань, ул. Бутлерова, 49.


Конфликт интересов:

Нет



А. Ю. Зименко
Сургутская окружная клиническая больница
Россия

628408, Сургут, ул. Энергетиков, 24, корп. 2.


Конфликт интересов:

Нет



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Насонов Е.Л., Белов Б.С., Лила А.М., Аронова Е.С., Гриднева Г.И., Кудрявцева А.В., Сокол Е.В., Торгашина А.В., Виноградова И.Б., Абдулганиева Д.И., Зименко А.Ю. Течение и исходы COVID-19 у пациентов с иммуновоспалительными ревматическими заболеваниями: предварительные данные регистра НИИР/АРР-COVID-19 и обзор литературы. Научно-практическая ревматология. 2021;59(6):666-675. https://doi.org/10.47360/1995-4484-2021-666-675

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Nasonov E.L., Belov B.S., Lila A.M., Aronova E.S., Gridneva G.I., Kudryavtseva A.V., Sokol E.V., Torgashina A.V., Vinogradova I.B., Abdulganieva D.I., Zimenko A.Yu. Course and outcomes of COVID-19 in patients with immunoinflammatory rheumatic diseases: Preliminary data from the NIIR/APP-COVID-19 registry and literature review. Rheumatology Science and Practice. 2021;59(6):666-675. (In Russ.) https://doi.org/10.47360/1995-4484-2021-666-675

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ISSN 1995-4484 (Print)
ISSN 1995-4492 (Online)