A RETROSPECTIVE ANALYSIS OF COMORBIDITY IN RURAL PATIENTS WITH DISEASES OF THE GASTROINTESTINAL TRACT

Purpose. To analyze the features of formation of comorbidity and age-related patterns of distribution of risk factors (RF) in patients with diseases of the gastrointestinal tact (GIT) living in rural areas. Materials and methods. In 2015-2017.d. a retrospective analysis of the database of 2500 patients at two sites of General practitioners of Konakov district of Tver region was conducted. Of these, 350 (14% of all the studied out-patient charts) out-patient charts of patients aged 44-53 years (164 men and 186 women) were selected, which contained more complete information about the annual medical examination of the population. In addition, a survey of this population group was conducted for a more detailed retrospective analysis of the incidence and presence of PD during life depth up to 25-35 years. Results. Gastrointestinal diseases were detected in 42 patients (12% of the total group of patients studied); dorsopathy - in 84 patients (24%); arterial hypertension (AH) in 178 patients (50,86%); chronic kidney disease in 12 (3,4%), diabetes in 10 (2,9%) people; other diseases accounted for no more than 3% and 35 (10%) patients had no registered diseases. Basic FRENCH men for life was Smoking. Despite the high percentage of Smoking women aged 18-23 years (47.52%), almost all patients left a bad habit of 34 years. In an additional survey, 97% of women who had smoked earlier explained Smoking cessation to 34 g of children in their family and only 3% of respondents attributed Smoking cessation to deterioration of their health. It is important to note that although the prevalence of overweight in men increased slightly more than in women (40.3% and 36.6%, respectively) with age to 53 years, differences in the increase in the incidence of associated GC increased disproportionately (48.05% and 22.77%, respectively) Conclusion. Thus, the formation of comorbidity in rural areas occurs mainly at the age of 44-53 years. Among the features of comorbidity in these patients, it should be noted the frequent combination of gastrointestinal diseases with hypertension and dorsopathy, and relatively rare-with chronic obstructive pulmonary disease and cerebrovascular diseases. The “diagnostic failure” observed at the age of 24-43 dictates the need to pay special attention to this age category for the purpose of timely examination and early detection of the initial stages of diseases.

comorbidity, risk factors, rural areas

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