Structure and dynamics of the course of chronic non-infectious somatic diseases in patients during war events on the territory of Ukraine

The work studied and compared the dynamics of changes in the course of hypertension, type 2 diabetes, and somatized disorders in Ukrainian population, in the 1st period before war (October 2021 - February 2022) and 2nd period during the war (March -July 2022). The choice of the study of the above-me...

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Published in:BMC public health 2023-07, Vol.23 (1), p.1464-1464, Article 1464
Main Authors: Kiro, Liudmyla, Zak, Maksym, Chernyshov, Oleh
Format: Article
Language:English
Subjects:
Antihypertensives
Blood pressure
Carbohydrates
Care and treatment
Causes of
Chronic diseases
Chronic illnesses
Chronic pain
Classification
Diabetes
Diabetes mellitus (non-insulin dependent)
Disease
Disorders
Displaced persons
Glucose
Heart
Humanitarianism
Hypertension
Indicators
Insulin
Lability
Laboratories
Measuring instruments
Medical referrals
Metabolism
Pain
Pathology
Patients
Physiology
Prevention
Primary care
Public health
Risk factors
Somatic disorders
Type 2 diabetes
War
War events
Womens health
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Zak, Maksym
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description The work studied and compared the dynamics of changes in the course of hypertension, type 2 diabetes, and somatized disorders in Ukrainian population, in the 1st period before war (October 2021 - February 2022) and 2nd period during the war (March -July 2022). The choice of the study of the above-mentioned nosology is due, first of all, to the increase in cases of referrals to outpatient doctors regarding hypertensive crises, the increase in the frequency of patients' complaints about the lability of glycemic indicators during routine monitoring of glucose levels with ambulatory glucometers, the appearance of chronic pain syndrome of unspecified pathology with the beginning of war events. 272 people were examined in Mykolaiv Region (Ukraine). The patients were divided into three clinical groups: 1st group - 90 people patients with arterial hypertension; 2nd group - 92 people with type 2 diabetes; the 3rd group - 90 people with somatiform disorders. In the patients of the 1st group during the 2nd period, amount of people with hypertension of the 1st stage increased in 1.8 times (p = 0.0412), with 2nd stage hypertension increased in 2 times (p = 0.0491) and 3rd stage hypertension increased in 2.5 times (p = 0.0391); somatized disorders in 3rd group also increased in 4.1 times (p = 0.001 
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The choice of the study of the above-mentioned nosology is due, first of all, to the increase in cases of referrals to outpatient doctors regarding hypertensive crises, the increase in the frequency of patients' complaints about the lability of glycemic indicators during routine monitoring of glucose levels with ambulatory glucometers, the appearance of chronic pain syndrome of unspecified pathology with the beginning of war events. 272 people were examined in Mykolaiv Region (Ukraine). The patients were divided into three clinical groups: 1st group - 90 people patients with arterial hypertension; 2nd group - 92 people with type 2 diabetes; the 3rd group - 90 people with somatiform disorders. In the patients of the 1st group during the 2nd period, amount of people with hypertension of the 1st stage increased in 1.8 times (p = 0.0412), with 2nd stage hypertension increased in 2 times (p = 0.0491) and 3rd stage hypertension increased in 2.5 times (p = 0.0391); somatized disorders in 3rd group also increased in 4.1 times (p = 0.001 &lt; 0.05); in 2nd group recorded an increase in HbA1c by 0.99 ± 0.57 mmol/l (p = 1.795e-07 &lt; 0.05), in comparison with the indicators for the 1st observation period. The war events in Ukraine not only changed the life of every Ukrainian, but also had a significant impact on the dynamics and structure of chronic somatic diseases, in particular due to an increase in patient referrals for hypertensive crises, exacerbations of type 2 diabetes, somatized disorders, and chronic pain syndrome of unknown etiology. 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In the patients of the 1st group during the 2nd period, amount of people with hypertension of the 1st stage increased in 1.8 times (p = 0.0412), with 2nd stage hypertension increased in 2 times (p = 0.0491) and 3rd stage hypertension increased in 2.5 times (p = 0.0391); somatized disorders in 3rd group also increased in 4.1 times (p = 0.001 &lt; 0.05); in 2nd group recorded an increase in HbA1c by 0.99 ± 0.57 mmol/l (p = 1.795e-07 &lt; 0.05), in comparison with the indicators for the 1st observation period. The war events in Ukraine not only changed the life of every Ukrainian, but also had a significant impact on the dynamics and structure of chronic somatic diseases, in particular due to an increase in patient referrals for hypertensive crises, exacerbations of type 2 diabetes, somatized disorders, and chronic pain syndrome of unknown etiology. 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subjects Antihypertensives
Blood pressure
Carbohydrates
Care and treatment
Causes of
Chronic diseases
Chronic illnesses
Chronic pain
Classification
Diabetes
Diabetes mellitus (non-insulin dependent)
Disease
Disorders
Displaced persons
Glucose
Heart
Humanitarianism
Hypertension
Indicators
Insulin
Lability
Laboratories
Measuring instruments
Medical referrals
Metabolism
Pain
Pathology
Patients
Physiology
Prevention
Primary care
Public health
Risk factors
Somatic disorders
Type 2 diabetes
War
War events
Womens health
title Structure and dynamics of the course of chronic non-infectious somatic diseases in patients during war events on the territory of Ukraine
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