The structure of polypathy and evaluation of the effectiveness of systemic pathogenetic physiotherapy based on retrospective cohort studies

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Abstract

Polypathy (PP) significantly changes the tactics of the use of rehabilitation technologies, has a significant impact on the prognosis and outcome of treatment of patients, while the standards and approaches currently available when choosing one or another physiotherapeutic rehabilitation are not clearly differentiated.

Objective. To analyze the structure of PP, as well as to characterize the effectiveness potential of systemic pathogenetic physiotherapy (SPPT) in the age aspect based on the principles of evidence-based medicine, in particular retrospective cohort studies.

Materials and methods. SPPT was used in 811 patients with PP: men – 322 (39.7%), women – 489 (60.3%). We identified two cohorts of patients: group 1 – 328 (40.4%) patients aged 45–59 years; group 2 – 483 (59.6%) patients aged 60–74 years. The ratio of middle-aged and elderly patients was 1:1.4. The results of symptom-complex physiotherapy were compared in groups of end point – (-), (+).

Results. In group 1 there were 2.5 diseases per 1 patient with PP, in group 2 – 3.5 diseases. In group 1, 79.3% of patients with PP had 2 diseases, while in group 2, 60.6% of patients had 2–3 diseases. In group 2, the proportion of patients with ≥4 diseases was higher by 13.6% compared with group 1, with 3 diseases – by 29%. At the same time, the proportion of patients with 2 diseases in group 1 was higher by 42.7% compared to group 2.

Conclusion. The Lazebnik index was 3.1 diseases per 1 patient. PP is more common in elderly patients than in middle-aged patients; In elderly patients, the so-called "organotopic" pathology more noticeably exceeded that in middle-aged patients.

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About the authors

U. Nurzhan uulu

Kyrgyz Research Institute of Balneology and Rehabilitation Treatment

Author for correspondence.
Email: Nurjan.toks@gmail.com
ORCID iD: 0009-0003-4097-8468

Candidate of Medical Sciences

Kyrgyzstan, Bishkek

M. A. Sagimbayev

Kyrgyz Research Institute of Balneology and Rehabilitation Treatment

Email: Nurjan.toks@gmail.com
ORCID iD: 0009-0001-6540-3455

Academician of the National Academy of Sciences of the Kyrgyz Republic, Professor, Doctor of Medical Sciences

Kyrgyzstan, Bishkek

K. S. Rysbayev

Kyrgyz Research Institute of Balneology and Rehabilitation Treatment

Email: Nurjan.toks@gmail.com
ORCID iD: 0000-0003-4697-708X

Candidate of Medical Sciences

Kyrgyzstan, Bishkek

References

  1. Мамедова Н.Ю. Современные принципы формирования сети физиотерапевтических подразделений в системе восстановительной медицины. Автореф. дис. … д-ра мед. наук. М., 2003; 45 с. [Mamedova N.Yu. Modern principles of formation of a network of physiotherapy units in the system of restorative medicine. Avtoref. diss. … d-ra med. nauk. Moscow, 2003; 45 p. (in Russ.)].
  2. Стрельникова М.В. Терапевтическая коморбидность и факторы риска хронических неинфекционных заболеваний у мужчин, госпитализированных с острым коронарным синдромом. Автореф. дис. … канд. мед. наук. М., 2020; 21 с. [Strelnikova M.V. Therapeutic comorbidity and risk factors of chronic non-infectious diseases in men hospitalised with acute coronary syndrome. Avtoref. diss. … kand. med. nauk. Moskow, 2020; 21 p. (in Russ.)].
  3. Койчубеков А.А., Сагымбаев Э.М., Дженбаев Е.С. Реабилитация ортопедических больных санаторно-курортными организациями в Кыргызстане. Бюллетень науки и практики. 2022; 8 (2): 147–51 [Koichubekov A., Sagymbaev E., Dzhenbaev E. Rehabilitation of orthopedic patients by sanatorium organizations in Kyrgyzstan. Bulletin of Science and Practice. 2022; 8 (2): 147–51 (in Russ.)]. doi: 10.33619/2414-2948/75/20
  4. Белов Г.В. Проблемы и перспективы медицинской реабилитации и курортологии в Кыргызстане. Здравоохранение Кыргызстана. 2017; 3: 14–8 [Belov G.V. Problems and the prospects of medical rehabilitation and balneology in Kyrgyzstan. Health Care of Kyrgyzstan. 2017; 3: 14–8 (in Russ.)].
  5. Буларкиева Э.А., Сагымбаев М.А. Санаторно-курортная помощь населению Кыргызстана. Медицинская сестра. 2019; 21 (2): 49–50 [Bularkieva E.A., Sagymbaev M.A. Assessment of the quality of providing sanatorium-and-spa care to the population of Kyrgyzstan. Meditsinskaya Sestra. 2019; 21 (2): 49–50 (in Russ.)]. doi: 10.29296/25879979-2019-02-14
  6. Буларкиева Э.А., Сагымбаев М.А. К вопросу качества оказания реабилитационной помощи в санаторно-курортных и лечебно-оздоровительных учреждениях Кыргызстана. Бюллетень науки и практики. 2022; 8 (1): 169–72 [Bularkieva E., Sagymbayev M. On the quality of providing rehabilitation care in sanatorium and health resort and health-improving institutions in Kyrgyzstan. Bulletin of Science and Practice. 2022; 8 (1): 169–72 (in Russ.)]. doi: 10.33619/2414-2948/74/22
  7. Ашимов И.А., Туйбаев З.А. Рейтингование операций. Хирургия в проекции ICH-GCP. Монография. Бишкек, 2015; 395 с. [Ashimov I.A., Tuibayev Z.A. Rating of operations. Surgery in the projection of ICH-GCP. Monograph. Bishkek. 2015; 395 p. (in Russ.)].
  8. Власов В.В. Введение в доказательную медицину. М.: МедиаСфера, 2001; 332 с. [Vlasov V.V. Introduction to evidence–based medicine. Moscow, Mediasphere, 2001; 332 p. (in Russ.)].
  9. Доказательная медицина. Ежегодный справочник. В 7 т. М.: МедиаСфера, 2002; 220 с. [Evidence-based medicine. Annual reference book. 7 vol. Moscow: Mediasphere, 2002; 220 p. (in Russ.)].
  10. Левин О.С. Полиневропатии: клиническое руководство. М.: ООО «Медицинское информационное агентство», 2006; 496 с. [Levin O.S. Polyneuropathies: clinical guidelines. Moscow: LLC Medical Information Agency publ., 2006; 496 p. (in Russ.)].
  11. Мазитов Ф.Х. Системный подход к организации лечения и управлению деятельностью санаторно-курортного комплекса. Автореф. дис. … д-ра мед. наук. М., 2009; 48 с. [Mazitov F.H. A systematic approach to the organization of treatment and management of the sanatorium-resort complex. Avtoref. diss. … d-ra med. nauk. Moscow, 2009; 48 p. (in Russ.)].
  12. Гайятт Г., Ренни Д. Путеводитель читателя медицинской литературы. Принципы клинической практики, основанной на доказанном. М.: МедиаСфера, 2003; 320 с. [Gayatt G., Rennie D. Guidebook of the reader of medical literature. Principles of clinical practice based on proven. Moscow: MediaSphere, 2003; 320 p. (in Russ.)].
  13. Пальцев М.А., Перфильева Г.М. и др. Высшая медицинская школа России и Болонский процесс (доказательная медицина). Выпуск VII. М.: «Русский врач», 2006; 226 с. [Pal'tsev M.A., Perfilieva G.M. et. ll. Higher Medical School of Russia and the Bologna process (evidence-based medicine). Issue VII. Moscow: Russian doctor, 2006; 226 p. (in Russ.)].
  14. Ступаков И.Н., Самородская И.В. Доказательная медицина в практике руководителей всех уровней системы здравоохранения. Под ред. В.И. Стародубова М.: МЦФЭР, 2006; 277 с. [Stupakov I.N., Samorodskaya I.V. Evidence-based medicine in the practice of managers at all levels of the healthcare system. Ed. V.I. Starodubov. Moscow: MTsFER, 2006; 277 p. (in Russ.)].
  15. Пономаренко Г.Н., Воробьев М.Г. Руководство по физиотерапии. СПб: ИИЦ «Балтика», 2005; 400 с. [Ponomarenko G.N., Vorobyov M.G. Manual of physiotherapy. St. Petersburg: IIC «Baltika», 2005; 400 p. (in Russ.)].
  16. Улащик В.С. Физиотерапия. Новейшие методы и технологии / Справочное пособие. Минск: Книжный Дом, 2013; 448 с. [Ulashchik V.S. Physiotherapy. The latest methods and technologies. Reference manual. Minsk: Book House, 2013; 448 p. (in Russ.)].
  17. Пономаренко Г.Н. Организация работы физиотерапевтических отделений лечебных учреждений. Методическое пособие. Под ред. Г.Н. Пономаренко. СПб, 2007; 112 с. [Ponomarenko G.N. Organization of work of physiotherapy departments of medical institutions. Methodical manual. Ed. by G.N. Ponomarenko. St. Petersburg, 2007; 112 p. (in Russ.)].
  18. Улащик В.С., Счастная Н.И., Морозова И.Л. Действие ультразвука и электрических токов на воспалительный процесс и болевую чувствительность экспериментальных животных. Новости медико-биологических наук. 2015; 12 (4): 199–204 [Ulashchik V.S., Schastnaya N.I., Morozova I.L. The effect of ultrasound and electric currents on the inflammatory process and pain sensitivity of experimental animals. News of biomedical sciences. 2015; 12 (4): 199–204 (in Russ.)].

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