Аңдатпа
Introduction: Among the population of the regions of Kazakhstan, deaths from COVID-19 were more frequent in the regions with high incidence rates. One of these regions was the Atyrau Region, which ranked fifth in the number of the infected in the republic in June 2020. Objective: To analyze deaths from COVID-19 in the Atyrau Region during the outbreak in 2020. Materials and methods: We analyzed medical histories of 53 inpatients who died of SARS-CoV-2 infection from June 1 to July 31, 2020 in the Atyrau Region. Results: The main factors contributing to the lethal outcome included concomitant diseases, such as ischemic heart disease, diabetes mellitus, arterial hypertension, and obesity, which were diagnozed in 37 patients. The mortality rate was higher in elderly cases aged 61–70 years. Discussion: Arterial hypertension was found to be the most prevalent comorbidity that worsened disease severity in COVID-19. Our study demonstrated that the relationship between hypertension and mortality in patients with the novel coronavirus disease largely reflected their elderly age. Conclusions: The mortality data in the Atyrau Region showed deaths from COVID-19 during the period of high incidence of the disease in the summer of 2020 (6,069 cases were registered only in July 2020) potentially attributed to comorbidies, elderly age, delays in seeking medical help, a severe course of the disease with > 50 % lung involvement, lack of observation and outpatient treatment at the level of primary health care.