showed a trendP = 0.058
The prevalence of most comorbidities, including diabetes ( P = 0.526), kidney disease ( P = 0.287), and severe liver disease ( P = 0.875), was similar across trajectory patterns, while congestive heart failure showed a trend toward higher prevalence in trajectory 3 (30.0% vs. trajectory 1: 19.2% vs. trajectory 2: 21.9%; P = 0.058).