ACUTE ARTICULAR SYNDROME. THE CONCEPT OF EMERGENCY CARE IN RHEUMATOLOGY

Abstract

The absence of a current emergency care system for rheumatic patients makes the solution of this problem relevant. Objective: to create and test a health care system for patients with acute articular syndrome (AAS) and to analyze the distribution of patients according to the profile of hospitalization. Subjects and methods. The practice of providing medical care to patients with AAS was studied using the materials of the I.I. Dzhanelidze Research Institute of Emergency Care (RI of EC) in 2008 to 2015. The causes of hospital admissions were analyzed by taking into account the verified nosological diagnosis. Results and discussion. The incidence of AAS in the general flow of patients referred for hospitalization was analyzed; the most frequent causes of AAS were determined. Trends in the referral of rheumatic patients to inpatient and outpatient treatment were analyzed separately. The decrease in the proportion of rheumatic patients in need of inpatient treatment from 76.7 to 50.8% during the study allows optimization of the costs of the health care system. Conclusion. The presented concept of providing medical care to patients with AAS has proven its effectiveness as a result of its testing at the RI of EC from 2008 to the present time. This concept can be recommended for its introduction in other subjects of the Russian Federation.