Organizing the medical care for the COVID-19 patients in non-infectious Moscow hospital: reassignment experience-Reference-Cited by-同舟云学术

Organizing the medical care for the COVID-19 patients in non-infectious Moscow hospital: reassignment experience

Published:2020-11-15 Issue:11 Volume:92 Page:31-37
ISSN:2309-5342
Container-title:Terapevticheskii arkhiv
language:
Short-container-title:Terapevticheskii arkhiv

Author:

Nikitin I. G.^ORCID,Melekhov A. V.^ORCID,Sayfullin M. A.^ORCID,Agafonov S. S.^ORCID,Bedritskiy S. A.^ORCID,Vishninskiy A. A.^ORCID,Gultiaeva N. A.^ORCID,Guseynov E. R.^ORCID,Ermakov N. A.^ORCID,Zorin E. A.^ORCID,Koroleva Iu. V.^ORCID,Kudryavtsev D. V.,Manevskiy A. P.^ORCID,Negovskiy A. A.^ORCID,Petrovichev V. S.^ORCID,Rudakov B. E.^ORCID,Ruleva A. I.^ORCID,Serebryakov A. B.^ORCID,Sitnikov A. R.^ORCID,Fedosova N. F.^ORCID,Khammad E. V.^ORCID,Avramov A. A.^ORCID,Agaeva A. I.^ORCID,Golubykh K. Y.^ORCID

Abstract

Aim. To present the results of work of National Medical Research Center of Treatment and Rehabilitation, reassigned for COVID-19 patients treatment during pandemic. Run-up methodology, procedures and working process organization are detailed. Materials and methods. 354 COVID-19 patients were treated from 13.04.2020 to 10.06.2020 [age 59 (470) years, 56% women, body mass index 28.5 (24.932.2) kg/m2]. Patients were admitted at 8 (611) day of sickness. In-hospital stay was 16 (1420) days. Results. NEWS scale at the day of admittance was 2 (14); 2 (13) in patients discharged alive and 6 (47) in died patients, p=0.0001. So prognostic accuracy of NEWS scale was confirmed as very well (area under ROC-curve = 0.819). 69 patients (19.5%) were treated at intensive care department for 7 (413) days. 13 patients died, 11 of them had COVID-19 as direct or indirect cause of death. Total in-hospital mortality was 3.67%, in-hospital mortality of COVID-19 patients 3.1%. 17 healthcare workers (HCW), contacted with COVID-19 patients were infected (2.67%). 4 HCW, who had no direct contact with patients were also infected and 7 HCW were infected before the first patient was admitted. No one of them died. Conclusion. Complex tasks of healthcare organization during COVID-19 pandemic can be solved quickly with acceptable quality, characterized by low levels of patients; mortality and HCW infection.

Publisher

Consilium Medicum

Subject

General Medicine,Endocrinology, Diabetes and Metabolism,History,Family Practice

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