Терапевтический архив (Dec 2020)

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

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

DOI
https://doi.org/10.26442/00403660.2020.11.000838
Journal volume & issue
Vol. 92, no. 11
pp. 31 – 37

Abstract

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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.

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