Open AccessOrganizing the medical care for the COVID-19 patients in non-infectious Moscow hospital: reassignment experience
Author(s) -
И. Г. Никитин,
А. В. Мелехов,
M. A. Sayfullin,
S. S. Agafonov,
S. A. Bedritskiy,
A. A. Vishninskiy,
N. A. Gultiaeva,
E. R. Guseynov,
N. A. Ermakov,
Е А Зорин,
Ю В Королева,
D. V. Kudryavtsev,
A. P. Manevskiy,
A. A. Negovskiy,
V. S. Petrovichev,
B. E. Rudakov,
A. I. Ruleva,
A. B. Serebryakov,
А Р Ситников,
N. F. Fedosova,
E. V. Khammad,
A. A. Avramov,
А. И. Агаева,
Konstantin Golubykh
Publication year - 2020
Publication title -
terapevtičeskij arhiv
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.181
H-Index - 14
eISSN - 2309-5342
pISSN - 0040-3660
DOI - 10.26442/00403660.2020.11.000838
Subject(s) - medicine , pandemic , covid-19 , emergency medicine , intensive care , health care , rehabilitation , intensive care medicine , physical therapy , infectious disease (medical specialty) , disease , economics , economic growth
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.