Email this article Organizing the medical care for the COVID-19 patients in non-infectious Moscow hospital: reassignment experience
- Authors: Nikitin I.G.1,2, Melekhov A.V.1,2, Sayfullin M.A.1,2, Agafonov S.S.1, Bedritskiy S.A.1, Vishninskiy A.A.1, Gultiaeva N.A.1, Guseynov E.R.1, Ermakov N.A.1, Zorin E.A.1, Koroleva I.V.1, Kudryavtsev D.V.1, Manevskiy A.P.1, Negovskiy A.A.1, Petrovichev V.S.1, Rudakov B.E.1, Ruleva A.I.1, Serebryakov A.B.1, Sitnikov A.R.1, Fedosova N.F.1, Khammad E.V.1, Avramov A.A.1, Agaeva A.I.2, Golubykh K.Y.2
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Affiliations:
- National Medical Research Center of Treatment and Rehabilitation
- Pirogov Russian National Research Medical University
- Issue: Vol 92, No 11 (2020)
- Pages: 31-37
- Section: Original articles
- URL: https://journals.rcsi.science/0040-3660/article/view/56926
- DOI: https://doi.org/10.26442/00403660.2020.11.000838
- ID: 56926
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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 (4–70) years, 56% women, body mass index 28.5 (24.9–32.2) kg/m2]. Patients were admitted at 8 (6–11) day of sickness. In-hospital stay was 16 (14–20) days.
Results. NEWS scale at the day of admittance was 2 (1–4); 2 (1–3) in patients discharged alive and 6 (4–7) 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 (4–13) 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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##article.viewOnOriginalSite##About the authors
I. G. Nikitin
National Medical Research Center of Treatment and Rehabilitation; Pirogov Russian National Research Medical University
Email: AMelekhov@med-rf.ru
ORCID iD: 0000-0003-1699-0881
д.м.н., проф., дир. ФГАУ НМИЦ ЛРЦ, зав. каф. госпитальной терапии №2 лечебного фак-та ФГАОУ ВО «РНИМУ им. Н.И. Пирогова»
Russian Federation, MoscowA. V. Melekhov
National Medical Research Center of Treatment and Rehabilitation; Pirogov Russian National Research Medical University
Author for correspondence.
Email: AMelekhov@med-rf.ru
ORCID iD: 0000-0002-1637-2402
д.м.н., доц., гл. терапевт ФГАУ НМИЦ ЛРЦ.
Russian Federation, MoscowM. A. Sayfullin
National Medical Research Center of Treatment and Rehabilitation; Pirogov Russian National Research Medical University
Email: AMelekhov@med-rf.ru
ORCID iD: 0000-0001-7419-9874
к.м.н., доц. каф. инфекционных болезней у детей педиатрического фак-та ФГАОУ ВО «РНИМУ им. Н.И. Пирогова», инфекционист ФГАУ НМИЦ ЛРЦ
Russian Federation, MoscowS. S. Agafonov
National Medical Research Center of Treatment and Rehabilitation
Email: AMelekhov@med-rf.ru
ORCID iD: 0000-0001-7419-9874
зав. отд-нием эндоскопии
Russian Federation, MoscowS. A. Bedritskiy
National Medical Research Center of Treatment and Rehabilitation
Email: AMelekhov@med-rf.ru
ORCID iD: 0000-0002-9733-6445
зав. отд-нием функциональной диагностики
Russian Federation, MoscowA. A. Vishninskiy
National Medical Research Center of Treatment and Rehabilitation
Email: AMelekhov@med-rf.ru
ORCID iD: 0000-0001-5796-7739
зав. отд-нием ультразвуковой диагностики
Russian Federation, MoscowN. A. Gultiaeva
National Medical Research Center of Treatment and Rehabilitation
Email: AMelekhov@med-rf.ru
ORCID iD: 0000-0002-5917-0077
зав. приемным отд-нием
Russian Federation, MoscowE. R. Guseynov
National Medical Research Center of Treatment and Rehabilitation
Email: AMelekhov@med-rf.ru
ORCID iD: 0000-0001-8693-6114
зав. поликлиникой
Russian Federation, MoscowN. A. Ermakov
National Medical Research Center of Treatment and Rehabilitation
Email: AMelekhov@med-rf.ru
ORCID iD: 0000-0002-1271-7960
к.м.н., зам. дир. по хирургии
Russian Federation, MoscowE. A. Zorin
National Medical Research Center of Treatment and Rehabilitation
Email: AMelekhov@med-rf.ru
ORCID iD: 0000-0002-0624-540X
к.м.н., зав. хирургическим отд-нием
Russian Federation, MoscowIu. V. Koroleva
National Medical Research Center of Treatment and Rehabilitation
Email: AMelekhov@med-rf.ru
ORCID iD: 0000-0002-9354-0828
зав. отд-нием анестезиологии и реанимации №2
Russian Federation, MoscowD. V. Kudryavtsev
National Medical Research Center of Treatment and Rehabilitation
Email: AMelekhov@med-rf.ru
зав. отд-нием кардиореанимации
Russian Federation, MoscowA. P. Manevskiy
National Medical Research Center of Treatment and Rehabilitation
Email: AMelekhov@med-rf.ru
ORCID iD: 0000-0003-1739-8556
д.м.н., первый зам. дир
Russian Federation, MoscowA. A. Negovskiy
National Medical Research Center of Treatment and Rehabilitation
Email: AMelekhov@med-rf.ru
ORCID iD: 0000-0001-6582-6565
зав. отд-нием анестезиологии и реанимации №1
Russian Federation, MoscowV. S. Petrovichev
National Medical Research Center of Treatment and Rehabilitation
Email: AMelekhov@med-rf.ru
ORCID iD: 0000-0002-8391-2771
к.м.н., зав. отд-нием томографии
Russian Federation, MoscowB. E. Rudakov
National Medical Research Center of Treatment and Rehabilitation
Email: AMelekhov@med-rf.ru
ORCID iD: 0000-0002-4033-3737
к.м.н., рук. Центра восстановительной медицины и реабилитации
Russian Federation, MoscowA. I. Ruleva
National Medical Research Center of Treatment and Rehabilitation
Email: AMelekhov@med-rf.ru
ORCID iD: 0000-0002-3515-2325
эпидемиолог
Russian Federation, MoscowA. B. Serebryakov
National Medical Research Center of Treatment and Rehabilitation
Email: AMelekhov@med-rf.ru
ORCID iD: 0000-0002-0122-0588
к.м.н., зав. ортопедическим отд-нием
Russian Federation, MoscowA. R. Sitnikov
National Medical Research Center of Treatment and Rehabilitation
Email: AMelekhov@med-rf.ru
ORCID iD: 0000-0001-7309-0391
к.м.н., зав. нейрохирургическим отд-нием
Russian Federation, MoscowN. F. Fedosova
National Medical Research Center of Treatment and Rehabilitation
Email: AMelekhov@med-rf.ru
ORCID iD: 0000-0002-0813-4279
к.м.н., зав. клин.-диагностич. лаб.
Russian Federation, MoscowE. V. Khammad
National Medical Research Center of Treatment and Rehabilitation
Email: AMelekhov@med-rf.ru
ORCID iD: 0000-0001-5038-8726
к.м.н., зав. отд-нием терапии №2
Russian Federation, MoscowA. A. Avramov
National Medical Research Center of Treatment and Rehabilitation
Email: AMelekhov@med-rf.ru
ORCID iD: 0000-0001-6055-3289
анестезиолог
Russian Federation, MoscowA. I. Agaeva
Pirogov Russian National Research Medical University
Email: AMelekhov@med-rf.ru
ORCID iD: 0000-0001-7559-135X
студент
Russian Federation, MoscowK. Y. Golubykh
Pirogov Russian National Research Medical University
Email: AMelekhov@med-rf.ru
ORCID iD: 0000-0002-4093-4639
студент
Russian Federation, MoscowReferences
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