| Title: |
The Pavlov University experience in medical assistance for patients with the novel coronavirus infection: first results and lessons ; Опыт работы ПСПбГМУ им. И. П. Павлова по оказанию помощи больным с новой коронавирусной инфекцией: первые итоги и уроки |
| Authors: |
S. F. Bagnenko; Yu. S. Polushin; I. V. Shlyk; V. M. Teplov; E. A. Karpova; E G. Gavrilova; A. A. Afanasyev; A. A. Khryapa; I. V. Bovkun; L. M. Kalmanson; D. A. Malinina; R. D. Skvortsova; E. A. Korobenkov; С. Ф. Багненко; Ю. С. Полушин; И. В. Шлык; В. М. Теплов; Е. А. Карпова; Е. Г. Гаврилова; А. А. Афанасьев; А. А. Хряпа; И. В. Бовкун; Л. М. Калмансон; Д. А. Малинина; Р. Д. Скворцова; Е. А. Коробенков |
| Source: |
Messenger of ANESTHESIOLOGY AND RESUSCITATION; Том 18, № 2 (2021); 7-16 ; Вестник анестезиологии и реаниматологии; Том 18, № 2 (2021); 7-16 ; 2541-8653 ; 2078-5658 |
| Publisher Information: |
NEW TERRA Publishing House |
| Publication Year: |
2021 |
| Collection: |
Messenger of ANESTHESIOLOGY AND RESUSCITATION / Вестник анестезиологии и реаниматологии |
| Subject Terms: |
организация помощи при COVID-19; COVID-19; intensive care of COVID-19; complications of COVID-19; organization of medical care in COVID-19; интенсивная терапия при новой коронавирусной инфекции; осложнения COVID-19 |
| Description: |
The constant mutation of the virus and the complicated epidemiological situation in other countries keep the probability of a third wave of the pandemic in the Russian Federation fairly high. It is important to summarize the gained experience as fast as possible to use it appropriately once it is needed.The objective: to analyze the specific parameters of care for critically ill patients with the novel coronavirus infection in Pavlov Multidisciplinary Medical Center.Subjects and methods. This is a result-based report on the work performed by the Infection Center, which was deployed twice in Pavlov Multidisciplinary Medical Center (from 28.04.2020 to 03.08.2020 and from 01.11.2020 to 15.03.2021). Totally, 3,830 patients with SARS-CoV-2 were managed (1,680 patients during the first deployment and 2,150 patients during the second one). In the preparatory period, the operation of the emergency department based on the inpatient emergency medical department (EMD) had been simulated to clarify its staff structure and the procedure for admission, examination, and treatment of patients. Here we compare the organizational approaches during the first and second waves of the pandemic and present the characteristics of the demographic data of the treated patients, the incidence of certain complications, and outcomes.Results. The overall lethality in the Center made 6.2%. Despite the experience gained in the first wave, the results of treatment during the second wave (autumn-winter) did not improve (5.7% died in the first wave and 6.7% in the second one). Lethality in ICU and EMD was 40.0% and 49.6%, in ICU only – 38.5% and 46.9% respectively. A moderate lethality increase in ICU was due to the concentration of critically ill and most critically ill patients. There were 51.4% of patients with comorbidities and 53.5% were above 65 years of age. Refinement and differentiation of tasks performed by departments, simulation of the operation of the Center before opening made it possible to increase the throughput of the medical ... |
| Document Type: |
article in journal/newspaper |
| File Description: |
application/pdf |
| Language: |
Russian |
| Relation: |
https://www.vair-journal.com/jour/article/view/509/475; Эволюция пандемии COVID-19 / под ред. Н. А. Белякова и С. Ф. Багненко. ‒ СПб.: Балтийский медицинский образовательный центр, 2021. ‒ 410 с.; Namendys-Silva S. A. Case fatality ratio of COVID-19 patients requiring invasive mechanical ventilation in Mexico: an analysis of nationwide data // Crit. Care. ‒ 2021. ‒ № 25. – Article number: 68. https://doi.org/10.1186/s13054-021-03485-w).; Xu J., Yang X., Yang L. et al. Clinical course and predictors of 60-day mortality in 239 critically ill patients with COVID-19: a multicenter retrospective study from Wuhan, China // Crit. Care. ‒ 2020. ‒ № 24. ‒ Article number: 394. https://doi.org/10.1186/s13054-020-03098-9. |
| DOI: |
10.21292/2078-5658-2021-18-2-7-16 |
| Availability: |
https://www.vair-journal.com/jour/article/view/509; https://doi.org/10.21292/2078-5658-2021-18-2-7-16 |
| Rights: |
Update date: 04.10.2024The authors who publish in this journal agree with the following:The right to the original layout and design belongs to the journal, and the copyright to the articles belongs to the authors.The authors retain the copyright to the work and grant the journal the right to publish the work for the first time under the terms of the license Creative Commons Attribution License, which allows others to distribute this work with the obligatory preservation of links to the authors of the original work and the original publication in this journal.The authors retain the right to enter into separate contractual agreements concerning the non-exclusive distribution of the version of the work published here (for example, placing it in the institute's repository, publishing it in a book), with reference to its original publication in this journal.Authors have the right to post their work on the Internet (for example, in the institute's repository or personal website) before and during the review process by this journal, as this can lead to a productive discussion and more references to this work (See The Effect of Open Access). ; Дата обновления: 04.10.2024Авторы, публикующие в данном журнале, соглашаются со следующим:Право на оригинал-макет и оформление принадлежит журналу, а авторское право на статьи – авторам.Авторы сохраняют за собой авторские права на работу и предоставляют журналу право первой публикации работы на условиях лицензии Creative Commons Attribution License, которая позволяет другим распространять данную работу с обязательным сохранением ссылок на авторов оригинальной работы и оригинальную публикацию в этом журнале.Авторы сохраняют право заключать отдельные контрактные договорённости, касающиеся не-эксклюзивного распространения версии работы в опубликованном здесь виде (например, размещение ее в институтском хранилище, публикацию в книге), со ссылкой на ее оригинальную публикацию в этом журнале.Авторы имеют право размещать их работу в сети Интернет (например в институтском хранилище или персональном сайте) до и во время процесса рассмотрения ее данным журналом, так как это может привести к продуктивному обсуждению и большему количеству ссылок на данную работу (См. The Effect of Open Access). |
| Accession Number: |
edsbas.2B151ABA |
| Database: |
BASE |