Nikitin IG, Melekhov AV, Sayfullin MA, Agafonov SS, Bedritskiy SA, Vishninskiy AA, Gultiaeva NA, Guseynov ER, Ermakov NA, Zorin EA, Koroleva IV, Kudryavtsev DV, Manevskiy AP, Negovskiy AA, Petrovichev VS, Rudakov BE, Ruleva AI, Serebryakov AB, Sitnikov AR, Fedosova NF, Khammad EV, Avramov AA, Agaeva AI, and Golubykh KY
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.