Organizing the medical care for the COVID-19 patients in non-infectious moscow hospital: Reassignment experience

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 © 2020 Consilium Medikum All rights reserved