О некоторых причинах госпитальной летальности при проведении интенсивной терапии пациентов с новой коронавирусной инфекцией COVID-19

Abstract

Relevance. The outbreak of a new coronavirus infection showed the unpreparedness of the whole world to such an epidemic both from medical institutions and from organizations that evaluate the quality of medical care. Objective. To identify the main predictors affecting the hospital mortality in patients with COVID-19 during intensive care. Materials and methods. 93 patient's case histories of patients who were in in-patient treatment with the main diagnosis COVID-19, community-acquired double -sided polysegmental viral pneumonia, ARDS were subjected to analytical examination. The sample was carried out using the blind method for the period from April 01,2021 to October 31, 2021. Statistical processing was carried out using the Statistica 10.0 program (Windows) and using an online calculator located on the Internet resource at: https://medstatic.ru/calculators/calcrisk.html. Results. In this study, two main groups of predictors of the death of patients with COVID-19 are identified. The first group: the accompanying somatic pathology that was already in patients, and the second are intensive care defects that did not always occur due to the doctor’s poor quality performance of their professional duties. Conclusions. Currently, unquestioning execution of temporary methodological recommendations for the prevention, diagnosis and treatment of new coronavirus infection (COVID-19) is possible only in the conditions of multidisciplinary hospitals based on regional centers, where there are all the necessary resources, which leads to a reduction in cases of deaths among patients. Their poor performance somewhere in remote areas raises many questions.