Organization of intensive care service for patients with COVID-19 during pandemic in Almaty City

Since the beginning of the new coronavirus infection pandemic over 102.5 million people have been infected and over 2.2 million have died. The world statistics on COVID-19 rates Kazakhstan as 59 with revealed cases of COVID-19 and 68 with deaths cases. In 80% of patients with COVID-19, COVID-19 have mild or moderate disease, about 15% have severe disease requires oxygen support, and 5% have a critical illness requires stay in intensive care units. The average duration of ICU stay is 10.8 days. In 22.7% of patients, ICU length of stay is over 30 days. The mortality rate of patients in intensive care units was 40-61% during the first wave, but in most affected regions it was as high as 90%. In order to improve the results of intensive care, a team-based way introduced in many hospitals. These teams do most labor-consuming and potentially dangerous manipulations. This approach requires a sufficient number of engaged and well-trained staff. In in an acute shortage of ICU staff, some actions assumed to train medical personnel of other specialties to become doctors and nurses in intensive care units. Short and superficial courses, designed to prepare the maximum number of intensive care specialists in the shortest time, as a rule, leads to a deterioration in the quality of the provided intensive care and does not improve results and mortality.

Influence of arterial hypertension risk factors on the course of COVID-19

The study showed that the higher the degree and risk of hypertension, the more severe COVID-19 is. In the groups with severe and extremely severe COVID-19, higher rates of hyperlipidemia were found;DM in 23.7% of patients with severe and 34.8% of patients with extremely severe disease;LVH was detected in 16.1% of patients with severe and 22.9% of patients with extremely severe COVID-19;nephropathy was detected in 18.6% of patients with severe and 28.8% of patients with extremely severe disease.