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1.
Russian Journal of Anesthesiology and Reanimatology ; 2021(3):41-51, 2021.
Article in Russian | Scopus | ID: covidwho-1296262

ABSTRACT

In November-December 2020, the Federation of Anesthesiologists and Reanimatologists has conducted a survey of intensive care units (ICU) in 100 hospitals re-profiled for the treatment of COVID-19. There were regional (n=44), city (n=31), district (n=13), inter-district (n=8) and federal (n=4) hospitals from 27 constituent entities of the Russian Federation. Capacity of 59 hospitals was less than 300 beds, 23 hospitals — over 500 beds, 18 hospitals — 300—500 beds. The number of ICU beds exceeded 10% of repurposed beds in 35 hospitals, 5—10% of ICU beds — in 51 hospitals, less than 5% — in 14 hospitals. There were 6—12 patients per one physician in 68 ICUs, less than 6 patients — in 12 ICUs, over 12 patients — in 20 ICUs. Also, there were 3-6 patients per a nurse in 69 ICUs, less than 3 patients — in 2 ICUs, over 6 patients — in 29 ICUs. Over 70% of the repurposed beds were provided with a networked oxygen supply in 61 hospitals, 50—70% — in 25 hospitals, less than 50% — in 14 hospitals. Oxygen flow rate over 10 l/min was provided in 70 hospitals, 5—10 l/min — in 28 hospitals, less than 5 l/min — in 2 hospitals. Over 80% of ICU beds are equipped with ventilators in 78 hospitals, 50—80% — in 15 hospitals, less than 50% — in 7 hospitals. Less than 5% of ventilators have been out of order throughout the pandemic in 62 ICUs, 5—10% — in 20 departments, over 10% — in 18 ICUs. High-flow oxygen therapy was not available in 48 ICUs, ultrasound — in 10 ICUs. ECMO was available only in 17 ICUs. If we consider the pandemic as a model of health system response to non-standard global challenges, these data are essential for critical analysis despite small sample size. © 2021, Media Sphera Publishing Group. All rights reserved.

2.
Gynecology ; 22(5):6-11, 2020.
Article in Russian | Scopus | ID: covidwho-1000859

ABSTRACT

Aim. To evaluate an epidemiological characteristic and the course of COVID-19 in pregnant women from the Far East and Siberian Federal Districts of Russia. Materials and methods. The analysis of operational information on the incidence of COVID-19 and the its features in pregnant women and alter childbirth prov ided by the chief obstctrician-gynecologists of the Far F.astcrn Federal District and Siberian Federal District on Ma)-25, 2020 and August 25,2020 is carried out. Mathematical analysis included descriptive statistics methods, analy sis of contingency tables, where the x2 value, the achieved significance level (p). Results. On August 25, 2020, 2010 cases of COVID-19 in pregnant women were detected in two subjects, including 134 active cases. In the population, the proportion of pregnant women among cases of COVID-19 was 1.45%. Pneumonia in pregnant women was registered in 44.8% of cases, severe course of the disease-in 37%, hospitalization in RAW-in 1.9% of cases, mechanical ventilation-0. In the population, pneumonia was registered in 24.4% of cases, hospitalized in RAW-2.1%, on mechanical ventilation-0.77%. The incidence in pregnant women was 1464.7 per 100 000 (in the population-591-8 per 100 000). 23 (1.76%) COV1D-19 (+) newborns were identified, despite preventive measures and separation of mother and child immediately after childbirth, which docs not exclude vertical transmission of the disease. Maternal mortality was 2 (0.1%) cases vs population mortality 1.49%. Perinatal mortality was 7 (0.35%) cases. There were 5 (0.25;) stillbirths. Farly neonatal mortality was 2 (0.1%) cases. Conclusions. The incidence of COVID-19 in pregnant women in the Far East and Siberia is higher than in the general population with a higher incidence of pneumonia, but a milder course: Less need lor 1CU, mechanical ventilation and mortality. 23 cases of SARS-CoV-2-positivc newborns, despite the separation of mother and child, do not exclude the possibility of vertical transmission of infection. © 2021 Universidade de Sao Paulo. All rights reserved.

3.
Problemy reproduktsii ; 26(3):85-91, 2020.
Article in English | Web of Science | ID: covidwho-859189

ABSTRACT

The purpose of the study was to evaluate an epidemiological characteristic and the course of COVID-19 in pregnant patients from the Far Eastern Federal District and Siberian Federal District. Materials and methods. The analysis of operational information on the incidence of COVID-19 and the its features in pregnant women and after childbirth provided by the chief obstetrician-gynecologists of the Far Eastern Federal District and Siberian Federal District on May 25, 2020 is carried out. Mathematical analysis included descriptive statistics methods, analysis of contingency tables, where the chi2 value, the achieved significance level (p) and the communication intensity indicator V Cramer were evaluated. Results. Despite the more severe course of the COVID-19, in general, in the Far Eastern Federal District as compared with the Siberian Federal District, the main characteristics of the course of the disease in pregnant women in both districts did not differ significantly. The proportion of pregnant women among patients with COVID-19 was 0.61% in the Siberian Federal District, 1.1% in the Far Eastern Federal District, and averaged 0.82%. The course of the COVID-19 in pregnant women tended to be mild for pregnant women according to the main characteristics, such as the frequency of pneumonia - 25.5% and 30.7%, the hospitalization rate in ICU - 1.9% and 3.97%, as well as mechanical ventilation - 0% and 1.26%. However, there were no statistically significant differences with the course of the disease in the general population (p>0.05). There were no cases of maternal and perinatal mortality. Conclusion. Thus, the proportion of pregnant women among patients with COVID-19 in the Far Eastern Federal District and Siberian Federal District was 0.82%. The course of the disease in this category of patients was generally comparable with the general patient population. It will be possible to make a final conclusion about the characteristics of COVID-19 in pregnant women just after the pandemic is completed. Цель исследования - дать эпидемиологическую характеристику и оценить особенности течения новой коронавирусной инфекции COVID-19 у беременных Дальневосточного федерального округа (ДФО) и Сибирского федерального округа (СФО). Материал и методы. Проведен анализ оперативной информации о заболеваемости новой коронавирусной инфекцией (НКИ) COVID-19 и особенностях течения этого заболевания у беременных, рожениц и родильниц, предоставленной главными акушерами-гинекологами ДФО и СФО на 25 мая 2020 г. Математический анализ включал методы описательной статистики, анализ таблиц сопряженности, в ходе анализа оценивали значение chi2, достигнутый уровень значимости (р) и показатель интенсивности связи V Крамера. Результаты. Несмотря на более тяжелое течение НКИ COVID-19 в целом в ДФО по сравнению с СФО, основные характеристики течения заболевания у беременных в обоих округах существенно не различались. Доля беременных среди заболевших НКИ COVID-19 в СФО составила 0,61%, в ДФО - 1,1% и в среднем - 0,82%. Клинические проявления НКИ COVID-19 у беременных имели тенденцию к более легкому течению по основным характеристикам, таким как частота развития пневмонии - 25,5 и 30,7%, частота госпитализации в реанимационно-анестезиологическое отделение - 1,9 и 3,97%, а также применение искусственной вентиляции легких - 0 и 1,26%. Однако не отмечено статистически значимых различий с тяжестью заболевания в общей популяции (p>0,05). Случаев материнской и перинатальной смертности не было. Выводы. Доля беременных среди заболевших новой коронавирусной инфекцией COVID-19 в ДФО и СФО составила 0,82%. Течение заболевания у этой категории пациенток в целом сопоставимо с таковым в общей популяции больных. Только после завершения пандемии можно будет сделать окончательное заключение об особенностях этого заболевания у беременных.

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