Open J Public Health | Volume 4, Issue 3 | Research Article | Open Access

The Evaluation of the Provision of Specialized Medical Care to Patients with COVID-19 in the Russian Central District Hospital

Orlov SA^1*, Aleksandrova O.Yu¹, Lisovskii DA², Gorenkov RV^1,2, Livshitz SA³ and Tikhonova EV³

¹Department of Public Health, FSSBI, N.A. Semashko National Research Institute of Public Health, Russia ²Department of Public Health, Federal State Autonomous Educational Institution of Higher Education I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University), Russia ³Department of Public Health, State Budgetary Health Institution of the Moscow oblast region "Noginsk Central District Hospital", Russia

^*Correspondance to: Orlov SA 

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Abstract

Background: The study aims to help to determine the optimal burden on medical workers, to establish factors that affect the duration of hospitalization and determining the outcomes of the disease among patients with COVID-19. Methods: We used a database of 7,576 patients with COVID-19 hospitalized in one of the hospital in the Russia (Noginsk Central District Hospital, Moscow region). We analyzed of the duration of hospitalization, dependency and the results of hospitalization by gender and age, as well as the impact on this indicator of the severity of the course of the disease (using Pearson's linear correlation coefficient (r-Pearson)) and a Kaplan-Meier estimator survival analysis. Results: The results of the analysis showed that the average number of patients per doctor per month was 28.23 ± 13.27 patients [IQR: 16.93; 41.25]. The dependence of the duration of hospitalization on sex and age showed the absence of statistical significance between these indicators (r-Pearson =0.079; p<0.001). The dependence of the duration of hospitalization on the severity of the course of the disease showed no statistical significance between these indicators (r-Pearson =0.04; p<0.001). The risk of death was increased with the length of hospitalization. Conclusion: The results of study are relevant for public health specialists who plan the resources of medical organizations and assess the possibilities of using the bed fund.

Keywords:

COVID-19; Length of stay; Hospital workload; Resources of a medical organization; Russia

Citation:

Orlov SA, Aleksandrova O.Yu, Lisovskii DA, Gorenkov RV, Livshitz SA, Tikhonova EV. The Evaluation of the Provision of Specialized Medical Care to Patients with COVID-19 in the Russian Central District Hospital. Open J Public Health. 2022; 4(3): 1040..