SUMY STATE UNIVERSITY, SUMY, UKRAINE.
UKRAINIAN MILITARY MEDICAL ACADEMY, KYIV, UKRAINE.
Wiad Lek. 2021;74(5):1057-1060.
The aim: The aim of the study is to assess the quality of medical care and determine the relationship between treatment outcomes of patients and acute respiratory viral infectious disease caused by SARS-CoV-2,depending on patients` age, the time from onset of symptoms to hospitalization, and the presence of comorbidity.
Materials and methods: According to the specially designed form, a retrospective analysis of primary accounting documents was carried out (f. No. 103/o) in 158 patients with COVID-19. The research was carried out in specialized inpatient infectious diseases wards of health institutions of the Sumy region during the period from April to September 2020. The study used a systemic approach, bibliosemantic, comparative and statistical analyses, logical generalization methods.
Results: Among the study group of patients, namely 158 people, a bigger number of women (56.33±3.95%) than men (43.67±3.95%) were recorded. Patients of working age (from 18 to 64 years old) took 70.89±3.61% of all patients, and people aged 65 years and older - 29.11±3.61%. The time from the beginning of symptoms to hospitalization in each second patient (49.37±3.98%) lasted 5-7 days. In most cases, the patient's stay in the hospital equaled 13-15 bed-days - 32.28±3.72%. The index of patients with severe and critical state was 20.89±3.23% (33 patients). In 8.23±2.19% (13 people) of treated cases of hospital stay ended in death. A large index of patients with a severe course of the disease, the treatment of which ended in discharge, were in hospital for more than 13 bed days - 12.03±2.59% (19 people). All of these patients were older, had CNCDs (chronic non-communicable diseases), half of them were hospitalized on day 7 and later from the onset of symptoms.
Conclusions: In older people, the disease progresses faster and complications are developing more often. Also, the severity of the SARS-CoV-2 pattern and the length of staying in the hospital are affected by the time starting the onset of symptoms till hospitalization and the presence of CNCDs. The hereinafter data allows to increase knowledge about spreading of COVID-19, to improve the quality of organizational and preventive events in the provision of medical care, and reducing mortality.
本研究旨在评估医疗质量，并确定 SARS-CoV-2 引起的急性呼吸道病毒感染疾病患者的治疗结果与患者年龄、症状出现到住院的时间以及合并症之间的关系。
根据专门设计的表格，对 2020 年 4 月至 9 月期间在苏梅地区医疗机构专门的住院传染病病房中 158 例 COVID-19 患者的主要会计文件进行回顾性分析（f. No. 103/o）。该研究采用系统方法、语篇语义学、比较和统计分析、逻辑归纳方法。
在研究组的 158 名患者中，女性（56.33±3.95%）多于男性（43.67±3.95%）。工作年龄（18-64 岁）的患者占所有患者的 70.89±3.61%，65 岁及以上的患者占 29.11±3.61%。每二分之一患者（49.37±3.98%）从症状开始到住院的时间持续 5-7 天。在大多数情况下，患者在医院的住院时间等于 13-15 个床位日-32.28±3.72%。严重和危急状态患者的指数为 20.89±3.23%（33 例）。在 8.23±2.19%（13 人）的治疗病例中，住院治疗以死亡告终。患有严重疾病且治疗后出院的大量患者在医院的住院时间超过 13 个床位日-12.03±2.59%（19 人）。所有这些患者年龄较大，患有 CNCD（慢性非传染性疾病），其中一半患者在症状出现后第 7 天及以后住院。
在老年人中，疾病的进展更快，并发症更常见。此外，SARS-CoV-2 模式的严重程度和住院时间长短受症状出现到住院的时间以及 CNCD 的影响。以下数据可以增加对 COVID-19 传播的认识，改善医疗保健组织和预防事件的质量，并降低死亡率。
