DISASTER MEDICINE No. 1•2022
Monitoring of Patients in Severe Condition in Level 1 and Level 2 Medical Treatment Organizations – a Tool for Organizing Medical Care for Patients and Victims in Emergency Situations
Radivilko K.S.1, Ploskonosov P.V.1, Maslakova D.A.1
1 Kuzbass Disaster Medicine Center, Kemerovo, Russian Federation
UDC 616.036 (571.17)
Abstract. The objective of the study was to analyze the effectiveness of the “Monitoring” program for patients with new coronavirus infection and to evaluate its preparedness to work in emergency situations, as well as to substantiate the effectiveness of the program as a monitoring tool for patient care management in level 1 and level 2 medical treatment organizations when there is a shortage of intensive care beds at level 3 medical institutions.
Materials and research methods. Materials of the research: normative legal documents regulating the order of application of telemedicine technologies in Russia and Kuzbass, including in the field of the Disaster Medicine Service, scientific publications, personal work experience in the organization of remote consultations.
The research was based on the data on the provision of consultative medical care to the patients with the diagnoses “new coronavirus infection” and “community-acquired pneumonia”, who were hospitalized in the intensive care departments of level 1 and level 2 medical treatment organisations.
Research results and their analysis. The retrospective analysis of the calls to the monitoring center from the patients in severe condition, being treated in level 1 and level 2 medical treatment organizations for the diagnoses of new coronavirus infection and pneumonia, who needed monitoring by the specialists of the consulting center (mainly by intensive care specialists), was performed.
Inclusion criteria in the study: adult patients with new coronavirus infection and pneumonia; receipt of call to the monitoring center during the study period – 01.11.2020-31.01.2022; availability of patient counseling using “Monitoring” program.
Conclusion was made, that the system, linking major hospitals with local hospitals, which have the maximum load in periods of peak morbidity, through conducting emergency and urgent telemedicine consultations was created in Kuzbass. The analysis of the obtained data testifies to the effective work of the monitoring center for severe patients as a type of telemedicine tool when working in high alert mode.
Keywords: emergency situations, Kuzbass Disaster Medicine Center, level 1 and level 2 medical treatment organizations, “Monitoring” patients with new coronavirus infection, pneumonia patients, program, severe patient monitoring center, telemedicine consultations, victims
For citation: Radivilko K.S., Ploskonosov P.V., Maslakova D.A. Monitoring of Patients in Severe Condition in Level 1 and Level 2 Medical Treatment Organizations – a Tool for Organizing Medical Care for Patients and Victims in Emergency Situations. Meditsina Katastrof = Disaster Medicine. 2022;1:40-43 (In Russ.). https://doi.org/10.33266/2070-1004-2022-1-40-43
- Baranova N.N., Akinshin A.V., Goncharov S.F., Meshkov M.A., Zelentsov K.M., Pismennyy V.P. Medical Evacuation of the COVID-19 Patients. Emergency Medicine. 2020;3:83-89 (In Russ.). https://doi.org/10.47183/mes.2020.007.
- Piven D.V. Scientific Justification of the Implementation Model of the Telemedicine in the Regions of Siberia. Doctor’s thesisin Medicine.14.00.33. Central Research Institute of Healthcare Organization and Informatization. Moscow Publ., 2004. 300 p. (In Russ.).
- Levanov V.M. Organizational and Medico-Social Aspects of the Telemedicine Technologies Application in the System of the Population Medical Support. Candidate’s thesis in Medicine. 14.00.33. Ryazan State Medical University. Ryazan Publ., 2003. 192 p. (In Russ.).
- Malinnikova E.Yu. New Coronavirus Infection. Today’s View of the Pandemic of the XXI Century. Infectious Diseases: News. Opinions. Training. 2020;2:18-32 (In Russ.). URL: https://base.garant.ru/4177911/ (Date of access 17.03.2022).
- Radivilko K.S., Malinovsky S.V., Sychev I.A., Chikrina A.S. Monitoring Center of the Patients in the Severe State in the Structure of the Kemerovo Regional Center of Disaster Medicine: Problems, Development Perspectives. Prioritetnyye Napravleniya Razvitiya Vserossiyskoy Sluzhby Meditsiny Katastrof v Sovremennykh Usloviyakh = Priority Directions of Development of the All-Russian Disaster Medicine Service in the Current Conditions. Materials of the All-Russian Scientific and Practical Conference. Moscow, VTSMK Zashchita Publ., 2019. 58 p. (In Russ.)
- Shakhabov I.V., Melnikov Yu.Yu., Smyshlyaev A.V. Features of the Development of Digital Technologies in Healthcare in the Context of the COVID-19 Pandemic. Scientific Review. Medical Sciences. 2020;6:66-71 (In Russ.).
- Baranova N.N., Goncharov S.F. Medical Evacuation: Monitoring Problems, Routing and Quality Criteria. Skoraya Meditsinskaya Pomoshch – 2019 = Emergency Medical Care-2019. Materials of the 18th All-Russian Congress – All-Russian Scientific and Practical Conference with the International Participation. Ed. S.F.Bagnenko. St. Petersburg, May 30-31, 2019. St. Petersburg State Medical University named after I.P. Pavlov Publ., 2019. P. 14-15 [CD-ROM]. (In Russ.).
- Minin A.S., Shen N.P., Tretyakov D.S., Panov I.D. Prognosis of Medical Evacuation in Patients with Cardiovascular Dysfunction. A Retrospective Study. Bulletin of the Intensive Care named after A.I. Saltanov. 2021;2:136–142 (In Russ.). DOI: 10.21320/1818-474X-2021-2-136-142
The material was received 28.02.22; the article after peer review procedure 18.03.22; the Editorial Board accepted the article for publication 21.03.22