上海国家会展中心方舱医院174308例COVID-19患者临床资料及医护管理策略的回顾性分析

Retrospective analysis of COVID-19 patients’clinical information and medicine/nursing management in Shanghai National Exhibition and Convention Center cabin hospital

目的分析上海国家会展中心大型方舱医院新型冠状病毒肺炎(COVID-19)患者信息,探索医护管理方法,供其它方舱医院和政府决策部门参考。方法回顾性分析上海国家会展中心方舱医院2022年4月9日—5月31日收治的174308例COVID-19患者的临床资料,其中男103539例、女70769例,平均年龄(41.50±15.30)岁;同时分析医护管理经验。结果174308例患者中无症状患者占71.5%(124630例);方舱患者COVID-19疫苗接种率为76.5%(133338例),未接种患者中以10岁以下儿童和60岁以上老年人居多,接种率分别为25.0%(1322例)和63.9%(13715例)。此外,方舱医院收治的无症状感染者和轻症型患者中,未接种COVID-19疫苗患者轻症型比例高于接种疫苗患者(P≤0.01);方舱医院患者平均住院时间为(7.39±0.53)d,其中60岁以下与60岁以上患者住院时间差异有统计学意义[(7.01±2.12)d vs.(8.21±0.82)d,P≤0.01],未接种疫苗的60岁以上老年患者住院时间长于全组患者和接种疫苗的老年患者平均住院时间[(8.94±1.71)d vs.(7.83±1.44)d,P≤0.01];合并基础疾病患者27864例(16.0%),其中心血管疾病占81.3%(22653例)。累计转定点医院治疗患者2085例。结论大型方舱医院有助于切断传染源和传播途径,方舱管理过程中注意做好入院分检和及时转诊工作,经治疗后大部分患者预后良好;下一步疫情防控工作应该加强重点人群的疫苗接种工作,坚持社区核酸筛查制度。

Objective To analyze the clinical information of COVID-19 patients of Shanghai National Exhibition and Convention Center cabin hospital,and to explore the medical management strategy to provide thoughtful suggestions for other cabin hospitals and governments as valuable references.Methods The clinical data of 174308 patients confirmed COVID-19 in Shanghai National Exhibition and Convention Center cabin hospital from April 9 to May 31,2022 were retrospectively reviewed.There were 103539 male and 70769 female patients,with an average age of 41.50±15.30 years.Medical and nursing management strategy was summarized.Results Among the 174308 patients,71.5%(124630 patients)were asymptomatic.The vaccination rate of patients with COVID-19 in the cabin hospital was76.5%(133338 patients),and the majority of none vaccinated patients were children under the age of 10 years and the elderly over the age of 60 years,the vaccination rate of whom was only 25.0%(1322 patients)and 63.9%(13715 patients),respectively.In addition,the proportion of mild symptom type in the patients not vaccinated was significantly higher than that in the vaccinated patients(P≤0.01).The average hospitalization time of patients in cabin hospital was 7.39±0.53 days,which was 7.01±2.12 days for patients under 60 years and 8.21±0.82 days for patients over 60 years.The hospitalization time of elderly patients was significantly longer(P≤0.01),and the hospitalization time of elderly patients at age over 60 years without vaccination was 8.94±1.71 days,which was significantly longer than the average hospitalization time and the time of elderly patients vaccinated(P≤0.01).The number of patients combined with basic diseases was 27864(16.0%),of which cardiovascular diseases accounted for 81.3%(22653 patients).A total of 2085 patients were transferred and treated in designated hospitals.Conclusion Large scale cabin hospitals are helpful to cut off the source of infection.Attention shall be paid to the sorting of admission and timely transfer to other hospital during the patients management.Most of the patients have a good prognosis after treatment.The vaccination of key population and community-based screening will be the next step of focus.