Retrospective analysis of COVID-19 patients’ clinical information and medicine/nursing management in Shanghai National Exhibition and Convention Center cabin hospital_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

HAN Yuehu , ZUO Qian , ZHANG Shuaishuai , XUE Wuchao , QIN Cong , LI Ruina , LI Yao ,  LIU Jincheng

Department of Cardiovascular Surgery, The First Affiliated Hospital of Air Force Military Medical University, Xi’an, 710032, P. R. China;

Corresponding?author：

LIU Jincheng, Email: 84733952@qq.com

Keywords：

COVID-19; cabin hospital; management strategy; epidemiology; vaccine

DOI：

10.7507/1007-4848.202205062

Video：

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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 174 308 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 103 539 male and 70 769 female patients, with an average age of 41.50±15.30 years. Medical and nursing management strategy was summarized. Results Among the 174 308 patients, 71.5% (124 630 patients) were asymptomatic. The vaccination rate of patients with COVID-19 in the cabin hospital was 76.5% (133 338 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% (1 322 patients) and 63.9% (13 715 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 27 864 (16.0%), of which cardiovascular diseases accounted for 81.3% (22 653 patients). A total of 2 085 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.

Citation： HAN Yuehu, ZUO Qian, ZHANG Shuaishuai, XUE Wuchao, QIN Cong, LI Ruina, LI Yao, LIU Jincheng. Retrospective analysis of COVID-19 patients’ clinical information and medicine/nursing management in Shanghai National Exhibition and Convention Center cabin hospital. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2022, 29(9): 1093-1099. doi: 10.7507/1007-4848.202205062 Copy

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1. 簡鋼仁, 鄭若菲, 葉誠棟. 標準化作業程序在移動方艙醫院全面快速展開的應用研究. 中華災害救援醫學, 2019, 7(10): 551-554.
2. 王當瑞, 馬友才, 王春香, 等. 武漢方艙醫院問題分析及未來方艙建設思考. 建筑節能, 2021, 9(49): 166-170.
3. 國家衛生健康委辦公廳. 《新型冠狀病毒肺炎診療方案》(試行第九版).2022-03-14.
4. 劉俊峰, 翟曉輝, 向準, 等. 應對新型冠狀病毒肺炎疫情的方艙醫院建設管理探討. 中國醫院管理, 2020, 3(40): 12-14.
5. 中國疾病預防控制中心. 新型冠狀病毒肺炎應急響應機制流行病學組. 新型冠狀病毒肺炎流行病學特征分析. 中華流行病學雜志, 2020, 41(2): 145-151.
6. Zhao YL, Nan YD, Jin FG. Role of angiotensin-converting enzyme (ACE) and ACE2 in a rat model of smoke inhalation induced acute respiratory distress syndrome. Burns, 2015, 41(7): 1468-1477.
7. Pinto BG, Oliveira AE, Singh Y, et al. ACE2 expression is increased in the lungs of patients with comorbidities associated with severe COVID-19. J Infect Dis, 2020, 222(4): 556-563.
8. Guisado-Vasco P, Valderas-Ortega S, MM Carralon-Gonzalez, et al. Clinical characteristics and outcomes among hospitalized adults withsevere COVID-19 admitted to a tertiary medical center and receivingantiviral, antimalarials, glucocorticoids, or immunomodulation with tocilizumab or cyclosporine: A retrospective observational study (COQUIMA cohort). E Clinical Medicine, 2020, 28: 100591.
9. Wang D, Hu B, Hu C, et al. Clinical characteristics of 138 hospitalized patients with 2019 novel coronavirus infected pneumonia in Wuhan, China. JAMA, 2020, 323(11): 1061-1069.
10. 李殿明, 劉傳苗, 劉佳慧, 等. 普通型向重型演變的新型冠狀病毒肺炎病人的危險因素分析. 蚌埠醫學院學報, 2020, 45(4): 21-424.
11. Cilloniz C, Polverino E, Ewig S, et al. Impact of age and comorbidity on cause and outcome in communityacquired pneumonia. Chest, 2013, 144(3): 999-1007.
12. 王陽春, 仝瑞祥, 劉飛, 等. 糖尿病患者易感新型冠狀病毒的免疫因素分析. 中國糖尿病雜志, 2020, 28(3): 176-179.
13. 趙茜, 曹相原, 劉伶俐, 等. 新型冠狀病毒肺炎合并糖尿病患者精細化管理效果分析. 現代醫院, 2020, 20(12): 1841-1844.
14. 戴志輝, 高立冬, 羅塏煒, 等. 湖南省新型冠狀病毒肺炎臨床特征分析. 實用預防醫學, 2020, 4(27): 396-399.
15. 潘月影, 王玉錦, 祝婷婷, 等. 938 例老年新型冠狀病毒肺炎患者影像學表現. 放射學實踐, 2020, 35(3): 269-271.
16. Halfmann PJ, Iida S, Maemura T, et al. SARS-CoV-2 Omicron virus causes attenuated disease in mice and hamsters. Nature, 2022, 603(7902): 687-692.
17. Suzuki R, Yamasoba D, Kimura I, et al. Attenuated replication and pathogenicity of SARS-CoV-2 B. 1. 1. 529 Omicron. Nature, 2022, 603(7902): 693-699.
18. 劉昌孝, 伊秀林, 崔濤, 等. 新型冠狀病毒疫苗研發與評價. 藥物評價研究, 2020, 43(7): 1421-1432.
19. Wang J, Jing R, Lai X, et al. Acceptance of COVID-19 vaccination during the COVID-19 pandemic in China. Vaccines, 2020, 8(3): 378-342.
20. 趙春艷, 石晶, 張國峰, 等. 北京通州區中小學生家長為子女接種新冠疫苗意愿及影響因素. 中國學校衛生, 2021, 3(42): 371-380.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

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

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