Journal of Osh State University. Medicine
Journal of Osh State University. Medicine
e-ISSN 1694-8831
DOI: 10.52754/16948831
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System for the provision of specialised medical care for Covid-19 with comorbid diseases

Nazgul Omurzakova, Ryskul Kydyralieva, Akpay Sarybaev

Received 10.06.2025, Revised 04.11.2025, Accepted 17.12.2025

Abstract

The purpose of the study was to examine the features of organising specialised care for patients with coronavirus infection and chronic diseases, followed by an assessment of its effectiveness and possibilities for improvement. The study had a theoretical-analytical character and included a comparison of six clusters: Kyrgyzstan as an example of a country with limited resources, the USA, European states (France, Germany, Italy, Spain, Poland), Asian countries (Thailand, Singapore, Indonesia, South Korea, India, Malaysia), as well as China and Japan with the centralised organisational models. The analysis was based on publications, statistics and clinical guidelines from 2020-2025; cross-country comparison was applied with a conditional points-based assessment of severity in comorbid patients and the development of recommendations for improving care. The analysis showed that in multimorbidity the severity score reached 16 points, and in cardiovascular, respiratory diseases and immunodeficiencies – 15. Two or more chronic pathologies increased the risk of severe course and death by 2-3 times. In China and Japan, in-hospital mortality was 5.5-6%, with severe renal failure in Japan – up to 28%. In the USA the mortality among patients with several chronic diseases exceeded 12% with an overall rate of 2.5%, the load on emergency departments reached 25-30%. In Europe the increase in mortality in peak periods was about 20%, with resource deficits – up to 50-60%, among oncology patients in Italy and Spain – more than 25%. In Kyrgyzstan with multidrug-resistant tuberculosis, the indicator reached 34-36%. The obtained data confirm the dependence of outcomes on the severity of comorbidities and health-care resources, which requires risk stratification, adaptation of protocols and strengthening of staffing and infrastructure potential. The results can be used by health authorities and medical institutions to optimise care for patients with coronavirus infection and chronic diseases


Keywords:

hospitalisation; mortality; routing; risk stratification; oxygen therapy; telemedicine; multidisciplinary team

https://doi.org/10.52754/16948645_2025_4(2)_08

Retrieved from Vol. 4, No. 2, 2025

Pages 8-23

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Suggested citation

APA
Omurzakova, N., Kydyralieva, R., & Sarybaev, A. (2025). System for the provision of specialised medical care for Covid-19 with comorbid diseases. Journal of Osh State University. Medicine, 4(2), 8-23. https://doi.org/10.52754/16948645_2025_4(2)_08
Vancouver
Omurzakova N, Kydyralieva R, Sarybaev A. System for the provision of specialised medical care for Covid-19 with comorbid diseases. J Osh State Univ Med. 2025;4(2):8–23. doi:10.52754/16948645_2025_4(2)_08