Вестник Ошского государственного университета. Медицина
Вестник Ошского государственного университета. Медицина
e-ISSN 1694-8831
DOI: 10.52754/16948831
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Система оказания специализированной медицинской помощи при Covid-19 с коморбидными заболеваниями

Назгуль Омурзакова, Рыскуль Кыдыралиева, Акпай Сарыбаев

Получено 10.06.2025, Доработано 04.11.2025, Принято 17.12.2025

Аннотация

Цель исследования заключалась в изучении особенностей организации специализированной помощи больным коронавирусной инфекцией и хроническими заболеваниями с последующей оценкой её результативности и возможностей улучшения. Исследование имело теоретико-аналитический характер и включало сравнение шести кластеров: Кыргызстан как пример страны с ограниченными ресурсами, США, государства Европы (Франция, Германия, Италия, Испания, Польша), страны Азии (Таиланд, Сингапур, Индонезия, Южная Корея, Индия, Малайзия), а также Китай и Япония с их централизованными моделями организации. Анализ базировался на публикациях, статистике и клинических рекомендациях 2020-2025 гг.; применялось межстрановое сопоставление с условной балльной оценкой тяжести у коморбидных пациентов и разработкой рекомендаций по совершенствованию помощи. Анализ показал, что при мультиморбидности показатель тяжести достигал 16 баллов, а при сердечно-сосудистых, респираторных заболеваниях и иммунодефицитах – 15. Две и более хронические патологии увеличивали риск тяжёлого течения и смерти в 2-3 раза. В Китае и Японии госпитальная летальность составляла 5,5-6 %, при тяжёлой почечной недостаточности в Японии – до 28 %. В США смертность у пациентов с несколькими хроническими болезнями превышала 12 % при общей 2.5 %, нагрузка на отделения неотложной помощи достигала 25-30 %. В Европе рост смертности в пиковые периоды составлял около 20 %, при дефиците ресурсов – до 50-60 %, среди онкологических больных в Италии и Испании – более 25 %. В Кыргызстане при мультирезистентном туберкулёзе показатель достигал 34-36 %. Полученные данные подтверждают зависимость исходов от тяжести сопутствующих заболеваний и ресурсов здравоохранения, что требует стратификации риска, адаптации протоколов и укрепления кадрового и инфраструктурного потенциала. Результаты могут быть использованы органами здравоохранения и медицинскими учреждениями для оптимизации помощи пациентам с коронавирусной инфекцией и хроническими заболеваниями


Ключевые слова:

госпитализация; летальность; маршрутизация; стратификация риска; кислородная терапия; телемедицина; мультидисциплинарная команда

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

Взято из Том 4, № 2, 2025

Страницы 8-23

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ЦИТИРОВАНИЕ

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