Work organization of outpatient computed diagnostics center under novel coronavirus infection outbreak in a large urban area

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Abstract

This study presents joint work experience of the structural divisions of the Federal Siberian Scientific and Clinical Center (FSSCC) as a unified outpatient computed tomography diagnostics center (OCTDC) created to carry out comprehensive medical examination of the population under FSSCC during coronavirus-disease 2019 outbreak as well as patients of medical organizations of the Krasnoyarsk urban area. A patient routing scheme was designed and implemented in OCTDC, and its further interaction with territorial polyclinics and hospitals redesigned into temporary infectious disease hospitals was presented. When planning the work of OCTDC, special emphasis is placed on anti-epidemic measures as well as elements of cost-effectiveness in an outpatient setting. FSSCC was opened for the first time in Krasnoyarsk and became the basis for replicating such computed tomography centers in other medical institutions of the region.

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About the authors

Boris V. Barankin

Federal Siberian Research Clinical Centre

Email: skc@fmbamail.ru
Russian Federation, 26 Kolomenskaya st., PO box 6213, 660135, Krasnoyarsk, Krasnoyarsk Krai

Aleksandr Fetisov

Federal Siberian Research Clinical Centre

Author for correspondence.
Email: fetisov_ao@skc-fmba.ru
ORCID iD: 0000-0001-6532-440X
SPIN-code: 2933-1025
Russian Federation, 26 Kolomenskaya st., PO box 6213, 660135, Krasnoyarsk, Krasnoyarsk Krai

Aleksandr A. Evsyukov

Federal Siberian Research Clinical Centre; V.F. Voino-Yasenetsky Krasnoyarsk State Medical University

Email: evsyukov_aa@skc-fmba.ru
ORCID iD: 0000-0003-1575-633X
SPIN-code: 2705-9662

MD, Cand. Sci. (Med.)

Russian Federation, 26 Kolomenskaya st., PO box 6213, 660135, Krasnoyarsk, Krasnoyarsk Krai; Krasnoyarsk

Nataliya Yu. Perevertaylova

Federal Siberian Research Clinical Centre

Email: perevertajlova_nyu@skc-fmba.ru
Russian Federation, 26 Kolomenskaya st., PO box 6213, 660135, Krasnoyarsk, Krasnoyarsk Krai

Ekaterina I. Kravchenko

Federal Siberian Research Clinical Centre

Email: kravchenko_ei@skc-fmba.ru
Russian Federation, 26 Kolomenskaya st., PO box 6213, 660135, Krasnoyarsk, Krasnoyarsk Krai

References

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Supplementary files

Supplementary Files
Action
1. Fig. 1. Structure of patients according to the results of computed tomography and analysis of throat and nasal swab for severe acute respiratory syndrome coronavirus 2.

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2. Fig. 2. Distribution of pneumonia cases (April–July 2020) by severity according to computed tomography scan with positive (+) and negative (−) results of severe acute respiratory syndrome coronavirus 2 test.

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3. Fig. 3. Distribution of patients evacuated from the field infectious disease hospital in Eruda according to the volume of lung damage based on computed tomography data.

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