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Tytuł pozycji:

Treatment of Patients Hospitalized with COVID-19 in a US Military Role 3 Facility in Afghanistan: A Case Series.

Tytuł:
Treatment of Patients Hospitalized with COVID-19 in a US Military Role 3 Facility in Afghanistan: A Case Series.
Autorzy:
Banares K
Surry L
Rand J
Stuever M
Bishop S
Chicoine E
Liane BJ
Źródło:
Medical journal (Fort Sam Houston, Tex.) [Med J (Ft Sam Houst Tex)] 2021 Jan-Mar (PB 8-21-01/02/03), pp. 12-19.
Typ publikacji:
Journal Article
Język:
English
Imprint Name(s):
Original Publication: Fort Sam Houston, TX : Borden Institute : US Army Medical Center of Excellence, [2020]-
MeSH Terms:
Hospitalization*
Hospitals, Military*
Military Personnel*
COVID-19/*therapy
Adult ; Afghanistan ; Aged ; COVID-19/diagnosis ; COVID-19/mortality ; Female ; Humans ; Male ; Middle Aged ; Retrospective Studies ; Survival Rate ; Treatment Outcome ; United States
Entry Date(s):
Date Created: 20210305 Date Completed: 20210326 Latest Revision: 20210326
Update Code:
20240104
PMID:
33666906
Czasopismo naukowe
Background: COVID-19, caused by SARS CoV-2, is an acute respiratory viral illness. We present the experience of treating patients hospitalized with COVID-19 in a Role 3 hospital in an active warzone.
Methods: This is a retrospective care series of patients treated for COVID-19 at Craig Joint Theater Hospital, Bagram, Afghanistan from May to August 2020. Data extracted included demographics, admission and disposition information, past medical history, comorbidities, Transportation Command (TRANSCOM) severity classification (i.e. Category A, Category B), and treatments received.
Results: This series included 15 Category A and 55 Category B patients. Most patients were non-US contractors with one chronic condition. Most patients received medical treatments in accordance with Department of Defense Practice Management Guidelines. For Category A patients, mechanical ventilation use declined from a mean average of 10.67 days to 2.83 days following the introduction of high-flow nasal cannula. Average hospital length of stay was 6 days (range 2-23). One death occurred in a patient greater than 60 years old with three known prior medical conditions. Most patients were discharged to a non-medical isolation facility. Aeromedically evacuated patients were mostly US military and US contractors.
Conclusion: We faced several challenges including retrofitting a Role 3 facility designed for trauma care for management of a highly contagious respiratory viral illness. Logistics constraints impacted timely delivery of medical therapies and equipment and decreased efficiency of aeromedical evacuation. Despite these challenges and the simultaneous trauma mission, most patients received medical care in accordance with treatment guidelines with a low mortality rate.

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