Roles of multidisciplinary team (MDT) in diagnosis and treatment of suspected cases of corona virus disease 2019 (COVID-19).
10.3785/j.issn.1008-9292.2020.03.15
- Author:
Shubo DING
1
;
Shi'an YU
2
;
Haijun CHEN
3
;
Dehe ZHANG
3
;
Yejin XU
3
;
Dan ZHU
4
;
Kun CHENG
5
Author Information
1. Department of Oncology Radiotherapy, Jinhua Municipal Central Hospital, Jinhua 321000, Zhejiang Province, China.
2. Department of Hepatobiliary Surgery, Jinhua Municipal Central Hospital, Jinhua 321000, Zhejiang Province, China.
3. Department of Infectious Diseases, Jinhua Municipal Central Hospital, Jinhua 321000, Zhejiang Province, China.
4. Department of Respiratory and Critical Care Medicine, Jinhua Municipal Central Hospital, Jinhua 321000, Zhejiang Province, China.
5. Department of Critical Care Medicine, Jinhua Municipal Central Hospital, Jinhua 321000, Zhejiang Province, China.
- Publication Type:Journal Article
- MeSH:
Betacoronavirus;
Coronavirus Infections;
complications;
diagnosis;
therapy;
Disease Management;
Humans;
Interdisciplinary Communication;
Pandemics;
Patient Care Team;
standards;
Pneumonia, Viral;
complications;
diagnosis;
therapy;
Retrospective Studies;
Treatment Outcome
- From:
Journal of Zhejiang University. Medical sciences
2020;49(1):209-214
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To analyze the roles of multidisciplinary team (MDT) in the diagnosis and treatment of suspected cases of corona virus disease 2019 (COVID-19).
METHODS:The clinical data of 48 patients with suspected COVID-19 admitted in Jinhua Central Hospital from January 21, 2020 to March 20, 2020 were retrospectively analyzed.
RESULTS:Of the 48 suspected cases, 18 were diagnosed with COVID-19, and 30 were excluded. Each of the confirmed cases were discussed among MDT for 2 to 12 times with an average of (4.7±3.2) times; while for non-COVID-19 patients were discussed for 2 to 4 times with an average of (2.3±0.6) times per case. With the guidance of MDT, one COVID-19 patient was transferred to designated provincial hospital after effective treatment; one patient complicated with acute cholecystitis underwent gallbladder puncture and drainage; and COVID-19 was excluded in a highly suspected patient after alveolar lavage fluid examination. Except one transferred patient, all 17 confirmed COVID-19 patients were cured and discharged; there was no cross-infection occurred in suspected patients during the hospitalization; there were no deaths and no medical staff infections.
CONCLUSIONS:The efficiency of diagnosis and treatment for suspected COVID-19 patients can be improved under MDT mode, particularly for complicated and refractory cases.
