bekhterevОбозрение психиатрии и медицинской психологии имени В.М.БехтереваV.M. BEKHTEREV REVIEW OF PSYCHIATRY AND MEDICAL PSYCHOLOGY2313-70532713-055XV. M. BEKHTEREV NATIONAL RESEARCH MEDICAL CENTER FOR PSYCHIATRY AND NEUROLOGY OF THE RUSSIAN FEDERATION MINISTRY OF HEALTH10.31363/2313-7053-2021-55-2-45-51bekhterev-563Research ArticleИССЛЕДОВАНИЯINVESTIGATIONSОсобенности оказания наркологической помощи в период пандемии COVID-19Features of providing addiction medical care during the pandemic COVID-19https://orcid.org/0000-0003-1797-1121РыбаковаК. В.RybakovaK. V.

Санкт-Петербург

Saint-Petersburg

ksenia@med122.comhttps://orcid.org/0000-0001-8832-1017ГригорьевА. В.GrigorevA. V.

Санкт-Петербург

Saint-Petersburg

alex.grig04.2@gmail.comhttps://orcid.org/0000-0002-2798-8800СеменоваН. В.SemenovaN. V.

Санкт-Петербург

Saint-Petersburg

nvs@bekhterev.ruhttps://orcid.org/0000-0002-8391-4953СкуратЕ. П.SkuratE. P.

Санкт-Петербург

Saint-Petersburg

skuratevgenia@gmail.comhttps://orcid.org/0000-0002-8941-2460ЗубоваЕ. Ю.ZubovaE. Yu.

Санкт-Петербург

Saint-Petersburg

nitella7@mail.ruhttps://orcid.org/0000-0001-5618-4206НезнановН. Г.NeznanovN. G.

Санкт-Петербург

Saint-Petersburg

nezn@bekhterev.ruhttps://orcid.org/0000-0002-0529-4525КрупицкийЕ. М.KrupitskyE. M.

Санкт-Петербург

Saint-Petersburg

kruenator@gmail.comНациональный медицинский исследовательский центр психиатрии и неврологии им. В.М. БехтереваРоссияV.M. Bekhterev National Medical Research Center for Psychiatry and NeurologyRussian FederationАкадемическая гимназия №56РоссияAcademic gymnasium No. 56Russian FederationНациональный медицинский исследовательский центр психиатрии и неврологии им. В.М. Бехтерева; Первый Санкт-Петербургский государственный медицинский университет имени академика И.П. ПавловаРоссияV.M. Bekhterev National Medical Research Center for Psychiatry and Neurology; I.P. Pavlov First Saint-Petersburg State Medical UniversityRussian Federation2021040820215524551Copyright © Рыбакова К.В., Григорьев А.В., Семенова Н.В., Скурат Е.П., Зубова Е.Ю., Незнанов Н.Г., Крупицкий Е.М., 20212021Рыбакова К.В., Григорьев А.В., Семенова Н.В., Скурат Е.П., Зубова Е.Ю., Незнанов Н.Г., Крупицкий Е.М.Rybakova K.V., Grigorev A.V., Semenova N.V., Skurat E.P., Zubova E.Y., Neznanov N.G., Krupitsky E.M.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.bekhterevreview.com/jour/article/view/563

Пациенты с зависимостями от психоактивных веществ представляют особую субпопуляцию, которая находится в группе риска заражения COVID-19.Целью исследования стало изучение особенностей алкогольной зависимости у пациентов, поступающих с наркологический стационар, а также особенностей работы наркологической службы в регионах РФ в период пандемии COVID-19.Материалы и методы. Проведено он-лайн анкетирование 55 врачей-наркологов, работающих в наркологических лечебно-профилактических учреждениях Северо-Западного, Южного, Приволжского, Северо-Кавказского федеральных округов. 13 из 17 пунктов анкеты посвящены особенностям алкогольной зависимости у пациентов, госпитализированных в профильные стационары, 4—организации работы наркологической службы в регионах РФ в период пандемии COVID-19.Результаты. По экспертной оценке, количество обращений в период пандемии COVID-19 за амбулаторной и стационарной наркологической помощью уменьшилось по сравнению с аналогичным периодом времени до пандемии. По экспертной оценке, тяжесть синдрома отмены алкоголя у пациентов, госпитализированных в апреле-июне 2020 года, была значимо большей по сравнению с аналогичным показателем в феврале-марте 2020 (χ2 -Пирсона). У пациентов с COVID-положительным статусом синдром отмены алкоголя в 9,4% случаев осложнялся развитием алкогольного делирия (4,7%) или судорожного синдрома (4,7%), что превышает данные эпидемиологических исследований. Тяжесть алкогольного делирия у пациентов с COVID-положительным статусом по сравнению с пациентами с COVID-негативным статусом по экспертной оценке была значимо большей. Число наркологических учреждений, закрывавшихся в апреле-июне 2020 на карантин, по сравнению с числом учреждений, которые в этот период не закрывались, было меньшим (n = 14 (25,5%) vs. n = 41(74,5%)).Заключение. В период пандемии COVID-19 состояние пациентов, госпитализированных для лечения алкогольной зависимости, может быть расценено как более тяжелое, по сравнению с периодом февраль-апрель 2020г.

Patients with substance use disorders represent a vulnerable population who are at risk of getting coronavirus due to several factors related to their clinical, psychological, and psycho-social characteristics. The goal of this study was to examine the features of a medical condition in patients with alcohol use disorder who are admitted to the addiction hospital and to describe the specific issues of the addiction care RF region during a pandemic.Material and methods. The online survey has been distributed to 55 addiction psychiatrists from the third-level medical organizations of 4th federal districts (including Northwestern, South, Volga, and North Caucasian) from June 09 to June 20, 2020. The survey consists of 17 items (13 questions were focused on the features of progress and clinical signs of alcohol dependence in hospitalized, in-patient individuals during April-May, 2020; 4 questions were focused on the organizational issues of addiction care in the RF regions during the COVID-19 pandemic).Results. Based on the expert`s assessment, the number of admissions at inpatient and outpatient clinical settings was reduced during the pandemic. In addition, the intensity of alcohol withdrawal among patients who were hospitalized during April-May, 2020 were significantly more severe compared to patients who were hospitalized during February-March, 2020 (Pearson’s chi-squared test). Moreover, alcohol withdrawal was more severe and was associated with alcohol withdrawal delirium (4,7%) or seizures (4,7%) in 9,4% of cases among patients with COVID positive status, which exceeds the data of epidemiological studies. The intensity of alcohol withdrawal delirium among patients with COVID positive status was more severe compared to those who had COVID negative status. During April-June, 2020, the few addiction clinics were temporally closed due to quarantine but a majority of clinics were not (n = 14 (25,5%) vs. n = 41 (74,5%)).Conclusion. During the COVID-19 pandemic, the state of patients hospitalized for treatment of alcohol dependence may be considered more severe, compared to the period February-April 2020.

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The authors declare that there are no conflicts of interest present.