Health System Dynamic & Resource Requirement in a South African COVID-19 Field Hospital
Health System Dynamic & Resource Requirement in a South African COVID-19 Field
The aim of this study is to describe the patient clinical profile, resource requirements, and health system dynamics in a field hospital during the second wave of the Coronavirus (COVID-19) pandemic, leading to the outbreak of viral severe acute respiratory syndrome (SARS-CoV-2 virus), in South Africa. By describing the field hospital in this unique setting, the investigators hope to provide an efficient guide to similar settings across low- and middle-income countries.
This was a retrospective, single-center study. A total of 596 patients with confirmed COVID-19 were admitted to Mitchells Plain Hospital of Hope (MPHOH), Cape Town, South Africa, between January 1st and February 28th, 2021. Patient clinical characteristics, outcome, and resource allocation was collected. Daily hospital dynamics, including admissions, discharges, deaths and oxygen use was analyzed and compared to the local and national COVID-19 incidence rates.
Studieoversigt
Status
Detaljeret beskrivelse
The aim of the study is to amplify what is known about field hospitals in resource-constrained setting, so as to guide meaningfully the future COVID-19 public health response. Understanding not only the patient profile, but clinical resource requirements, and health system dynamic in a South African field hospital during the second wave of the COVID-19 pandemic can help in preparation for a future infection surge. This will shed light on the extent and timing of excess demand for intermediate care facilities for COVID-19 during peak infection periods in this region. Furthermore, lessons learnt here can guide efforts in similar settings across low-and middle-income countries.
Data was collected on all patients admitted to MPHOH between January 1st and February 28th 2021 using notes from patient folders' and an electronic hospital records systems. Patient demographics, clinical profile, resource utilization; as well as the hospital dynamics were collected. COVID-19 incidence rates were collected from the National Institute for Infectious Diseases, South Africa
A descriptive data analysis was performed to report the number, mean, median, and range of all relevant values. Hospital level data were summarized into weekly intervals, described and compared to COVID-19 incidence rates. Statistical data analysis was performed using R Statistical Computing program and Microsoft Excel.
Undersøgelsestype
Tilmelding (Faktiske)
Kontakter og lokationer
Studiesteder
-
-
Western Province
-
Cape Town, Western Province, Sydafrika, 7785
- Mitchells Plain Hospital of Hope Covid-19 Field Hospital, Lentegeur Hospital
-
-
Deltagelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Prøveudtagningsmetode
Studiebefolkning
Beskrivelse
Inclusion Criteria:
- All patients admitted to the Mitchells Plain Hospital of Hope COVID-19 field hospital between 1st January 2021 and 29th February 2021. Patients admitted to the hospital must have been: over 18years of age, diagnosed with COVID-19 via polymerase chain reaction (PCR) test, transferred from a referring facility.
Exclusion Criteria:
- No patients were excluded.
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
Kohorter og interventioner
Gruppe / kohorte |
|---|
|
COVID-19 Patients
Completed Sample of all patients admitted to the Mitchells Plain Hospital of Hope COVID-19 Field Hospital between January 1st and February 29th 2021.
All patients were diagnosed with COVID-19 prior to admission to the hospital and were transferred directly from a referring hospital.
|
Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Patient Demographics
Tidsramme: January 1st to February 29th 2021
|
Patient age (in numbers)
|
January 1st to February 29th 2021
|
|
Patient Demographics
Tidsramme: January 1st to February 29th 2021
|
Patient sex (male or female)
|
January 1st to February 29th 2021
|
|
Patient Clinical Condition
Tidsramme: January 1st to February 29th 2021
|
Patient medical comorbidities on admission (categorical)
|
January 1st to February 29th 2021
|
|
Patient Clinical Condition
Tidsramme: January 1st to February 29th 2021
|
If patient diabetic, type of diabetic treatment received in hospital (oral vs insulin therapy)
|
January 1st to February 29th 2021
|
|
Patient Clinical Condition
Tidsramme: January 1st to February 29th 2021
|
If patient diabetic, glycated haemoglobin (HBA1C) level during admission (in numbers)
|
January 1st to February 29th 2021
|
|
Patient Clinical Condition
Tidsramme: January 1st to February 29th 2021
|
Patient clinical complications during hospital admission (categorical)
|
January 1st to February 29th 2021
|
|
Patient Clinical Condition
Tidsramme: January 1st to February 29th 2021
|
If patient received antibiotic treatment during admission, name of infection treated (categorical)
|
January 1st to February 29th 2021
|
|
Patient Clinical condition
Tidsramme: January 1st to February 29th 2021
|
Patient ICU priority triage score on admission (in numbers)
|
January 1st to February 29th 2021
|
|
Hospital Human Resources Utilized
Tidsramme: January 1st to February 29th 2021
|
Number of patients who utilized palliative care services (in numbers)
|
January 1st to February 29th 2021
|
|
Hospital Human Resources Utilized
Tidsramme: January 1st to February 29th 2021
|
Number of patients who utilized dietician services (in numbers)
|
January 1st to February 29th 2021
|
|
Hospital Human Resources Utilized
Tidsramme: January 1st to February 29th 2021
|
Number of patients who utilized physiotherapy services (in numbers)
|
January 1st to February 29th 2021
|
|
Hospital Physical Resources Utilized
Tidsramme: January 1st to February 29th 2021
|
Number of patients requiring oxygen therapy during admission (in numbers)
|
January 1st to February 29th 2021
|
|
Hospital Physical Resources Utilized
Tidsramme: January 1st to February 29th 2021
|
Type of oxygen therapy utilized by each patient (Categorical: nasal prong oxygen; face mask oxygen; or high flow oxygen)
|
January 1st to February 29th 2021
|
|
Hospital Physical Resources Utilized
Tidsramme: January 1st to February 29th 2021
|
Duration of oxygen therapy for each patient (in days)
|
January 1st to February 29th 2021
|
|
Hospital Physical Resources Utilized
Tidsramme: January 1st to February 29th 2021
|
Number of patients requiring antibiotic treatment (in numbers)
|
January 1st to February 29th 2021
|
|
Hospital Physical Resources Utilized
Tidsramme: January 1st to February 29th 2021
|
If patient required antibiotic therapy, name of antibiotic given (categorical)
|
January 1st to February 29th 2021
|
|
Hospital Physical resources Utilized
Tidsramme: January 1st to February 29th 2021
|
Patient duration of hospital stay (in days)
|
January 1st to February 29th 2021
|
|
Health System Dynamics
Tidsramme: January 1st to February 29th 2021
|
Daily number of patients admitted to hospital (in numbers/day)
|
January 1st to February 29th 2021
|
|
Health System Dynamics
Tidsramme: January 1st to February 29th 2021
|
Daily number of inpatients at hospital (in numbers/day)
|
January 1st to February 29th 2021
|
|
Health System Dynamics
Tidsramme: January 1st to February 29th 2021
|
Daily number of patients discharged from hospital (in numbers/day)
|
January 1st to February 29th 2021
|
|
Health System Dynamics
Tidsramme: January 1st to February 29th 2021
|
Daily number of patient deaths (in numbers/day)
|
January 1st to February 29th 2021
|
|
Health System Dynamics
Tidsramme: January 1st to February 29th 2021
|
Daily number of patients transferred out of hospital to another medical facility (in numbers/day)
|
January 1st to February 29th 2021
|
|
Health System Dynamics
Tidsramme: January 1st to February 29th 2021
|
Daily hospital bed capacity (in numbers/day)
|
January 1st to February 29th 2021
|
|
Health System Dynamics
Tidsramme: January 1st to February 29th 2021
|
Daily hospital oxygen consumption (in kg/day)
|
January 1st to February 29th 2021
|
|
Health System Dynamics
Tidsramme: January 1st to February 29th 2021
|
Name of hospital from which each patient was referred from (categorical)
|
January 1st to February 29th 2021
|
|
Local Incidence rates of COVID-19 infections
Tidsramme: December 1st 2020 to February 29th 2021
|
South African National COVID-19 incidence rates per week (in numbers/week)
|
December 1st 2020 to February 29th 2021
|
|
Local Incidence rates of COVID-19 infections
Tidsramme: December 1st 2020 to February 29th 2021
|
Western Cape Provincial COVID-19 incidence rates per week (in numbers/week)
|
December 1st 2020 to February 29th 2021
|
Samarbejdspartnere og efterforskere
Sponsor
Datoer for undersøgelser
Studer store datoer
Studiestart (Faktiske)
Primær færdiggørelse (Faktiske)
Studieafslutning (Faktiske)
Datoer for studieregistrering
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
- African Covid19 Field Hospital
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
IPD-planbeskrivelse
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
Studerer et amerikansk FDA-reguleret lægemiddelprodukt
Studerer et amerikansk FDA-reguleret enhedsprodukt
Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .
Kliniske forsøg med Covid-19-pandemi
-
Yang I. PachankisAktiv, ikke rekrutterendeCOVID-19 luftvejsinfektion | COVID-19 stresssyndrom | COVID-19-vaccinebivirkning | COVID-19-associeret tromboembolisme | COVID-19 Post-Intensive Care Syndrome | COVID-19-associeret slagtilfældeKina
-
University of Roma La SapienzaQueen Mary University of London; Università degli studi di Roma Foro Italico og andre samarbejdspartnereAfsluttetPostakutte følgesygdomme af COVID-19 | Tilstand efter COVID-19 | Langtids-COVID | Kronisk COVID-19 syndromItalien
-
Massachusetts General HospitalRekrutteringPostakut COVID-19 syndrom | Lang COVID | Postakutte følgesygdomme af COVID-19 | Lang COVID-19Forenede Stater
-
Indonesia UniversityRekrutteringPost-COVID-19 syndrom | Lang COVID | Tilstand efter COVID-19 | Post-COVID syndrom | Lang COVID-19Indonesien
-
Dr. Soetomo General HospitalIndonesia-MoH; Universitas Airlangga; Biotis Pharmaceuticals, IndonesiaRekrutteringCovid-19-pandemi | Vacciner mod covid-19 | COVID-19 virus sygdomIndonesien
-
First Affiliated Hospital Xi'an Jiaotong UniversityShangluo Central Hospital; Ankang Central Hospital; Hanzhong Central Hospital og andre samarbejdspartnereRekrutteringKohorteopfølgning af epidemi og neuroimaging for patienter under den første bølge af COVID-19 i KinaCOVID-19 | Post-COVID-19 syndrom | Post-akut COVID-19 | Akut COVID-19Kina
-
Erasmus Medical CenterDa Vinci Clinic; HGC RijswijkIkke rekrutterer endnuPost-COVID-19 syndrom | Lang COVID | Lang Covid19 | Tilstand efter COVID-19 | Post-COVID syndrom | Tilstand efter COVID-19, uspecificeret | Post-COVID tilstandHolland
-
University of Witten/HerdeckeInstitut für Rehabilitationsforschung NorderneyAfsluttetPost-COVID-19 syndrom | Long-COVID-19 syndromTyskland
-
University Hospital, Ioannina1st Division of Internal Medicine, University Hospital of IoanninaRekrutteringCOVID-19 lungebetændelse | COVID-19 luftvejsinfektion | Covid-19-pandemi | COVID-19 Akut Respiratorisk Distress Syndrome | COVID-19-associeret lungebetændelse | COVID 19 associeret koagulopati | COVID-19 (Coronavirus sygdom 2019) | COVID-19-associeret tromboembolismeGrækenland