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Health System Dynamic & Resource Requirement in a South African COVID-19 Field Hospital

7. November 2021 aktualisiert von: Ruth Verity Passchier, University of Cape Town

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.

Studienübersicht

Status

Abgeschlossen

Bedingungen

Detaillierte Beschreibung

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.

Studientyp

Beobachtungs

Einschreibung (Tatsächlich)

596

Kontakte und Standorte

Dieser Abschnitt enthält die Kontaktdaten derjenigen, die die Studie durchführen, und Informationen darüber, wo diese Studie durchgeführt wird.

Studienorte

  • Südafrika
    • Western Province
      • Cape Town, Western Province, Südafrika, 7785
        • Mitchells Plain Hospital of Hope Covid-19 Field Hospital, Lentegeur Hospital

Teilnahmekriterien

Forscher suchen nach Personen, die einer bestimmten Beschreibung entsprechen, die als Auswahlkriterien bezeichnet werden. Einige Beispiele für diese Kriterien sind der allgemeine Gesundheitszustand einer Person oder frühere Behandlungen.

Zulassungskriterien

Studienberechtigtes Alter

18 Jahre und älter (Erwachsene, Älterer Erwachsener)

Akzeptiert gesunde Freiwillige

Nein

Studienberechtigte Geschlechter

Alle

Probenahmeverfahren

Nicht-Wahrscheinlichkeitsprobe

Studienpopulation

The study population is from an underserved community utilizing public health services. The population in based in Mitchells Plain, Cape Town South Africa.

Beschreibung

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.

Studienplan

Dieser Abschnitt enthält Einzelheiten zum Studienplan, einschließlich des Studiendesigns und der Messung der Studieninhalte.

Wie ist die Studie aufgebaut?

Designdetails

Kohorten und Interventionen

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.

Was misst die Studie?

Primäre Ergebnismessungen

Ergebnis Maßnahme
Maßnahmenbeschreibung
Zeitfenster
Patient Demographics
Zeitfenster: January 1st to February 29th 2021
Patient age (in numbers)
January 1st to February 29th 2021
Patient Demographics
Zeitfenster: January 1st to February 29th 2021
Patient sex (male or female)
January 1st to February 29th 2021
Patient Clinical Condition
Zeitfenster: January 1st to February 29th 2021
Patient medical comorbidities on admission (categorical)
January 1st to February 29th 2021
Patient Clinical Condition
Zeitfenster: 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
Zeitfenster: 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
Zeitfenster: January 1st to February 29th 2021
Patient clinical complications during hospital admission (categorical)
January 1st to February 29th 2021
Patient Clinical Condition
Zeitfenster: 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
Zeitfenster: 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
Zeitfenster: 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
Zeitfenster: 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
Zeitfenster: 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
Zeitfenster: 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
Zeitfenster: 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
Zeitfenster: 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
Zeitfenster: January 1st to February 29th 2021
Number of patients requiring antibiotic treatment (in numbers)
January 1st to February 29th 2021
Hospital Physical Resources Utilized
Zeitfenster: 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
Zeitfenster: January 1st to February 29th 2021
Patient duration of hospital stay (in days)
January 1st to February 29th 2021
Health System Dynamics
Zeitfenster: 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
Zeitfenster: January 1st to February 29th 2021
Daily number of inpatients at hospital (in numbers/day)
January 1st to February 29th 2021
Health System Dynamics
Zeitfenster: 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
Zeitfenster: January 1st to February 29th 2021
Daily number of patient deaths (in numbers/day)
January 1st to February 29th 2021
Health System Dynamics
Zeitfenster: 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
Zeitfenster: January 1st to February 29th 2021
Daily hospital bed capacity (in numbers/day)
January 1st to February 29th 2021
Health System Dynamics
Zeitfenster: January 1st to February 29th 2021
Daily hospital oxygen consumption (in kg/day)
January 1st to February 29th 2021
Health System Dynamics
Zeitfenster: 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
Zeitfenster: 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
Zeitfenster: 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

Mitarbeiter und Ermittler

Hier finden Sie Personen und Organisationen, die an dieser Studie beteiligt sind.

Sponsor

University of Cape Town

Studienaufzeichnungsdaten

Diese Daten verfolgen den Fortschritt der Übermittlung von Studienaufzeichnungen und zusammenfassenden Ergebnissen an ClinicalTrials.gov. Studienaufzeichnungen und gemeldete Ergebnisse werden von der National Library of Medicine (NLM) überprüft, um sicherzustellen, dass sie bestimmten Qualitätskontrollstandards entsprechen, bevor sie auf der öffentlichen Website veröffentlicht werden.

Haupttermine studieren

Studienbeginn (Tatsächlich)

11. Februar 2021

Primärer Abschluss (Tatsächlich)

31. März 2021

Studienabschluss (Tatsächlich)

31. März 2021

Studienanmeldedaten

Zuerst eingereicht

3. November 2021

Zuerst eingereicht, das die QC-Kriterien erfüllt hat

7. November 2021

Zuerst gepostet (Tatsächlich)

9. November 2021

Studienaufzeichnungsaktualisierungen

Letztes Update gepostet (Tatsächlich)

9. November 2021

Letztes eingereichtes Update, das die QC-Kriterien erfüllt

7. November 2021

Zuletzt verifiziert

1. November 2021

Mehr Informationen

Begriffe im Zusammenhang mit dieser Studie

Zusätzliche relevante MeSH-Bedingungen

Andere Studien-ID-Nummern

  • African Covid19 Field Hospital

Plan für individuelle Teilnehmerdaten (IPD)

Planen Sie, individuelle Teilnehmerdaten (IPD) zu teilen?

NEIN

Beschreibung des IPD-Plans

Individual participant data and hospital level data will be available to the public on completion of the research

Arzneimittel- und Geräteinformationen, Studienunterlagen

Studiert ein von der US-amerikanischen FDA reguliertes Arzneimittelprodukt

Nein

Studiert ein von der US-amerikanischen FDA reguliertes Geräteprodukt

Nein

Diese Informationen wurden ohne Änderungen direkt von der Website clinicaltrials.gov abgerufen. Wenn Sie Ihre Studiendaten ändern, entfernen oder aktualisieren möchten, wenden Sie sich bitte an register@clinicaltrials.gov. Sobald eine Änderung auf clinicaltrials.gov implementiert wird, wird diese automatisch auch auf unserer Website aktualisiert .

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