- ICH GCP
- Yhdysvaltain kliinisten tutkimusten rekisteri
- Kliininen tutkimus NCT05113875
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.
Tutkimuksen yleiskatsaus
Tila
Yksityiskohtainen kuvaus
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.
Opintotyyppi
Ilmoittautuminen (Todellinen)
Yhteystiedot ja paikat
Opiskelupaikat
-
-
Western Province
-
Cape Town, Western Province, Etelä-Afrikka, 7785
- Mitchells Plain Hospital of Hope Covid-19 Field Hospital, Lentegeur Hospital
-
-
Osallistumiskriteerit
Kelpoisuusvaatimukset
Opintokelpoiset iät
Hyväksyy terveitä vapaaehtoisia
Sukupuolet, jotka voivat opiskella
Näytteenottomenetelmä
Tutkimusväestö
Kuvaus
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.
Opintosuunnitelma
Miten tutkimus on suunniteltu?
Suunnittelun yksityiskohdat
Kohortit ja interventiot
Ryhmä/Kohortti |
---|
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.
|
Mitä tutkimuksessa mitataan?
Ensisijaiset tulostoimenpiteet
Tulosmittaus |
Toimenpiteen kuvaus |
Aikaikkuna |
---|---|---|
Patient Demographics
Aikaikkuna: January 1st to February 29th 2021
|
Patient age (in numbers)
|
January 1st to February 29th 2021
|
Patient Demographics
Aikaikkuna: January 1st to February 29th 2021
|
Patient sex (male or female)
|
January 1st to February 29th 2021
|
Patient Clinical Condition
Aikaikkuna: January 1st to February 29th 2021
|
Patient medical comorbidities on admission (categorical)
|
January 1st to February 29th 2021
|
Patient Clinical Condition
Aikaikkuna: 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
Aikaikkuna: 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
Aikaikkuna: January 1st to February 29th 2021
|
Patient clinical complications during hospital admission (categorical)
|
January 1st to February 29th 2021
|
Patient Clinical Condition
Aikaikkuna: 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
Aikaikkuna: 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
Aikaikkuna: 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
Aikaikkuna: 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
Aikaikkuna: 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
Aikaikkuna: 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
Aikaikkuna: 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
Aikaikkuna: 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
Aikaikkuna: January 1st to February 29th 2021
|
Number of patients requiring antibiotic treatment (in numbers)
|
January 1st to February 29th 2021
|
Hospital Physical Resources Utilized
Aikaikkuna: 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
Aikaikkuna: January 1st to February 29th 2021
|
Patient duration of hospital stay (in days)
|
January 1st to February 29th 2021
|
Health System Dynamics
Aikaikkuna: 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
Aikaikkuna: January 1st to February 29th 2021
|
Daily number of inpatients at hospital (in numbers/day)
|
January 1st to February 29th 2021
|
Health System Dynamics
Aikaikkuna: 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
Aikaikkuna: January 1st to February 29th 2021
|
Daily number of patient deaths (in numbers/day)
|
January 1st to February 29th 2021
|
Health System Dynamics
Aikaikkuna: 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
Aikaikkuna: January 1st to February 29th 2021
|
Daily hospital bed capacity (in numbers/day)
|
January 1st to February 29th 2021
|
Health System Dynamics
Aikaikkuna: January 1st to February 29th 2021
|
Daily hospital oxygen consumption (in kg/day)
|
January 1st to February 29th 2021
|
Health System Dynamics
Aikaikkuna: 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
Aikaikkuna: 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
Aikaikkuna: 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
|
Yhteistyökumppanit ja tutkijat
Sponsori
Opintojen ennätyspäivät
Opi tärkeimmät päivämäärät
Opiskelun aloitus (Todellinen)
Ensisijainen valmistuminen (Todellinen)
Opintojen valmistuminen (Todellinen)
Opintoihin ilmoittautumispäivät
Ensimmäinen lähetetty
Ensimmäinen toimitettu, joka täytti QC-kriteerit
Ensimmäinen Lähetetty (Todellinen)
Tutkimustietojen päivitykset
Viimeisin päivitys julkaistu (Todellinen)
Viimeisin lähetetty päivitys, joka täytti QC-kriteerit
Viimeksi vahvistettu
Lisää tietoa
Tähän tutkimukseen liittyvät termit
Muita asiaankuuluvia MeSH-ehtoja
Muut tutkimustunnusnumerot
- African Covid19 Field Hospital
Yksittäisten osallistujien tietojen suunnitelma (IPD)
Aiotko jakaa yksittäisten osallistujien tietoja (IPD)?
IPD-suunnitelman kuvaus
Lääke- ja laitetiedot, tutkimusasiakirjat
Tutkii yhdysvaltalaista FDA sääntelemää lääkevalmistetta
Tutkii yhdysvaltalaista FDA sääntelemää laitetuotetta
Nämä tiedot haettiin suoraan verkkosivustolta clinicaltrials.gov ilman muutoksia. Jos sinulla on pyyntöjä muuttaa, poistaa tai päivittää tutkimustietojasi, ota yhteyttä register@clinicaltrials.gov. Heti kun muutos on otettu käyttöön osoitteessa clinicaltrials.gov, se päivitetään automaattisesti myös verkkosivustollemme .
Kliiniset tutkimukset Covid-19-pandemia
-
Yang I. PachankisAktiivinen, ei rekrytointiCOVID-19 hengitystieinfektio | COVID-19 stressisyndrooma | COVID-19-rokotteen haittavaikutus | COVID-19:ään liittyvä tromboembolia | COVID-19:n jälkeinen tehohoidon oireyhtymä | COVID-19:ään liittyvä aivohalvausKiina
-
Dr. Soetomo General HospitalIndonesia-MoH; Universitas Airlangga; Biotis Pharmaceuticals, IndonesiaRekrytointiCovid-19-pandemia | Covid-19-rokotteet | COVID-19 virustautiIndonesia
-
Indonesia UniversityRekrytointiCOVID-19 jälkeinen oireyhtymä | Pitkä COVID | COVID-19 jälkeinen tila | COVID-jälkeinen oireyhtymä | Pitkä COVID-19Indonesia
-
University of Roma La SapienzaQueen Mary University of London; Università degli studi di Roma Foro Italico ja muut yhteistyökumppanitValmisCOVID-19:n akuutit jälkiseuraukset | COVID-19 jälkeinen tila | Pitkä COVID | Krooninen COVID-19-oireyhtymäItalia
-
University Hospital, Ioannina1st Division of Internal Medicine, University Hospital of IoanninaRekrytointiCOVID-19-keuhkokuume | COVID-19 hengitystieinfektio | Covid-19-pandemia | COVID-19 akuutti hengitysvaikeusoireyhtymä | COVID-19:ään liittyvä keuhkokuume | COVID 19:ään liittyvä koagulopatia | COVID-19 (koronavirustauti 2019) | COVID-19:ään liittyvä tromboemboliaKreikka
-
First Affiliated Hospital Xi'an Jiaotong UniversityShangluo Central Hospital; Ankang Central Hospital; Hanzhong Central Hospital ja muut yhteistyökumppanitRekrytointiCOVID-19 | COVID-19 jälkeinen oireyhtymä | Postakuutti COVID-19 | Akuutti COVID-19Kiina
-
Erasmus Medical CenterDa Vinci Clinic; HGC RijswijkEi vielä rekrytointiaCOVIDin jälkeisen taudin hoito hyperbarisella happiterapialla: satunnaistettu, kontrolloitu tutkimusCOVID-19 jälkeinen oireyhtymä | Pitkä COVID | Pitkä Covid19 | COVID-19 jälkeinen tila | COVID-jälkeinen oireyhtymä | COVID-19 jälkeinen tila, määrittelemätön | COVID-jälkeinen tilaAlankomaat
-
University of Witten/HerdeckeInstitut für Rehabilitationsforschung NorderneyValmisCOVID-19 jälkeinen oireyhtymä | Pitkäaikainen COVID-19-oireyhtymäSaksa
-
Endourage, LLCRekrytointiPitkä COVID | Pitkä Covid19 | Postakuutti COVID-19 | Pitkän matkan COVID | Pitkän matkan COVID-19 | Postakuutti COVID-19-oireyhtymäYhdysvallat