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.
Aperçu de l'étude
Statut
Description détaillée
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.
Type d'étude
Inscription (Réel)
Contacts et emplacements
Lieux d'étude
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Western Province
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Cape Town, Western Province, Afrique du Sud, 7785
- Mitchells Plain Hospital of Hope Covid-19 Field Hospital, Lentegeur Hospital
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Critères de participation
Critère d'éligibilité
Âges éligibles pour étudier
Accepte les volontaires sains
Sexes éligibles pour l'étude
Méthode d'échantillonnage
Population étudiée
La description
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.
Plan d'étude
Comment l'étude est-elle conçue ?
Détails de conception
Cohortes et interventions
Groupe / Cohorte |
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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.
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Que mesure l'étude ?
Principaux critères de jugement
Mesure des résultats |
Description de la mesure |
Délai |
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Patient Demographics
Délai: January 1st to February 29th 2021
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Patient age (in numbers)
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January 1st to February 29th 2021
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Patient Demographics
Délai: January 1st to February 29th 2021
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Patient sex (male or female)
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January 1st to February 29th 2021
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Patient Clinical Condition
Délai: January 1st to February 29th 2021
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Patient medical comorbidities on admission (categorical)
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January 1st to February 29th 2021
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Patient Clinical Condition
Délai: January 1st to February 29th 2021
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If patient diabetic, type of diabetic treatment received in hospital (oral vs insulin therapy)
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January 1st to February 29th 2021
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Patient Clinical Condition
Délai: January 1st to February 29th 2021
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If patient diabetic, glycated haemoglobin (HBA1C) level during admission (in numbers)
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January 1st to February 29th 2021
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Patient Clinical Condition
Délai: January 1st to February 29th 2021
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Patient clinical complications during hospital admission (categorical)
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January 1st to February 29th 2021
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Patient Clinical Condition
Délai: January 1st to February 29th 2021
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If patient received antibiotic treatment during admission, name of infection treated (categorical)
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January 1st to February 29th 2021
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Patient Clinical condition
Délai: January 1st to February 29th 2021
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Patient ICU priority triage score on admission (in numbers)
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January 1st to February 29th 2021
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Hospital Human Resources Utilized
Délai: January 1st to February 29th 2021
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Number of patients who utilized palliative care services (in numbers)
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January 1st to February 29th 2021
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Hospital Human Resources Utilized
Délai: January 1st to February 29th 2021
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Number of patients who utilized dietician services (in numbers)
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January 1st to February 29th 2021
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Hospital Human Resources Utilized
Délai: January 1st to February 29th 2021
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Number of patients who utilized physiotherapy services (in numbers)
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January 1st to February 29th 2021
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Hospital Physical Resources Utilized
Délai: January 1st to February 29th 2021
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Number of patients requiring oxygen therapy during admission (in numbers)
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January 1st to February 29th 2021
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Hospital Physical Resources Utilized
Délai: January 1st to February 29th 2021
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Type of oxygen therapy utilized by each patient (Categorical: nasal prong oxygen; face mask oxygen; or high flow oxygen)
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January 1st to February 29th 2021
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Hospital Physical Resources Utilized
Délai: January 1st to February 29th 2021
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Duration of oxygen therapy for each patient (in days)
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January 1st to February 29th 2021
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Hospital Physical Resources Utilized
Délai: January 1st to February 29th 2021
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Number of patients requiring antibiotic treatment (in numbers)
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January 1st to February 29th 2021
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Hospital Physical Resources Utilized
Délai: January 1st to February 29th 2021
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If patient required antibiotic therapy, name of antibiotic given (categorical)
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January 1st to February 29th 2021
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Hospital Physical resources Utilized
Délai: January 1st to February 29th 2021
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Patient duration of hospital stay (in days)
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January 1st to February 29th 2021
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Health System Dynamics
Délai: January 1st to February 29th 2021
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Daily number of patients admitted to hospital (in numbers/day)
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January 1st to February 29th 2021
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Health System Dynamics
Délai: January 1st to February 29th 2021
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Daily number of inpatients at hospital (in numbers/day)
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January 1st to February 29th 2021
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Health System Dynamics
Délai: January 1st to February 29th 2021
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Daily number of patients discharged from hospital (in numbers/day)
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January 1st to February 29th 2021
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Health System Dynamics
Délai: January 1st to February 29th 2021
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Daily number of patient deaths (in numbers/day)
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January 1st to February 29th 2021
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Health System Dynamics
Délai: January 1st to February 29th 2021
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Daily number of patients transferred out of hospital to another medical facility (in numbers/day)
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January 1st to February 29th 2021
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Health System Dynamics
Délai: January 1st to February 29th 2021
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Daily hospital bed capacity (in numbers/day)
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January 1st to February 29th 2021
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Health System Dynamics
Délai: January 1st to February 29th 2021
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Daily hospital oxygen consumption (in kg/day)
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January 1st to February 29th 2021
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Health System Dynamics
Délai: January 1st to February 29th 2021
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Name of hospital from which each patient was referred from (categorical)
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January 1st to February 29th 2021
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Local Incidence rates of COVID-19 infections
Délai: December 1st 2020 to February 29th 2021
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South African National COVID-19 incidence rates per week (in numbers/week)
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December 1st 2020 to February 29th 2021
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Local Incidence rates of COVID-19 infections
Délai: December 1st 2020 to February 29th 2021
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Western Cape Provincial COVID-19 incidence rates per week (in numbers/week)
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December 1st 2020 to February 29th 2021
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Collaborateurs et enquêteurs
Parrainer
Dates d'enregistrement des études
Dates principales de l'étude
Début de l'étude (Réel)
Achèvement primaire (Réel)
Achèvement de l'étude (Réel)
Dates d'inscription aux études
Première soumission
Première soumission répondant aux critères de contrôle qualité
Première publication (Réel)
Mises à jour des dossiers d'étude
Dernière mise à jour publiée (Réel)
Dernière mise à jour soumise répondant aux critères de contrôle qualité
Dernière vérification
Plus d'information
Termes liés à cette étude
Termes MeSH pertinents supplémentaires
Autres numéros d'identification d'étude
- African Covid19 Field Hospital
Plan pour les données individuelles des participants (IPD)
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Description du régime IPD
Informations sur les médicaments et les dispositifs, documents d'étude
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