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

7 novembre 2021 aggiornato da: 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.

Panoramica dello studio

Stato

Completato

Condizioni

Descrizione dettagliata

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.

Tipo di studio

Osservativo

Iscrizione (Effettivo)

596

Contatti e Sedi

Questa sezione fornisce i recapiti di coloro che conducono lo studio e informazioni su dove viene condotto lo studio.

Luoghi di studio

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

Criteri di partecipazione

I ricercatori cercano persone che corrispondano a una certa descrizione, chiamata criteri di ammissibilità. Alcuni esempi di questi criteri sono le condizioni generali di salute di una persona o trattamenti precedenti.

Criteri di ammissibilità

Età idonea allo studio

18 anni e precedenti (Adulto, Adulto più anziano)

Accetta volontari sani

No

Sessi ammissibili allo studio

Tutto

Metodo di campionamento

Campione non probabilistico

Popolazione di studio

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

Descrizione

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.

Piano di studio

Questa sezione fornisce i dettagli del piano di studio, compreso il modo in cui lo studio è progettato e ciò che lo studio sta misurando.

Come è strutturato lo studio?

Dettagli di progettazione

Coorti e interventi

Gruppo / Coorte
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.

Cosa sta misurando lo studio?

Misure di risultato primarie

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

Collaboratori e investigatori

Qui è dove troverai le persone e le organizzazioni coinvolte in questo studio.

Sponsor

University of Cape Town

Studiare le date dei record

Queste date tengono traccia dell'avanzamento della registrazione dello studio e dell'invio dei risultati di sintesi a ClinicalTrials.gov. I record degli studi e i risultati riportati vengono esaminati dalla National Library of Medicine (NLM) per assicurarsi che soddisfino specifici standard di controllo della qualità prima di essere pubblicati sul sito Web pubblico.

Studia le date principali

Inizio studio (Effettivo)

11 febbraio 2021

Completamento primario (Effettivo)

31 marzo 2021

Completamento dello studio (Effettivo)

31 marzo 2021

Date di iscrizione allo studio

Primo inviato

3 novembre 2021

Primo inviato che soddisfa i criteri di controllo qualità

7 novembre 2021

Primo Inserito (Effettivo)

9 novembre 2021

Aggiornamenti dei record di studio

Ultimo aggiornamento pubblicato (Effettivo)

9 novembre 2021

Ultimo aggiornamento inviato che soddisfa i criteri QC

7 novembre 2021

Ultimo verificato

1 novembre 2021

Maggiori informazioni

Termini relativi a questo studio

Termini MeSH pertinenti aggiuntivi

Altri numeri di identificazione dello studio

  • African Covid19 Field Hospital

Piano per i dati dei singoli partecipanti (IPD)

Hai intenzione di condividere i dati dei singoli partecipanti (IPD)?

NO

Descrizione del piano IPD

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

Informazioni su farmaci e dispositivi, documenti di studio

Studia un prodotto farmaceutico regolamentato dalla FDA degli Stati Uniti

No

Studia un dispositivo regolamentato dalla FDA degli Stati Uniti

No

Queste informazioni sono state recuperate direttamente dal sito web clinicaltrials.gov senza alcuna modifica. In caso di richieste di modifica, rimozione o aggiornamento dei dettagli dello studio, contattare register@clinicaltrials.gov. Non appena verrà implementata una modifica su clinicaltrials.gov, questa verrà aggiornata automaticamente anche sul nostro sito web .

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