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

7 november 2021 bijgewerkt door: 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.

Studie Overzicht

Toestand

Voltooid

Conditie

Gedetailleerde beschrijving

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.

Studietype

Observationeel

Inschrijving (Werkelijk)

596

Contacten en locaties

In dit gedeelte vindt u de contactgegevens van degenen die het onderzoek uitvoeren en informatie over waar dit onderzoek wordt uitgevoerd.

Studie Locaties

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

Deelname Criteria

Onderzoekers zoeken naar mensen die aan een bepaalde beschrijving voldoen, de zogenaamde geschiktheidscriteria. Enkele voorbeelden van deze criteria zijn iemands algemene gezondheidstoestand of eerdere behandelingen.

Geschiktheidscriteria

Leeftijden die in aanmerking komen voor studie

18 jaar en ouder (Volwassen, Oudere volwassene)

Accepteert gezonde vrijwilligers

Nee

Geslachten die in aanmerking komen voor studie

Allemaal

Bemonsteringsmethode

Niet-waarschijnlijkheidssteekproef

Studie Bevolking

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

Beschrijving

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.

Studie plan

Dit gedeelte bevat details van het studieplan, inclusief hoe de studie is opgezet en wat de studie meet.

Hoe is de studie opgezet?

Ontwerpdetails

Cohorten en interventies

Groep / Cohort
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.

Wat meet het onderzoek?

Primaire uitkomstmaten

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

Medewerkers en onderzoekers

Hier vindt u mensen en organisaties die betrokken zijn bij dit onderzoek.

Sponsor

University of Cape Town

Studie record data

Deze datums volgen de voortgang van het onderzoeksdossier en de samenvatting van de ingediende resultaten bij ClinicalTrials.gov. Studieverslagen en gerapporteerde resultaten worden beoordeeld door de National Library of Medicine (NLM) om er zeker van te zijn dat ze voldoen aan specifieke kwaliteitscontrolenormen voordat ze op de openbare website worden geplaatst.

Bestudeer belangrijke data

Studie start (Werkelijk)

11 februari 2021

Primaire voltooiing (Werkelijk)

31 maart 2021

Studie voltooiing (Werkelijk)

31 maart 2021

Studieregistratiedata

Eerst ingediend

3 november 2021

Eerst ingediend dat voldeed aan de QC-criteria

7 november 2021

Eerst geplaatst (Werkelijk)

9 november 2021

Updates van studierecords

Laatste update geplaatst (Werkelijk)

9 november 2021

Laatste update ingediend die voldeed aan QC-criteria

7 november 2021

Laatst geverifieerd

1 november 2021

Meer informatie

Termen gerelateerd aan deze studie

Aanvullende relevante MeSH-voorwaarden

Andere studie-ID-nummers

  • African Covid19 Field Hospital

Plan Individuele Deelnemersgegevens (IPD)

Bent u van plan om gegevens van individuele deelnemers (IPD) te delen?

NEE

Beschrijving IPD-plan

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

Informatie over medicijnen en apparaten, studiedocumenten

Bestudeert een door de Amerikaanse FDA gereguleerd geneesmiddel

Nee

Bestudeert een door de Amerikaanse FDA gereguleerd apparaatproduct

Nee

Deze informatie is zonder wijzigingen rechtstreeks van de website clinicaltrials.gov gehaald. Als u verzoeken heeft om uw onderzoeksgegevens te wijzigen, te verwijderen of bij te werken, neem dan contact op met register@clinicaltrials.gov. Zodra er een wijziging wordt doorgevoerd op clinicaltrials.gov, wordt deze ook automatisch bijgewerkt op onze website .

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