Эта страница была переведена автоматически, точность перевода не гарантируется. Пожалуйста, обратитесь к английской версии для исходного текста.

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

7 ноября 2021 г. обновлено: 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.

Обзор исследования

Статус

Завершенный

Условия

Подробное описание

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.

Тип исследования

Наблюдательный

Регистрация (Действительный)

596

Контакты и местонахождение

В этом разделе приведены контактные данные лиц, проводящих исследование, и информация о том, где проводится это исследование.

Места учебы

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

Критерии участия

Исследователи ищут людей, которые соответствуют определенному описанию, называемому критериям приемлемости. Некоторыми примерами этих критериев являются общее состояние здоровья человека или предшествующее лечение.

Критерии приемлемости

Возраст, подходящий для обучения

18 лет и старше (Взрослый, Пожилой взрослый)

Принимает здоровых добровольцев

Нет

Полы, имеющие право на обучение

Все

Метод выборки

Невероятностная выборка

Исследуемая популяция

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

Описание

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.

Учебный план

В этом разделе представлена ​​подробная информация о плане исследования, в том числе о том, как планируется исследование и что оно измеряет.

Как устроено исследование?

Детали дизайна

Когорты и вмешательства

Группа / когорта
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.

Что измеряет исследование?

Первичные показатели результатов

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

Соавторы и исследователи

Здесь вы найдете людей и организации, участвующие в этом исследовании.

Спонсор

University of Cape Town

Даты записи исследования

Эти даты отслеживают ход отправки отчетов об исследованиях и сводных результатов на сайт ClinicalTrials.gov. Записи исследований и сообщаемые результаты проверяются Национальной медицинской библиотекой (NLM), чтобы убедиться, что они соответствуют определенным стандартам контроля качества, прежде чем публиковать их на общедоступном веб-сайте.

Изучение основных дат

Начало исследования (Действительный)

11 февраля 2021 г.

Первичное завершение (Действительный)

31 марта 2021 г.

Завершение исследования (Действительный)

31 марта 2021 г.

Даты регистрации исследования

Первый отправленный

3 ноября 2021 г.

Впервые представлено, что соответствует критериям контроля качества

7 ноября 2021 г.

Первый опубликованный (Действительный)

9 ноября 2021 г.

Обновления учебных записей

Последнее опубликованное обновление (Действительный)

9 ноября 2021 г.

Последнее отправленное обновление, отвечающее критериям контроля качества

7 ноября 2021 г.

Последняя проверка

1 ноября 2021 г.

Дополнительная информация

Термины, связанные с этим исследованием

Дополнительные соответствующие термины MeSH

Другие идентификационные номера исследования

  • African Covid19 Field Hospital

Планирование данных отдельных участников (IPD)

Планируете делиться данными об отдельных участниках (IPD)?

НЕТ

Описание плана IPD

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

Информация о лекарствах и устройствах, исследовательские документы

Изучает лекарственный продукт, регулируемый FDA США.

Нет

Изучает продукт устройства, регулируемый Управлением по санитарному надзору за качеством пищевых продуктов и медикаментов США.

Нет

Эта информация была получена непосредственно с веб-сайта clinicaltrials.gov без каких-либо изменений. Если у вас есть запросы на изменение, удаление или обновление сведений об исследовании, обращайтесь по адресу register@clinicaltrials.gov. Как только изменение будет реализовано на clinicaltrials.gov, оно будет автоматически обновлено и на нашем веб-сайте. .

Подписаться